Clinical Nutrition: Enteral and Tube Feeding

Enteral tube feeding in adults.

Enteral tube feeding is usually a relatively straightforward method of nutritional support, and should be facilitated by a multiprofessional team. For short-term use (<4 weeks) a fine bore feeding nasogastric tube is indicated but if longer term feeding is required then a gastrostomy is appropriate, usually inserted endoscopically (a percutaneous endoscopic gastrostomy tube). The most common se...

Bowel necrosis associated with early jejunal tube feeding: A complication of postoperative enteral nutrition.

HYPOTHESIS Postoperative enteral nutrition may sometimes be responsible for severe complications such as mesenteri ischemia. DATA SOURCES Studies in the English literature were identified by a computer-assisted search of the MEDLINE database using the key words "enteral feeding OR jejunostomy" AND "complications OR mesenteric ischemia." Cited references of each retrieved paper were checked fo...

American Gastroenterological Association technical review on tube feeding for enteral nutrition.

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...

Enteral Feedings in Hospitalized Patients: Early versus Delayed Enteral Nutrition EARLY ENTERAL FEEDING

EARLY ENTERAL FEEDING T he successful administration of parenteral nutrition (PN) in the late 1960s and 1970s provided clinicians a way to feed patients with significant loss of intestinal mass or function who would otherwise starve. In the 1980s and early 1990s, laboratory and clinical data demonstrated that there were benefits gained when nutrition is delivered via the gastrointestinal tract ...