D Wendel et al. JPGN 2018; 66: 212-7. This single center retrospective review examined patients who received home TPN prior to liver transplantation. These 18 patients, which represented 41% of their entire transplant cohort of 44 between 2010-2015, all had biliary atresia. Key findings:
- Malnutrition improved or resolved in all but one patient
- 8 catheter-related infections were noted (3.8/1000 catheter days)
- There were no deaths in patients receiving TPN
My take: While there is an increased burden of care with TPN, improved nutrition may improve long-term outcomes.
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