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Enteral access for nutritional support: rationale for utilization.

Abstract

Acquisition of enteral access and provision of a sufficient volume of enteral nutrients early in the hospital course of a critically ill patient afford an opportunity to improve the outcome of that patient through the progression of his or her disease process. Failure to use the enteral route of feeding not only squanders this opportunity, but may, in addition, promote a pro-inflammatory state, which exacerbates disease severity and worsens morbidity. Enteral feeding provides a conduit for the delivery of immune stimulants and serves as effective prophylaxis against stress-induced gastropathy and gastrointestinal hemorrhage. Tube placement beyond the stomach into the small bowel in hypermetabolic, severely ill patients prone to ileus and disordered gut motility aids delivery of enteral nutrients while reducing risk of aspiration. Endoscopic skills and expertise in gastrointestinal physiology are vital to the success of a nutrition support service and the provision of enteral tube feeding.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Medicine, University of Louisville School of Medicine, Kentucky 40202, USA. samcclave@louisville.edu

    ,

    Source

    Journal of clinical gastroenterology 35:3 2002 Sep pg 209-13

    MeSH

    Burns
    Critical Illness
    Endoscopy, Digestive System
    Enteral Nutrition
    Humans
    Intubation, Intratracheal

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12192194

    Citation

    McClave, Stephen A., et al. "Enteral Access for Nutritional Support: Rationale for Utilization." Journal of Clinical Gastroenterology, vol. 35, no. 3, 2002, pp. 209-13.
    McClave SA, Marsano LS, Lukan JK. Enteral access for nutritional support: rationale for utilization. J Clin Gastroenterol. 2002;35(3):209-13.
    McClave, S. A., Marsano, L. S., & Lukan, J. K. (2002). Enteral access for nutritional support: rationale for utilization. Journal of Clinical Gastroenterology, 35(3), pp. 209-13.
    McClave SA, Marsano LS, Lukan JK. Enteral Access for Nutritional Support: Rationale for Utilization. J Clin Gastroenterol. 2002;35(3):209-13. PubMed PMID: 12192194.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Enteral access for nutritional support: rationale for utilization. AU - McClave,Stephen A, AU - Marsano,Luis S, AU - Lukan,James K, PY - 2002/8/23/pubmed PY - 2002/10/31/medline PY - 2002/8/23/entrez SP - 209 EP - 13 JF - Journal of clinical gastroenterology JO - J. Clin. Gastroenterol. VL - 35 IS - 3 N2 - Acquisition of enteral access and provision of a sufficient volume of enteral nutrients early in the hospital course of a critically ill patient afford an opportunity to improve the outcome of that patient through the progression of his or her disease process. Failure to use the enteral route of feeding not only squanders this opportunity, but may, in addition, promote a pro-inflammatory state, which exacerbates disease severity and worsens morbidity. Enteral feeding provides a conduit for the delivery of immune stimulants and serves as effective prophylaxis against stress-induced gastropathy and gastrointestinal hemorrhage. Tube placement beyond the stomach into the small bowel in hypermetabolic, severely ill patients prone to ileus and disordered gut motility aids delivery of enteral nutrients while reducing risk of aspiration. Endoscopic skills and expertise in gastrointestinal physiology are vital to the success of a nutrition support service and the provision of enteral tube feeding. SN - 0192-0790 UR - https://www.unboundmedicine.com/medline/citation/12192194/full_citation L2 - http://Insights.ovid.com/pubmed?pmid=12192194 DB - PRIME DP - Unbound Medicine ER -