BACKGROUND A retrospective utilization study was performed to evaluate utilization patterns for enteral nutrition in a university teaching hospital. METHODS Enteral nutrition was divided into three types according to the nitrogen source, ie, total protein type [Nutrison Fibre(®), Fresubin Energy Fibre(®), Fresubin(®), Supportan(®) (a special immunonutrition for cancer patients or patients wit...

INTRODUCTION Whether parenteral nutrition benefits growth of very low birth weight (VLBW) preterm infants in the setting of rapid enteral feeding advancement is unclear. Our aim was to examine this issue using data from Japan, where enteral feeding typically advances at a rapid rate. METHODS We studied 4005 hospitalized VLBW, very preterm (23-32 weeks' gestation) infants who reached full ente...

Introduction. In patients with acute pancreatitis (AP), nutritional support is required if normal food cannot be tolerated within several days. Enteral nutrition is preferred over parenteral nutrition. We reviewed the literature about enteral nutrition in AP. Methods. A MEDLINE search of the English language literature between 1999-2009. Results. Nasogastric tube feeding appears to be safe and ...

Background. A common site for neonatal intestinal obstruction is the duodenum. Delayed establishment of enteral nutritional autonomy continues to challenge surgeons and, since early institution of nutritional support is critical in postoperative newborns, identification of patients likely to require alternative nutritional support may improve their outcomes. Therefore, we aimed to investigate r...

OBJECTIVES Evaluate the practice of providing enteral nutrition in critically ill children requiring noninvasive positive pressure ventilation. DESIGN Retrospective cohort study. SETTING PICU within a quaternary care children's hospital. PATIENTS PICU patients older than 30 days requiring noninvasive positive pressure ventilation for greater than or equal to 24 hours from August 2014 to J...

PURPOSE OF REVIEW Increasing knowledge, both experimental and clinical, supports the fact that early and aggressive enteral nutrition has the capacity to reduce superinflammation and prevent infections in severe acute pancreatitis. Clearly, the main role of enteral nutrition is to boost the immune system, and not, at least initially, to provide calories. Whereas enteral nutrition improves, pare...

OBJECTIVE To identify the optimal time for introducing enteral nutrition to critically ill neonates. METHODS This prospective cohort study included all eligible critically ill neonates who were admitted to a multidisciplinary tertiary neonatal intensive care unit (NICU) between 1st June and 30th November 2013. Nutrient intake and clinical outcomes during NICU stay were recorded. The effect of...

Objective To determine the effect of early enteral feeding on the outcome of critically ill medical patients whose hemodynamic condition is unstable. Methods Prospectively collected data in a multi-institutional medical intensive care unit database were analyzed retrospectively. A total of 1174 patients were identified who required mechanical ventilation for more than 2 days and were treated wi...

T he need to avoid prolonged starvation in patients is well recognized. More recently, it has been realized that without intraluminal fuels, intestinal integrity may deteriorate and allow translocation of gut bacteria. One means to combat nutrient deprivation and simultaneously to keep the local defense barrier of the intestine intact is tube feeding, i.e., enteral nutrition. This technique has...

EARLY ENTERAL NUTRITION IS THE standard of care in critically ill patients receiving invasive mechanical ventilation. However, numerous studies have shown that early enteral nutrition is frequently not used or associated with inadequate calorie delivery. The main reason for nonuse is gastrointestinal intolerance to enteral nutrition, which has been ascribed to gastroparesis with increased gastr...