Nutrição PareNtérica Domiciliária: a muDaNça De um ParaDigma

Home parenteral nutrition (HPN) is a perfectly recognized therapeutic modality in cases of chronic intestinal failure. The relatively low mortality and morbidity associated to improved overall results encouraged HPN spread in Western countries, placing itself as a better option when compared to bowel transplantation. in spite of the new emphasis on moving healthcare outside the hospital setting, the role of highly motivated multidisciplinary teams as well as the active involvement of patients and their caregivers is absolutely fundamental to provide viability to this therapeutic approach. The HPN has shown benefits for patients by both improving the nutritional status and survival. it is currently the first therapeutical choice in patients with chronic intestinal failure. Nevertheless, in Portugal, there is still no standardized provision leading to an urgent demand for national organizational measures.