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肠内营养的重要性:通过介入放射学改善患者护理。

Importance of Enteral Feeding: Enhancing Patient Care through Interventional Radiology.

作者信息

Omar Abdifatah, Kim Hyeonseon, Mai Michelle, Bae Michelle, Maxwell Aaron, Kim Daehee

机构信息

The Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

出版信息

Semin Intervent Radiol. 2025 Apr 4;42(1):2-8. doi: 10.1055/s-0045-1802979. eCollection 2025 Feb.

Abstract

Enteral feeding plays a vital role for patients who are unable to meet their nutritional needs through oral intake, providing benefit to those with conditions such as inflammatory bowel disease, postsurgical recovery, chronic dysphagia, dysfunctional gastrointestinal tract, and critical illness. The role of interventional radiologists in enteral access is expanding, reflecting our pivotal role in nutritional support in clinical practice. This review explores the development, comparative benefits, and clinical outcomes associated with enteral nutrition (EN), highlighting its strengths and weaknesses as compared to parenteral nutrition (PN). EN supports gut mucosal health and immune function by stimulating gastrointestinal systems' native cellular programs, while reducing infection risks compared to PN. Modern advancements in EN formulations and delivery methods have enhanced patient care, demonstrating improved survival rates, reduced hospital stays, and improved quality of life.

摘要

对于无法通过口服摄入满足营养需求的患者,肠内营养起着至关重要的作用,对患有炎症性肠病、术后恢复、慢性吞咽困难、胃肠道功能障碍和危重病等疾病的患者有益。介入放射科医生在肠内通路方面的作用正在扩大,这反映了我们在临床实践中营养支持方面的关键作用。本综述探讨了与肠内营养(EN)相关的发展、比较优势和临床结果,突出了其与肠外营养(PN)相比的优缺点。肠内营养通过刺激胃肠系统的天然细胞程序来支持肠道黏膜健康和免疫功能,同时与肠外营养相比降低感染风险。肠内营养制剂和给药方法的现代进展改善了患者护理,显示出生存率提高、住院时间缩短和生活质量改善。

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