期刊
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
卷 33, 期 1, 页码 21-26出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0148607108325073
关键词
enteral nutrition; FODMAPs; diarrhea; enteral formula
Diarrhea and abdominal distension are common complications associated with enteral feeding. Often the cause is unknown, the enteral formula is blamed and changes to the mode of delivery or formula are instituted. However, the evidence base for many strategies used is limited. Altering the osmolality and temperature of the formula and/or the rate of infusion are commonly practiced but evidence for their benefit is largely anecdotal. Preventing microbial contamination of the feed is important and clear guidelines exist to achieve this. The formulation itself can be modified. While the addition of fiber is well supported theoretically, outcome data are less convincing. Avoidance of osmotically active, poorly absorbed short-chain carbohydrates in the formula (often used as the major carbohydrate source) is a new tactic to minimize diarrhea. It has compelling theoretical support, but requires further investigation. A methodical clinical approach to gastrointestinal complications of enteral feeding is warranted and an algorithm for management is proposed. (JPEN J Parenter Enteral Nutr. 2009;33:21-26).
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