Téma: 

Home parenteral nutrition

Mária Voleková

It is an alternative route and form of nutrition for patients with an intestinal failure, where enteral nutrition is not possible and/or effective. With technical and economic demands of the long-time parenteral nutrition, informed consent of the patient and an adequate training in handling are prerequisite. Patients are selected for the long-time PN by standardized criteria of medical, nutritional, biosomatic and psychosocial nature. Route of application is mostly to a central vein via tunneled Hickman or Broviac catheters, alternatively via an implanted venous port. A complete parenteral nutrition is available in the form of prefilled 3-chamber bags. Their content is mixed immediately before use, trace elements and vitamins are added at this time as well. The quality of life of the patients on home parenteral nutrition is better than that of the patients on haemodialysis. After 1 year 91 % patients survive, after 3 and 5 years 70 % and 62 % of patients, respectively. Most common complications are catheter disconnection and dislocation, catheter or vein obstruction, catheter sepsis, subcutaneous tunnel infection and hypoglycaemia. Long-term therapy complications comprise cholestasis, bone disease and deficiency syndromes.

Ročník 2005  Témy časopisu Gastroenterology for practice 2 / 2005

CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Rudolf Hyrdel, CSc.

MEMBERS OF THE EDITORIAL BOARD
doc. MUDr. Marian Bátovský, CSc., mim. prof. SZU
prof. MUDr. Juraj Bober, CSc.
MUDr. Ivan Bunganič
prof. MUDr. Petr Dítě, DrSc.
doc. MUDr. Martin Huorka, CSc.
doc. MUDr. Peter Makovník, CSc.
MUDr. Juraj Májek, PhD.
prof. MUDr. Peter Mlkvý, CSc.
MUDr. Tomáš Šálek
MUDr. Renata Szépeová, PhD.
prof. MUDr. Anton Vavrečka, CSc.
MUDr. Mária Zakuciová

EDITOR-IN-CHIEF
Ing. Danica Paulenová
e-mail: paulenova@amedi.sk

GRAPHIC LAYOUT AND TYPESETTING
Lucia Vecseiová
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LANGUAGE PROOFREADING
Mgr. Eva Doktorová

PROOFREADING OF ENGLISH TEXTS
Mgr. Jana Bábelová

SECTIONS

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Maximum size is 8 pages (font size 12, line spacing 1.5) with maximum five pictures (graphs). In case of more extensive theme elaboration it is possible to divide the paper to several parts after agreement with editorial office. Write the article with focus on its practical use for gastroenerologists and specialists from other disciplines interested in gastroenterology.

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MANUSCRIPT REQUIREMENTS

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Examples of citations:
1. Vaughan TL, Davis S, Kristal A, et al. Obesity, alcohol and tobacco risk factors for cancers of esophagus and gastric cardia :adenocarcinoma versus squamous cell carcinoma Cancer Epidemiol Biomarkers Prev 1995; 4: 85-92.
2. Gao YT, McLaughlin JT, Gridley T, et al. Risk factors for esophageal cancer in Shanghai, China. Role of diet and nutrients. Int J Cancer 1994; 58: 197-202.
3. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.

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AUTODIDACTIC TEST

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

Origination of pigment stones is related to:
a. acute haemolysis
b. chronic haemolysis
c. hypercalcaemia
d. hyperlipoproteinaemia

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