Long-term home parenteral nutrition in systemic sclerosis-related intestinal failure is feasible but unveils occult cardiac disease

Suzon, B.; Rivière, Sébastien; Schiffmann, A.; Rivet, V.; Flori, Nicolas; Guilpain, Philippe; Maria, A.

doi:10.1016/j.nut.2023.112009

Nutrition

2023

DOI: 10.1016/j.nut.2023.112009

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Long-term home parenteral nutrition in systemic sclerosis-related intestinal failure is feasible but unveils occult cardiac disease

B. Suzon

Sébastien Rivière

A. Schiffmann

et al.

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2024

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Cited by 3 publications

References 30 publications

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Adverse events associated with parenteral nutrition support therapy: A pharmacovigilance study

Jing,

Hongyan,

Jingjing

et al. 2024

J Parenter Enteral Nutr

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BackgroundParenteral nutrition (PN) plays a crucial role in nutrition support therapy, yet data on related adverse events (AEs) in practical settings are scarce. To address this, we analyzed AE signals associated with PN treatment from the United States Food and Drug Administration Adverse Event Reporting System (FAERS) database.MethodsWe extracted data from the FAERS database, covering the period from the first quarter (Q1) of 2004 to Q1 of 2024. Drug names and AEs were standardized. We then conducted disproportionality analyses using four different algorithms to evaluate the association between PN and its associated AEs.ResultsWe collected a total of 48,890,925 reports from the FAERS database, of which 1642 involved PN‐related AEs. After categorization, we identified 21 system organ classes (SOCs), and hepatobiliary disorders were the only significant SOC across all four algorithms. At the preferred term (PT) level, we identified 99 PTs that showed significant disproportionality in all four algorithms. Fat overload syndrome, fatty acid deficiency, parenteral nutrition–associated liver disease (PNALD), Malassezia infection, and Pantoea agglomerans infection were the most prominent PTs. In addition, several potential new AE signals included nervous, cardiac, immune, psychiatric, blood, renal, urinary, and eye disorders.ConclusionOur study identified several common and rare PN‐related AEs reported in the FAERS database. Patients and healthcare providers should remain vigilant about these AEs. Understanding the risks of PN therapy and establishing practical procedures can help reduce AEs.

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Adverse events associated with parenteral nutrition support therapy: A pharmacovigilance study

Jing,

Hongyan,

Jingjing

et al. 2024

J Parenter Enteral Nutr

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Atteinte sévère de l’intestin grêle et pseudo-obstruction intestinale chronique au cours de la sclérodermie systémique : bases physiopathologiques, diagnostiques et thérapeutiques, dont la nutrition parentérale

Suzon,

Louis-Sidney,

Abel

et al. 2024

La Revue de Médecine Interne

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Nutritional disorders and nutrition-related conditions: an underestimated clinical problem in systemic sclerosis

Wojteczek,

Chmielewski,

Zdrojewski

2024

Reumatologia

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Nutritional disorders are significant but often underestimated complications in patients with systemic sclerosis (SSc). The most prevalent nutritional disorders in SSc are malnutrition, affecting up to 62.5% of patients, and sarcopenia, with a frequency of up to 42%. Thus, clinical vigilance is recommended for the detection of eating disorders in SSc patients, particularly those with gastrointestinal involvement, cardiopulmonary complications, an advanced disease stage, and high disease activity. Nutritional treatment should be carefully tailored to the patients’ clinical condition to ensure that it effectively addresses their specific needs. Studies focusing on enteral nutrition in SSc patients demonstrate its effectiveness in stabilizing or improving nutritional status in malnourished patients. In severe cases, parenteral nutrition offers viable options to support patient health. The findings highlight the importance of early nutritional assessment and intervention in improving patient outcomes and suggest that individualized nutritional therapy can be a critical component of comprehensive care for SSc patients.

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Long-term home parenteral nutrition in systemic sclerosis-related intestinal failure is feasible but unveils occult cardiac disease

Cited by 3 publications

References 30 publications

Adverse events associated with parenteral nutrition support therapy: A pharmacovigilance study

Adverse events associated with parenteral nutrition support therapy: A pharmacovigilance study

Atteinte sévère de l’intestin grêle et pseudo-obstruction intestinale chronique au cours de la sclérodermie systémique : bases physiopathologiques, diagnostiques et thérapeutiques, dont la nutrition parentérale

Nutritional disorders and nutrition-related conditions: an underestimated clinical problem in systemic sclerosis

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