P.76 Phytosterol concentrations in serum during intravenousadministration of lipid emulsions

cases, intractable diarrhea: 2 cases. In all but 4, PN was started at birth. At the time of decision for AVF, children were aged 5 months to 14 years (6.2 _+ 3.8 years) with a mean of 5.7 consecutive catheters/child. In all cases, an AVF was created because of the poor tolerance to catheters in children on a long term-HPN programme. Twenty-five AVF were created in 15 children. Results: Eighteen AVF were used for HPN in 14 children. Parenteral infusions were performed daily in 3 children, 2 to 6 times a week for 11 children. The duration of HPN via AVF ranged from 10 months to 14 years (mean 4 years). Seven children still receive HPN via AVF. Complications were observed in 10 children. The main complications were: infections by staphylococcus aureus: 4 cases in 3 children; thrombosis; 11 cases; stenosis: 2 cases. In all children but one, the psycholgical tolerance to AVF was excellent. Most of the parents were educated for punction in AVF and did not need help of a nurse. Conclusion: Parenteral nutrition on arterio-venous fistula can be considered as a safe and simple techniqe, suitable for HPN in children. AVF decrease the risk of PN-related infections, as compared to central venous catheters. In case of a long term-PN programme, the choice of AVF has to be done early, before the spreading of catheter-related venous thrombosis.