Division of Endocrinology, Diabetes, Metabolism and Nutrition.
Division of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Curr Opin Clin Nutr Metab Care. 2021 Sep 1;24(5):446-452. doi: 10.1097/MCO.0000000000000777.
Home enteral nutrition (HEN) is a well-established practical nutrition therapy tool that is typically managed by an interdisciplinary team. Prevalence of HEN is increasing across the globe given significant evidence for utility, feasibility, efficacy, safety, and reliability of HEN in helping patients meeting their nutrition needs. The current review highlights the growing use of HEN in the context of what is novel in the field including trends in HEN practice with regards to tubes and connectors, feeding formula and real food blends, and common complications. The review also highlights that the use of HEN is expected to expand further over coming years emphasizing the need for national consensus recommendations and guidelines for HEN management.
The growing use of HEN has always been parallel to adoption of holistic definitions and concept of malnutrition in clinical nutrition practice and more understanding of the need for malnutrition risk stratification, meeting unmet needs in practice and addressing challenges that lead to suboptimal enteral nutrition.
Research and advancements in technology as well as in tube feeding formula industry have led to the development of more solutions and have helped identify and implement best HEN practices.
家庭肠内营养(HEN)是一种成熟的实用营养治疗工具,通常由跨学科团队管理。鉴于 HEN 在帮助患者满足营养需求方面的实用性、可行性、疗效、安全性和可靠性方面有大量证据,HEN 在全球的应用越来越广泛。本文重点介绍了 HEN 在该领域新进展方面的应用,包括与管饲和连接器、喂养配方和真实食物混合物以及常见并发症相关的 HEN 实践趋势。本文还强调,预计未来几年 HEN 的使用将进一步扩大,强调需要制定国家共识建议和 HEN 管理指南。
HEN 的使用不断增加,一直与临床营养实践中采用整体定义和营养不良概念以及对营养不良风险分层、满足实践中的未满足需求以及解决导致肠内营养效果不佳的挑战的认识不断提高并行不悖。
技术研究和进步以及管饲配方行业的发展催生了更多的解决方案,并有助于确定和实施最佳 HEN 实践。