Department of Surgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
Surg Clin North Am. 2011 Aug;91(4):945-64, x. doi: 10.1016/j.suc.2011.05.002.
The most significant events and discoveries regarding the development of enteral nutrition (EN) dating back to 1500 BC are chronicled. A more detailed description and discussion of subsequent more recent progress during the past two decades is focused primarily on 3 of the most dynamic areas of endeavor: tight glycemic control; timing and combining of EN and total parenteral nutrition to meet early target nutrition goals in intensive care unit patients; and the role, advances, and future of immunonutrition. An abridged classification of solutions for enteral feeding, and a brief outline of key prudent oral dietary guidelines are also presented.
本文追溯了可追溯至公元前 1500 年的肠内营养(EN)发展过程中的重大事件和发现。本文更详细地描述和讨论了过去 20 年中最近的进展,主要集中在 3 个最具活力的努力领域:严格血糖控制;在重症监护病房患者中,适时并联合肠内营养和全肠外营养以实现早期目标营养;以及免疫营养的作用、进展和未来。本文还简要介绍了肠内喂养的解决方案分类,并简述了关键的谨慎饮食指南。