Pedrón-Giner, C.Martínez-Costa, C.Gómez-López, L.Navas-López, V.M.Redecillas Ferreiro, S.Moreno-Villares, J.M.Prieto Borzano, G.Gomis Muñoz, P.Morais López, A.Irastorza Terradillos, I.García-Novo, M.ªD.2012-08-032012-08-032010-09Pedrón-Giner C, Martínez-Costa C, Gómez-López L, Navas-López VM, Redecillas Ferreiro S, Moreno-Villares JM, et al. Home parenteral nutrition in children: procedures, experiences and reflections. Nutr Hosp. 2010;25(5):705-11.0212-1611http://hdl.handle.net/10668/448Artículo especial.El presente documento resume los aspectos abordados en una Jornada de puesta en común con la participación de profesionales con experiencia en nutrición parenteral domiciliaria pediátrica. Este tratamiento permite el retorno de los pacientes a su medio familiar y social, mejora su calidad de vida y disminuye los costes sanitarios pero es complejo y requiere un equipo de soporte nutricional experimentado. La selección del paciente se realizará en función de su enfermedad de base, la duración estimada del soporte y las características familiares y sociales. La familia del paciente ha de querer hacerse cargo de su cuidado y debe ser capaz de realizar el tratamiento de forma segura y eficaz tras recibir la formación adecuada por el equipo de soporte nutricional. El seguimiento ha de efectuarse de forma estrecha para asegurar la tolerancia y eficacia del soporte, evitando las complicaciones. Este tratamiento nutricional consigue, en la mayoría de los casos, la recuperación y adaptación intestinal en periodos variables de tiempo. En ciertas patologías y cuando la nutrición parenteral domiciliaria se complica puede estar indicado el trasplante intestinal, por lo que la remisión a las Unidades de Rehabilitación Intestinal y Trasplante debe hacerse de forma precoz.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 selection is normally made according to their underlying disease, the estimated duration of support and family and social characteristics. The patient''s family must agree to take on caregiver's responsibilities and should be able to perform treatment safely and effectively after receiving proper training from the nutritional support team. Close monitoring must be carried out to ensure tolerance and effectiveness of nutritional support, thereby avoiding complications. This nutritional treatment achieves, in most cases, recovery and intestinal adaptation in varying periods of time. In certain diseases, and when home parenteral nutrition becomes complicated, intestinal transplant may be recommendable, so referral to rehabilitation units and Intestinal Transplantation should be made early on.enHome parenteral nutritionHome care servicesPediatricsNutritional supportNutrición parenteral domiciliariaCuidados domiciliariosPediatríaSoporte nutricionalMedical Subject Headings::Named Groups::Persons::Age Groups::ChildMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::FamilyMedical Subject Headings::Technology, Industry, Agriculture::Food and Beverages::Food::Foods, Specialized::Food, FormulatedMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Diseases::Bacterial Infections and Mycoses::InfectionMedical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Intestinal DiseasesMedical Subject Headings::Anatomy::Digestive System::Gastrointestinal Tract::IntestinesMedical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Metabolic DiseasesMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Monitoring, PhysiologicMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Community Health Services::Home Care Services::Parenteral Nutrition, HomeMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Hospitalization::Patient DischargeMedical Subject Headings::Disciplines and Occupations::Social Sciences::Quality of LifeMedical Subject Headings::Chemicals and Drugs::Pharmaceutical Preparations::SolutionsMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Community Health Services::Home Care ServicesMedical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::PediatricsMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Nutrition Therapy::Nutritional Supportresearch article21336424open access10.3305/nh.2010.25.5.46131699-5198