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

Hirofumi Chiba, Katsuya Endo, Yasuhiro Izumiyama, Takeru Nakano, Daisuke Okamoto, Ryo Ichikawa, Hiroshi Nagai, Shin Matsumoto, Naonobu Yokoyama, Katsutoshi Yamamoto, Yusuke Shimoyama, Takeo Naito, Motoyuki Onodera, Jun Kusaka, Keiichiro Hiramoto, Masatake Kuroha, Yoshitake Kanazawa, Tomoya Kimura, Yoichi Kakuta, Yoshitaka KinouchiTooru Shimosegawa

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1639-1648
Number of pages10
JournalJournal of Japanese Society of Gastroenterology
Volume114
Issue number9
Publication statusPublished - 2017

ASJC Scopus subject areas

  • Gastroenterology

Fingerprint Dive into the research topics of 'Usefulness of a peripherally inserted central catheter for total parenteral nutrition in patients with inflammatory bowel disease'. Together they form a unique fingerprint.

  • Cite this

    Chiba, H., Endo, K., Izumiyama, Y., Nakano, T., Okamoto, D., Ichikawa, R., Nagai, H., Matsumoto, S., Yokoyama, N., Yamamoto, K., Shimoyama, Y., Naito, T., Onodera, M., Kusaka, J., Hiramoto, K., Kuroha, M., Kanazawa, Y., Kimura, T., Kakuta, Y., ... Shimosegawa, T. (2017). Usefulness of a peripherally inserted central catheter for total parenteral nutrition in patients with inflammatory bowel disease. Journal of Japanese Society of Gastroenterology, 114(9), 1639-1648.