In the majority (80%) of patients with acute pancreatitis, the disease is self limiting and, after a few days of withholding feeding and intravenous administration of fluids, patients can again be normally fed orally. In a small percentage of patients, the disease progresses to severe necrotic pancreatitis, with an intense systemic inflammatory response and often with multiple organ dysfunction...

The need for long term parenteral nutrition is no longer in itself adequate justification for keeping a child in hospital. With the development of both the nutritional support industry and hospital outreach services, parenteral nutrition at home has become a practical option. The necessary organisation and supervision remain complex, however, so that home parenteral nutrition (HPN) is best coor...

At the Mayo Health System in LaCrosse, Wisconsin, there are >1000 infant total parenteral nutrition (TPN) orders placed per year. It is the most complicated order that the pharmacy fills, so a recent peer-review article in Pediatrics moved a group of us to action at our center to buy or develop a TPN calculator. We did this because no stand-alone commercial calculators were available to us, and...

BACKGROUND Previous estimates of the cost of home parenteral and enteral nutrition (HPEN) have excluded hospitalization costs or were conducted abroad and have limited applicability in the United States. Few studies have used validated measures to determine the effect of home nutrition support on quality of life. METHOD A cost and clinical outcome analysis was performed by retrospective revie...

This document summarizes the issues raised in a think-tank meeting held by professionals with expertise in pediatric Home Parenteral Nutrition. This nutritional technology enables patients to return home to their family and social environment, improves their quality of life and decreases health-care costs; however, it is complex and requires an experienced nutritional support team. Patient sele...

BACKGROUND & AIMS To improve hospital health care delivery by identifying malnutrition in all admitted patients and following up those identified to be malnourished and "at risk of developing malnutrition" a hospital nutrition support program based on the JCAHO system was initiated in 1999. Two major problems were encountered: first, the inability to perform a nutrition surveillance process due...

background: the research to date does not present an articulated approach to ensure nutrition and food systems education is systematically implemented within schools. this paper aimed to investigate food experts’ views of the best strategies to improve school‑leavers’ knowledge of nutrition and food systems. methods: in this qualitative study, 28 iranian food and nutrition experts from four maj...