Enteral Nutrition Therapy: Historical Perspective, Utilization, and Complications.

Q1 Medicine Current Gastroenterology Reports Pub Date : 2024-08-01 Epub Date: 2024-05-24 DOI:10.1007/s11894-024-00934-8

Osman Mohamed Elfadil, Saketh R Velapati, Janki Patel, Ryan T Hurt, Manpreet S Mundi

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Abstract

Purpose of review: Enteral nutrition (EN) therapy can provide vital nutrition support for patients with various medical conditions as long as it is indicated and supported by ethical reasoning. This review seeks to offer a detailed account of the history of EN development, highlighting key milestones and recent advances in the field. Additionally, it covers common complications associated with EN and their management.

Recent findings: After years of research and development, we have reached newer generations of enteral feeding formulations, more options for enteral tubes and connectors, and a better understanding of EN therapy challenges. Given the availability of many different formulas, selecting a feeding formula with the best evidence for specific indications for enteral feeding is recommended. Initiation of enteral feeding with standard polymeric formula remains the standard of care. Transition to small-bore connectors remains suboptimal. Evidence-based practices should be followed to recognize and reduce possible enteral feeding complications early.

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肠内营养疗法：历史回顾、使用情况和并发症。

综述目的：肠内营养（EN）疗法可为患有各种疾病的患者提供重要的营养支持，但前提是这种疗法必须有适应症并符合道德规范。本综述旨在详细介绍肠内营养的发展历史，重点介绍该领域的重要里程碑和最新进展。此外，它还介绍了与耳鼻喉科手术相关的常见并发症及其处理方法：经过多年的研究和开发，我们已经拥有了更新一代的肠内喂养配方、更多的肠管和接头选择以及对肠内营养治疗挑战的更好理解。鉴于有许多不同的配方可供选择，建议针对肠内喂养的特定适应症选择证据最充分的喂养配方。使用标准聚合配方开始肠内喂养仍是护理标准。过渡到小口径接头仍然不是最佳选择。应遵循循证实践，及早识别并减少肠内喂养可能出现的并发症。

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来源期刊

Current Gastroenterology Reports Medicine-Gastroenterology

CiteScore

7.80

自引率

0.00%

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期刊介绍： As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.

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