Interpretation of ESPEN practice guideline home parenteral nutrition in 2023
1Yu Yuan,1Liu Miao,2Cong Minghua
Department of Thoracic Surgery National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital Chinese
Academy of Medical Sciences and Peking Union Medical College Beijing 100021 China Department of Comprehensive Oncology
National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital Chinese Academy of Medical Sciences and Peking
Union Medical College Beijing 100021 China
Abstract：Chronic inability or lack of oral food can lead to malnutrition requiring parenteral nutrition treatment. Patients who
need long- term parenteral nutritional therapy can implement home parenteral nutritional therapy at home under the guidance of a
professional nutritional support team in order to maintain and improve the nutritional status of the patient and avoid long - term
hospitalization save medical costs and improve the quality of life. In 2023 the ESPEN guidelines on home parenteral nutrition. It
builds on previously published guidance provides an update on the available evidence and expert opinion and visualizes the
recommendations by presenting them as a flowchart. It unified 71 recommendations of home parenteral nutrition central venous access
device CVAD including central venous catheter peripherally inserted central catheter and implantable venous access port and
infusion pump infusion catheter and CVAD site care nutritional preparations program monitoring and management. These
recommendations have great value in guiding home parenteral nutritional management of patients. We interpret the guidelines and
reorganize the recommendations to improve the understanding and practicability.
