Department of Internal Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Division of Gastroenterology, Hepatology & Nutrition, University of Pittsburgh School of Medicine, UPMC Presbyterian Hospital, 200 Lothrop Street, 853 Scaife Hall, Pittsburgh, PA 15213, USA.
Med Clin North Am. 2022 Sep;106(5S):e1-e16. doi: 10.1016/j.mcna.2022.10.002. Epub 2022 Nov 19.
There are many misconceptions surrounding the diagnosing and treatment of malnutrition and around feeding people with enteral nutrition (EN). Often the decisions made by clinicians are made from anecdote or guidelines that may be out of date or supported by low-quality evidence. In this article, we will discuss different aspects of diagnosing malnutrition and delve deeper into the science and evidence behind certain recommendations. Our goal is to better equip the reader with the most current data-supported recommendation, such as indications, contraindications, complications of EN, tube and ostomy complications, types and use of specialized enteral formulas, and home management.
人们对于营养不良的诊断和治疗以及肠内营养（EN）的应用存在许多误解。临床医生的决策往往基于轶事或可能已经过时或缺乏高质量证据支持的指南。在本文中，我们将讨论营养不良诊断的不同方面，并深入探讨某些建议背后的科学和证据。我们的目标是为读者提供最新的基于数据的推荐，例如适应证、禁忌证、EN 的并发症、管饲和造口并发症、特殊肠内配方的类型和用途以及家庭管理。
