Question

According to the Centers for Medicare and Medicaid Services, which of the following is an indication for home parenteral nutrition?

1: Bowel resection resulting in less than or equal to 5 feet small bowel beyond the ligament of Treitz
2: Gastrointestinal losses totaling 20% of oral intake
3: Need for bowel rest of 1-2 weeks duration
4: Failure to maintain weight on an oral diet

Answer 1

Home parenteral nutrition is indicated by the Centers for Medicare and Medicaid Services when there is less than or equal to 5 feet of small bowel remaining beyond the ligament of Treitz after a resection.

Step-by-step explanation:

According to the Centers for Medicare and Medicaid Services, an indication for home parenteral nutrition is when a patient has had a significant bowel resection resulting in less than or equal to 5 feet of small bowel beyond the ligament of Treitz. The remaining bowel length is insufficient for proper nutrient absorption and digestion, which necessitates parenteral nutrition to maintain an individual's nutritional status and overall health. Conditions such as cancer, inflammatory bowel syndrome, and other diseases might also lead to the need for home parenteral nutrition due to reduced appetite or impaired digestion, as these can result in severe malnutrition.