Review
Nutrition & Dietetics
John K. DiBaise, James S. Scolapio
Summary: This article highlights the importance of home parenteral and enteral nutrition in clinical nutrition and the development of these therapies to support patients. It emphasizes the need for healthcare providers to understand all aspects of HPEN in order to provide safe, effective, and cost-effective support to patients.
Article
Nutrition & Dietetics
Erin E. Morris, Neely C. Miller, Nicholas A. Marka, Jennifer L. Super, Emily M. Nagel, Juan David Gonzalez, Ellen W. Demerath, Sara E. Ramel
Summary: Retrospective studies show that parenteral nutrition during the first week after birth, providing calories, proteins, and lipids, is associated with improved neurodevelopment. However, an enhanced parenteral nutrition protocol in the early stage did not lead to improved neurodevelopmental outcomes. Instead, higher enteral caloric and protein intake in the first week after birth were associated with improved processing speed.
Article
Nutrition & Dietetics
Juan Carlos Lopez-Delgado, Teodoro Grau-Carmona, Esther Mor-Marco, Maria Luisa Bordeje-Laguna, Esther Portugal-Rodriguez, Carol Lorencio-Cardenas, Paula Vera-Artazcoz, Laura Macaya-Redin, Beatriz Llorente-Ruiz, Rayden Iglesias-Rodriguez, Diana Monge-Donaire, Juan Francisco Martinez-Carmona, Laura Sanchez-Ales, Angel Sanchez-Miralles, Monica Crespo-Gomez, Cristina Leon-Cinto, Jose Luis Flordelis-Lasierra, Lluis Servia-Goixart
Summary: This study evaluated the use, complications, and nutrition delivery associated with parenteral nutrition (PN) in adult critically ill patients, especially when used early and as the initial route. The results showed that early PN administration was safe and provided adequate nutrition delivery. Additional enteral nutrition (EN), when possible, may optimize protein requirements for patients who received initial PN.
Article
Medicine, General & Internal
Bin Yu, Jiting Wang
Summary: This study conducted a Bayesian network meta-analysis to evaluate the effectiveness of different nutritional interventions for patients with liver cirrhosis, and found that EN + intestinal probiotics appeared to be the most effective strategy.
Article
Nutrition & Dietetics
Juan Carlos Lopez-Delgado, Lluis Servia-Goixart, Teodoro Grau-Carmona, Luisa Bordeje-Laguna, Esther Portugal-Rodriguez, Carolina Lorencio-Cardenas, Paula Vera-Artazcoz, Laura Macaya-Redin, Juan Francisco Martinez-Carmona, Judith Marin Corral, Jose Luis Flordelis-Lasierra, Carlos Seron-Arbeloa, Maravillas de las Nieves Alcazar-Espin, Elisabeth Navas-Moya, Sara Aldunate-Calvo, Beatriz Nieto Martino, Itziar Martinez de Lagran
Summary: This study aimed to investigate the factors associated with the need for parenteral nutrition (PN) after starting enteral nutrition (EN) therapy, as well as the complications related to EN. The study found that patients who needed PN were more likely to experience gastrointestinal complications, and higher SOFA score and nutrition-related laboratory parameters were associated with an increased risk for the need of PN.
FRONTIERS IN NUTRITION
(2023)
Article
Nutrition & Dietetics
Koji Amano, Isseki Maeda, Hiroto Ishiki, Tomofumi Miura, Yutaka Hatano, Hiroaki Tsukuura, Tomohiko Taniyama, Yoshihisa Matsumoto, Yosuke Matsuda, Hiroyuki Kohara, Tatsuya Morita, Masanori Mori
Summary: This study demonstrated the clinical benefits of enteral nutrition (EN) and parenteral nutrition and hydration (PNH) for patients with advanced cancer, showing significantly lower risk of mortality in both EN and PNH groups compared to the control group. Moreover, it was found that managing symptoms to improve oral intake is essential before initiating PNH, as EN was superior to PNH in terms of survival outcomes.
CLINICAL NUTRITION
(2021)
Article
Nutrition & Dietetics
Peng Li, ChunYan Zhong, ShiBin Qiao, JunJun Liu
Summary: Supplemental parenteral nutrition (SPN) plus enteral nutrition (EN) can reduce the risk of infection in critically ill patients, but it has no significant effect on all-cause mortality.
