Home parenteral nutrition in patients with systemic sclerosis: a retrospective review of 12 cases

J Rheumatol. 2012 May;39(5):1004-7. doi: 10.3899/jrheum.110896. Epub 2012 Mar 1.

Abstract

Objective: To evaluate the effect of home total parenteral nutrition (HTPN) on the nutritional and functional status of patients with systemic sclerosis (SSc).

Methods: Retrospective review of SSc patients from the HTPN database at the University Health Network, Toronto, Canada, from 1998 to 2010.

Results: In total 12 subjects (9 females, 3 males) with SSc were identified. At initiation of HTPN, the age was 48.75 ± 3.94 years and the median body mass index was 16.8 kg/m(2) (range 12.3-21.3). This significantly increased to 18.3 kg/m(2) (17.0-21.7) at 6 months and to 19.7 kg/m(2) (17.0-24.6) at 12 months. The mean Karnofsky score at baseline was 58.00 ± 3.27, and the score at 12 months of 39.00 ± 13.29 did not change significantly.

Conclusion: HTPN improved the nutritional status of these patients with SSc but it did not improve their functional status.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Blind Loop Syndrome / diet therapy*
  • Blind Loop Syndrome / mortality
  • Blind Loop Syndrome / physiopathology
  • Body Weight / physiology
  • Female
  • Humans
  • Intestinal Pseudo-Obstruction / diet therapy*
  • Intestinal Pseudo-Obstruction / mortality
  • Intestinal Pseudo-Obstruction / physiopathology
  • Male
  • Middle Aged
  • Nutrition Assessment*
  • Parenteral Nutrition, Home / methods*
  • Retrospective Studies
  • Scleroderma, Systemic / diet therapy*
  • Scleroderma, Systemic / mortality
  • Scleroderma, Systemic / physiopathology
  • Survival Rate
  • Treatment Outcome
  • Young Adult