Toussaint Emmanuel, Van Gossum André, Ballarin Asuncion, Arvanitakis Marianna
Department of Gastroenterology, CHU Brugmann, ULB, Place Van Gehuchten, 4, 1020 Brussels, Belgium.
Department of Gastroenterology, Hepatology, and Pancreatology, Erasme University Hospital, ULB, Route de Lennik, 808, 1070 Brussels, Belgium.
Clin Nutr. 2015 Jun;34(3):350-8. doi: 10.1016/j.clnu.2014.10.009. Epub 2014 Nov 13.
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.
肠内营养喂养广泛应用于住院患者，也用于居家或接受家庭护理的非卧床患者。除了必须就适当的营养输送做出决定外，关于使用哪种类型的肠内通路以及肠内通路监测程序的选择极其重要。在本文中，我们综述了成年患者建立肠内通路的各种技术。详细介绍了潜在并发症的预防和治疗。必须使用由多学科营养团队编写的方案。与患者和护理人员讨论治疗计划、确保适当的随访以及考虑与肠内营养喂养相关的伦理问题也至关重要。