FRONTIERS IN NUTRITION
(2022)
Article
Nutrition & Dietetics
Sarah M. M. Ajabnoor, Atheer Attar, Noof BinJahlan, Nawal Almutairi, Shimaa Bashmail, Almoutaz Hashim, Alastair Forbes, Hani Jawa
Summary: This study investigated the practices and perceptions of gastroenterologists in Saudi Arabia regarding the use of enteral nutrition (EN) in patients with inflammatory bowel disease (IBD). The results showed that EN was mostly used for the prevention and correction of undernutrition, preoperative optimization, and induction of remission in patients with active and long-standing Crohn's disease (CD). The study also identified barriers to using EN, such as low patient acceptance and poor adherence.
Article
Nutrition & Dietetics
Anders K. Nilsson, Anders Pedersen, Daniel Malmodin, Anna-My Lund, Gunnel Hellgren, Chatarina Lofqvist, Ingrid Hansen Pupp, Ann Hellstrom
Summary: The serum concentration of free choline in extremely preterm infants decreases in the first week after birth, then gradually increases over the next 90 days without reaching the initial levels. There is a negative correlation between a high intake of parenteral fluids and serum-free choline levels.
EUROPEAN JOURNAL OF NUTRITION
(2021)
Article
Nutrition & Dietetics
Marcin Folwarski, Stanislaw Klek, Przemyslaw Matras, Lidia Bartoszewska, Awomir Bednarz, Marlena Jakubczyk, Zbigniew Kamocki, Grzegorz Krasowski, Marek Kunecki, Bogna Kwella, Katarzyna Matysiak-Lusnia, Konrad Matysiak, Gabriela Pierzynowska, Waldemar Szafranski, Jacek Szopinski, Krystyna Urbanowicz, Jacek Sobocki
Summary: The study evaluated the medical staff resources in Polish HPN units, finding disparities in the allocation of physicians, nurses, pharmacists, and dietitians across different units, highlighting the need to address the shortage of healthcare professionals during the pandemic.
Article
Pediatrics
Na Wang, Jia Zhang, Bo Wang, Zhangbin Yu, Shuping Han, Huaiyan Wang, Rongrong Chen, Li Gu, Yan Gao, Weiwei Hou, Xingxing Lu
Summary: By analyzing the nutrition practices of very preterm infants during the transition phase, it was found that increasing the total protein intake during this phase can reduce the incidence of postnatal growth failure.
FRONTIERS IN PEDIATRICS
(2022)
Article
Neurosciences
Xiaomin Li, Yafeng Yang, Zheng Feei Ma, Shan Gao, Yuan Ning, Ling Zhao, Zhangya He, Xiaoqin Luo
Summary: Enteral nutrition combined with parenteral nutrition intervention has a positive effect on the clinical prognosis of patients with traumatic brain injury (TBI), reducing the risk of lung infection and improving long-term quality of life score.
NUTRITIONAL NEUROSCIENCE
(2022)
Review
Nutrition & Dietetics
David Berlana
Summary: Parenteral nutrition is a life-saving intervention for patients who cannot receive oral or enteral nutrition. It consists of essential components such as carbohydrates, lipids, amino acids, vitamins, and electrolytes. Parenteral nutrition should be provided through a central line to prevent complications. However, peripheral administration is possible in some cases. Monitoring and early management are crucial to prevent complications associated with parenteral nutrition therapy.
Article
Gastroenterology & Hepatology
Rashmi Advani, Marta Arjonilla, Arcelia Guerson, Erin Taub, Farah Monzur
Summary: This study identified gender-specific barriers for female internal medicine residents in pursuing gastroenterology. Concerns about fertility, radiation exposure, and maternity leave were found to be higher among female residents. Lack of gender diversity and female mentors in the field were also noted as barriers. Addressing these issues could help increase female representation in gastroenterology.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Biochemistry & Molecular Biology
Miguel Guardado, Martina Steurer, Cheryl Chapin, Ryan D. Hernandez, Philip L. Ballard, Dara Torgerson
Summary: Metabolomic differences were observed between premature infants on Total Parenteral Nutrition (TPN) and those on enteral feeds, with higher concentrations of essential amino acids, lipids, and vitamins in infants on enteral feeds. This suggests the nutritional benefit of an enteral feeding regimen for growth and development.