J Korean Soc Parenter Enter Nutr.  2013 Dec;5(3):130-132. 10.15747/jkspen.2013.5.3.130.

Pediatric Case of Short Bowel Syndrome: 14-month Experience of Home Parenteral Nutrition

• Min JK
• Park HJ
• Seo JM

• KMID: 2321868
• DOI: http://doi.org/10.15747/jkspen.2013.5.3.130

Abstract

Many pediatric patients, particularly those with short bowel syndrome (SBS), will eventually require long-term parenteral nutrition in order to provide adequate nutritional support. This requires an extended hospital stay. We report on the case of a four-year-old boy with SBS who was administered home parenteral nutrition (HPN) during a period of 14 months. The goal of HPN therapy is to maintain the patient's nutrition status while concurrently making all efforts to minimize complications associated with HPN. Central catheter infection did not occur during this period. Despite cyclic PN, liver function test (LFT) value was sometimes increasing. After PN calorie was decreased, LFT values were normalized. When evaluated according to the corrected age, he belonged to 5%~25% for weight status, which was considered normal weight compared to height. For all patients requiring prolonged PN support, HPN is the only alternative to long-term hospitalization and may be the best option for improvement of patients' quality of life. However, significant benefit can be gained through collaboration between healthcare providers within the institution. Family training and education are important. Using this case, we evaluate the clinical experiences and considerations of HPN in Korea.

Keyword

Short bowel syndrome; Home parenteral nutrition; Parenteral nutrition

MeSH Terms

Catheters
Cooperative Behavior
Education
Health Personnel
Hospitalization
Humans
Korea
Length of Stay
Liver Function Tests
Male
Nutritional Status
Nutritional Support
Parenteral Nutrition
Parenteral Nutrition, Home*
Quality of Life
Short Bowel Syndrome*