Department of Surgery, University of Louisville, Louisville, Kentucky, USA.
Department of Medicine, University of Louisville, Louisville, Kentucky, USA.
Nutr Clin Pract. 2017 Dec;32(6):723-729. doi: 10.1177/0884533617734529.
Home enteral nutrition (HEN) is an essential component in the care of patients with an array of underlying etiologies resulting in the inability to meet caloric needs through volitional intake alone. Although some would include oral nutrition supplementation as HEN, for the purposes of this review, the term is limited to a patient's requiring an enteral access device for the delivery of exogenous nutrients. Complications related to such devices remain a difficult problem in the hospital setting, and these issues are often amplified when encountered in the home setting. Focused multidisciplinary teams and close follow-up are essential in optimizing outcomes for patients receiving HEN, but all healthcare providers should have foundational knowledge regarding commonly encountered complications of HEN access and the initial management of these issues.
家庭肠内营养（HEN）是治疗各种病因导致的不能仅通过自主摄入满足热量需求的患者的重要组成部分。尽管有些人将口服营养补充也归入 HEN，但为了本综述的目的，该术语仅限于需要肠内通路装置来提供外源性营养素的患者。与这些装置相关的并发症仍然是医院环境中的一个难题，而当在家中遇到这些问题时，情况往往会更加严重。专注的多学科团队和密切随访对于优化接受 HEN 的患者的治疗结果至关重要，但所有医疗保健提供者都应该对 HEN 通路常见并发症以及这些问题的初步管理有基本的了解。
