Gassull Duro M A
Servicio de Gastroenterología, Hospital Germans Trias i Pujol, Badalona.
Nutr Hosp. 1990 May-Jun;5(3):147-52.
An updated revision has been made of the relevant nutritional and metabolic aspects of the so-called critical patient or of the patient exposed to aggressive measures. The different factors and circumstances that coincide in a situation of multiorgan failure in this type of patient have been assessed. The importance of the GI tract (Gut Hypothesis) and malnutrition has been underscored, both as the origin of Multisystemic Failure and in the application of possible therapeutic measures. A special point has been made on the importance of sustaining small bowel function, and on the adaptation mechanisms regarding the controversy on the use of enteral nutrition in these situations.
已对所谓重症患者或接受积极治疗措施患者的相关营养和代谢方面进行了更新修订。评估了这类患者在多器官功能衰竭情况下同时存在的不同因素和情况。强调了胃肠道（肠道假说）和营养不良的重要性，既将其视为多系统功能衰竭的根源，也考虑到在可能的治疗措施中的应用。特别指出了维持小肠功能的重要性，以及在这些情况下关于肠内营养使用争议的适应机制。
