Basics in clinical nutrition: Enteral nutrition

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Enteral nutrition in clinical practice.

Enteral nutrition has, at long last, found its place in the modulation of disease. Because of its importance in terms of both anabolic and catabolic processes, today's clinician must have a working knowledge of the types of enteral formulations, their delivery and the therapeutic considerations (particularly concomitant medications) that impact on the safety and efficacy of enteral nutrition. T...

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Early enteral nutrition versus delayed enteral nutrition in acute pancreatitis

BACKGROUND Whether early enteral nutrition (EEN) administration is more beneficial than delayed enteral nutrition (DEN) for patients with acute pancreatitis remains controversial. METHODS This meta-analysis aimed to pool all relevant articles to evaluate the effects of EEN within 48 hours versus DEN beyond 48 hours on the clinical outcomes of patients with acute pancreatitis. We searched PubM...

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Nutritional Prescription of Enteral Nutrition: Enhanced Dose of Enteral Nutrition

2015 Recommendation: Based on 1 level 1 study, 3 level 2 studies and 2 cluster randomized controlled trials, when starting enteral nutrition in critically ill patients, strategies to optimize delivery of nutrients (starting at target rate, volume-based feeding strategies, higher threshold of gastric residual volumes, use of prokinetics, concentrated feeding solutions and small bowel feedings) s...

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Advantages of enteral nutrition over parenteral nutrition.

It is a strong and commonly held belief among nutrition clinicians that enteral nutrition is preferable to parenteral nutrition. We provide a narrative review of more recent studies and technical reviews comparing enteral nutrition with parenteral nutrition. Despite significant weaknesses in the existing data, current literature continues to support the use of enteral nutrition in patients requ...

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Minimal enteral nutrition.

Although parenteral nutrition has been used widely in the management of sick very low birth weight (VLBW) infants, a smooth transition to the enteral route is most desirable. Animal studies have shown that long periods of starvation are associated with mucosal atrophy and reduction of enzymatic activity. Studies have shown that giving small volumes of feeds frequently exerts a trophic effect on...

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ژورنال

عنوان ژورنال: e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism

سال: 2009

ISSN: 1751-4991

DOI: 10.1016/j.eclnm.2009.05.008