Home Parenteral and Enteral Nutrition

Jamie Bering, John K. Dibaise

Research output: Contribution to journalReview articlepeer-review


While the history of nutrition support dates to the ancient world, modern home parenteral and enteral nutrition (HPEN) has been available since the 1960s. Home enteral nutrition is primarily for patients in whom there is a reduction in oral intake below the amount needed to maintain nutrition or hydration (i.e., oral failure), whereas home parenteral nutrition is used for patients when oral-enteral nutrition is temporarily or permanently impossible or absorption insufficient to maintain nutrition or hydration (i.e., intestinal failure). The development of home delivery of these therapies has revolutionized the field of clinical nutrition. The use of HPEN appears to be increasing on a global scale, and because of this, it is important for healthcare providers to understand all that HPEN entails to provide safe, efficacious, and cost-effective support to the HPEN patient. In this article, we provide a comprehensive review of the indications, patient requirements, monitoring, complications, and overall process of managing these therapies at home. Whereas some of the information in this article may be applicable to the pediatric patient, the focus is on the adult population.

Original languageEnglish (US)
Article number2558
Issue number13
StatePublished - Jul 1 2022


  • complications
  • enteral nutrition
  • home enteral nutrition
  • home parenteral nutrition
  • indications
  • parenteral nutrition
  • quality of life

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics


Dive into the research topics of 'Home Parenteral and Enteral Nutrition'. Together they form a unique fingerprint.

Cite this