Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, Minnesota, USA.
The American Society for Parenteral and Enteral Nutrition, Silver Spring, Maryland, USA.
Nutr Clin Pract. 2023 Dec;38(6):1190-1219. doi: 10.1002/ncp.11055. Epub 2023 Oct 3.
Prior to the 1970s, blending food and liquids and putting them through an enteral access device (EAD) was the most common form of enteral nutrition (EN). However, in the 1970s, blenderized tube feedings (BTFs) became less popular due to the emergence of modern commercial enteral formulas (CEFs). Recently, a cultural shift toward consuming a natural diet, consisting of whole foods, has led to a resurgence in the use of BTF. The increasing use of BTF in a variety of patient care settings identifies a need for practice recommendations that provide guidance for nutrition professionals and patients. Members of the American Society for Parental and Enteral Nutrition (ASPEN) Enteral Nutrition Committee identified salient clinical questions concerning BTF, conducted a comprehensive literature search, and subsequently developed practice recommendations pertaining to the use of BTF. This paper was approved by the ASPEN 2022-2023 Board of Directors.
在 20 世纪 70 年代之前,将食物和液体混合并通过肠内喂养装置(EAD)进行喂养是肠内营养(EN)的最常见形式。然而,在 20 世纪 70 年代,由于现代商业肠内配方(CEF)的出现,经搅拌机处理的管饲喂养(BTF)变得不那么流行。最近,人们对食用天然饮食(包括全食物)的文化转变导致了 BTF 的使用再次兴起。在各种患者护理环境中越来越多地使用 BTF,这表明需要制定实践建议,为营养专业人员和患者提供指导。美国肠外和肠内营养学会(ASPEN)肠内营养委员会的成员确定了有关 BTF 的突出临床问题,进行了全面的文献检索,随后制定了与 BTF 使用相关的实践建议。本文已获得 ASPEN 2022-2023 董事会的批准。