Enteral access in adults

被引:44
作者
Toussaint, Emmanuel [1 ]
Van Gossum, Andre [2 ]
Ballarin, Asuncion [3 ]
Arvanitakis, Marianna [2 ]
机构
[1] CHU Brugmann, ULB, Dept Gastroenterol, B-1020 Brussels, Belgium
[2] Erasme Univ Hosp, ULB, Dept Gastroenterol Hepatol & Pancreatol, B-1070 Brussels, Belgium
[3] Erasme Univ Hosp, ULB, Clin Nutr Nurse Nutr Team, B-1070 Brussels, Belgium
关键词
Enteral feeding; Tube feeding; Gastrostomy; Jejunostomy; Endoscopy; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; NASOENTERAL FEEDING TUBES; PLACEMENT; NUTRITION; MORTALITY; COMPLICATIONS; INTRODUCER; GUIDELINES; SAFE;
D O I
10.1016/j.clnu.2014.10.009
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Enteral feeding is widely used for hospitalized patients but is also used for ambulatory persons living at home or in home care settings. Aside from decisions that must be made about appropriate nutrient delivery, choices related to which type of enteral access will be used and the procedures for enteral access surveillance are extremely important. In this paper we review the various techniques for establishment of enteral access in adult patients. Prevention and treatment of potential complications are detailed. The use of protocols that are written by a multidisciplinary nutrition team is mandatory. It is also of vital importance to discuss treatment plans with the patient and care givers, to assure appropriate follow-up, and to consider ethical issues related to enteral feeding. (C) 2014 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
引用
收藏
页码:350 / 358
页数:9
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