Usefulness of a peripherally inserted central catheter for total parenteral nutrition in patients with inflammatory bowel disease

Backgrounds and Aims:Peripherally inserted central catheters (PICC) have been widely used as a blood access route for total parenteral nutrition (TPN) in recent years. However, there have been few reports that evaluated the usefulness of PICC for patients with inflammatory bowel disease (IBD). In th...

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Veröffentlicht in:Nippon Shokakibyo Gakkai Zasshi 2017/09/05, Vol.114(9), pp.1639-1648
Hauptverfasser: CHIBA, Hirofumi, ENDO, Katsuya, IZUMIYAMA, Yasuhiro, NAKANO, Takeru, OKAMOTO, Daisuke, ICHIKAWA, Ryo, NAGAI, Hiroshi, MATSUMOTO, Shin, YOKOYAMA, Naonobu, YAMAMOTO, Katsutoshi, SHIMOYAMA, Yusuke, NAITO, Takeo, ONODERA, Motoyuki, KUSAKA, Jun, HIRAMOTO, Keiichiro, KUROHA, Masatake, KANAZAWA, Yoshitake, KIMURA, Tomoya, KAKUTA, Yoichi, KINOUCHI, Yoshitaka, SHIMOSEGAWA, Tooru
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container_end_page 1648
container_issue 9
container_start_page 1639
container_title Nippon Shokakibyo Gakkai Zasshi
container_volume 114
creator CHIBA, Hirofumi
ENDO, Katsuya
IZUMIYAMA, Yasuhiro
NAKANO, Takeru
OKAMOTO, Daisuke
ICHIKAWA, Ryo
NAGAI, Hiroshi
MATSUMOTO, Shin
YOKOYAMA, Naonobu
YAMAMOTO, Katsutoshi
SHIMOYAMA, Yusuke
NAITO, Takeo
ONODERA, Motoyuki
KUSAKA, Jun
HIRAMOTO, Keiichiro
KUROHA, Masatake
KANAZAWA, Yoshitake
KIMURA, Tomoya
KAKUTA, Yoichi
KINOUCHI, Yoshitaka
SHIMOSEGAWA, Tooru
description Backgrounds and Aims:Peripherally inserted central catheters (PICC) have been widely used as a blood access route for total parenteral nutrition (TPN) in recent years. However, there have been few reports that evaluated the usefulness of PICC for patients with inflammatory bowel disease (IBD). In this study, we compared the clinical courses in patients with IBD who received TPN during their hospitalization by conventional central venous catheters (CVC) and PICC. Patients and Methods:A total of 137 IBD patients were enrolled. The CVC group and the PICC group included 56 and 81 patients, respectively. The clinical courses in both groups were compared retrospectively. Results:As a complication of the puncture, pneumothorax occurred in two patients (3.6%) in the CVC group, but in none (0%) in the PICC group. The PICC group had significantly higher rates of achieving the scheduled TPN without removing the catheter, lower rates of catheter-related blood stream infection (CRBSI) and longer periods without CRBSI than the CVC group. Conclusion:PICC might be more useful than CVC in terms of safety and the ability to deliver scheduled TPN for IBD patients.
doi_str_mv 10.11405/nisshoshi.114.1639
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However, there have been few reports that evaluated the usefulness of PICC for patients with inflammatory bowel disease (IBD). In this study, we compared the clinical courses in patients with IBD who received TPN during their hospitalization by conventional central venous catheters (CVC) and PICC. Patients and Methods:A total of 137 IBD patients were enrolled. The CVC group and the PICC group included 56 and 81 patients, respectively. The clinical courses in both groups were compared retrospectively. Results:As a complication of the puncture, pneumothorax occurred in two patients (3.6%) in the CVC group, but in none (0%) in the PICC group. The PICC group had significantly higher rates of achieving the scheduled TPN without removing the catheter, lower rates of catheter-related blood stream infection (CRBSI) and longer periods without CRBSI than the CVC group. 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However, there have been few reports that evaluated the usefulness of PICC for patients with inflammatory bowel disease (IBD). In this study, we compared the clinical courses in patients with IBD who received TPN during their hospitalization by conventional central venous catheters (CVC) and PICC. Patients and Methods:A total of 137 IBD patients were enrolled. The CVC group and the PICC group included 56 and 81 patients, respectively. The clinical courses in both groups were compared retrospectively. Results:As a complication of the puncture, pneumothorax occurred in two patients (3.6%) in the CVC group, but in none (0%) in the PICC group. The PICC group had significantly higher rates of achieving the scheduled TPN without removing the catheter, lower rates of catheter-related blood stream infection (CRBSI) and longer periods without CRBSI than the CVC group. Conclusion:PICC might be more useful than CVC in terms of safety and the ability to deliver scheduled TPN for IBD patients.</abstract><cop>Japan</cop><pub>The Japanese Society of Gastroenterology</pub><pmid>28883293</pmid><doi>10.11405/nisshoshi.114.1639</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Catheterization, Peripheral
Female
Humans
Inflammatory Bowel Diseases - therapy
Male
Parenteral Nutrition, Total
Retrospective Studies
title Usefulness of a peripherally inserted central catheter for total parenteral nutrition in patients with inflammatory bowel disease
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