Klinikai táplálásterápia rövidbél-szindrómában a személyre szabott orvoslás elvei szerint

Abstract

Home parenteral nutrition administered in selected care centres has been financed in Hungary since January, 2013. The authors discuss diagnostic issues, treatment and nutrition therapy of short bowel syndrome patients in line with the principles of personalised medicine. The most severe form of short bowel syndrome occurs in patients having jejunostomy, whose treatment is discussed separately. The authors give a detailed overview of home parenteral feeding, its possible complications, outcomes and adaptation of the remaining bowel. They describe how their own care centre operates where they administer home parenteral nutrition to 12 patients with short bowel syndrome (5 females and 7 males aged 51.25+/-14.4 years). The body mass index was 19.07+/-5.08 kg/m2 and 20.87+/-3.3 kg/m2, skeletal muscle mass was 25.7+/-6.3 kg and 26.45+/-5.38 kg, and body fat mass was 14.25+/-8.55 kg and 11.77+/-2.71 kg at the start of home parenteral nutrition and presently, respectively. The underlying conditions of short bowel syndrome were tumours in 4 patients, bowel ischaemia in four patients, surgical complications in three patients, Crohn's disease in one patient, and Crohn's disease plus tumour in one patient. Orv. Hetil., 2014, 155(51), 2054-2062.