Enteral nutrition:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
1998
|
| Series: | Gastrointestinal endoscopy clinics of North America
8,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XIV S., S. 529 - 749 Ill., graph. Darst. |
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| 245 | 1 | 0 | |a Enteral nutrition |c Moshe Shike ... guest ed. |
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Record in the Search Index
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| adam_text | ENTERAL NUTRITION
CONTENTS
Foreword xiii
Charles J. Lightdale
Preface xv
Moshe Shike and Abby S. Bloch
Nasogastric and Nasoenteric Feeding Tubes 529
Howard Levy
This article discusses the placement of nasogastric and nasoenteric
feeding tubes using blind, pH, magnetic, sonagraphic, electromyo
gram, fluoroscopic, and endoscopic assisted techniques. Bedside
tests to ensure appropriate tube location are detailed. The complica¬
tions of inappropriately located tubes are listed, and methods to
reduce adverse side effects are given.
Percutaneous Endoscopic Gastrostomy . 551
Bassem Y. Safadi, Jeffrey M. Marks, and Jeffrey L. Ponsky
Accessing the stomach via a gastrostomy is the preferred method
for providing enteral nutritional support when supplementation
is required for more than three or four weeks. Since its introduction
in the early 1980s, percutaneous endoscopic gastrostomy has be¬
come the most popular method for creating a gastrostomy. It is a
quick and cost effective method and has supplanted open gastros¬
tomy for the establishment of a gastrocutaneous fistula to provide
access to the stomach for numerous indications. It is associated,
however, with serious and potentially lethal complications which
must be completely understood by the endoscopist. In addition,
patient selection and thorough attention to details are paramount
to the performance of a safe percutaneous endoscopic gastrostomy.
GASTROINTESTINAL ENDOSCOPY
CLINICS OF NORTH AMERICA
VOLUME 8 NUMBER 3 JULY 1998 vii
Direct Percutaneous Endoscopic Jejunostomy 569
Moshe Shike and Lianne Latkany
Jejunal feeding often is preferable to gastric feeding, particularly
in the following situations: high risk for aspiration; gastric resection
(partial or total); gastric pull up; gastric outlet obstruction; ob¬
structed or nonfunctioning gastrojejunostomy; and gastric dysmo
tility. The technique of placing a thin tube through a gastrostomy
tube and pulling it endoscopically into the proximal jejunum allows
delivery of nutrients into the jejunum. The results of this technique,
however, have been poor. The direct percutaneous endoscopic
jejunostomy technique allows placement of tubes directly in the
jejunum with a success rate of around 85% and a minimal complica¬
tion rate which is comparable to that of PEGs.
Surgical and Laparoscopic Techniques for
Feeding Tube Placement 581
Keith Georgeson and Elizabeth Owings
Surgeons have at their disposal multiple options for providing
enteral access in a myriad of circumstances. This article reviews
the techniques for surgical placement of enteral access as well as
the indications, benefits, and complications for each procedure.
The feeding tubes commonly available are described, and consider¬
ations involved in the choice of procedure are discussed.
Enteral Feeding Solutions 593
Laura E. Matarese
There has been a widespread proliferation of enteral feeding solu¬
tions for general and specific therapeutic use. This article reviews
the nutrient substrates and physical characteristics of these solu¬
tions with consideration to both psychological and clinically
proven principles pertinent to their application. The rationale for
the composition and efficacy studies of disease specific solutions
also is presented.
Design and Production of Enteral Feeding Tubes 611
William H. Hirsch and Carl J. Piontek
The evolution of enteral feeding via tubes, syringes, and other
mechanical devices probably began in Egypt before the birth of
Christ. Today s feeding tubes are a safe and effective means
for providing long term feeding to patients unable to maintain
sufficient nutrition by oral intake. The needs of enterally fed
patients are presently being met with feeding tubes that are
biocompatible, easy to use, and relatively inexpensive to manu¬
facture.
viii contents
Enteral Feeding in Critical Care, Gastrointestinal Diseases,
and Cancer 623
Donald F. Kirby and J. Carlos Teran
This article discusses the many advantages and changes that have
occurred in the nutritional management of critically ill patients,
patients with gastrointestinal diseases, and patients with selected
cancers. Mechanical obstruction is the only absolute contraindica¬
tion to enteral nutrition. This article reviews the present aggressive
approach to the use of enteral nutrition.
Enteral Nutritional Support in Burn Patients 645
John F. Hansbrough
Early and continued nutritional support has been determined to
be an important component of therapy for seriously burned pa¬
tients. The hypermetabolic response to severe injury requires in¬
creased calorie and protein intake to blunt the catabolism and loss
of lean muscle mass. Enteral feeding has been found to directly
nourish the gastrointestinal tract and may help reverse the defective
gut barrier which accompanies burn shock. In contrast, intravenous
nutritional support appears to lack effectiveness in burn patients
and may actually increase morbidity and mortality.
Enteral Nutrition in the Pediatric Population 669
Valerie Marchand, Susan S. Baker, and Robert D. Baker
Enteral feeding, the provision of liquid nutrients into the gastroin¬
testinal tract, is an important component of pediatric care. For the
infant or child with a functioning or even a partially functioning
GI tract, the use of the enteral route provides a safe and efficient
means of delivering nutrition at a time of life when requirements
are extremely high. In addition to high nutrient requirements in
the early years of life, there are a number of specific pediatric
conditions, such as failure to thrive, short bowel syndrome, and
congenital heart disease, which place further demands on the grow¬
ing child. These demands can be met through the careful use of
enteral feeds. This article reviews the physiology and practical
application of enteral feeding to the pediatric age group.
Outcome of Long term Enteral Feeding 705
Lyn Howard, Lynn Patton, and Roslyn Scheib Dahl
In the past two decades, many technical advances have made tube
enteral feeding much more comfortable and acceptable to patients
and their families.! his has greatly expanded the use of this therapy,
both in clinical conditions where it was traditionally prescribed
and in many other diagnoses. This expanded use raises important
questions about how much enteral nutrition is being used, the
medical outcome in different clinical conditions, and the quality of
life experienced by long term therapy users. This article addresses
these outcome issues for patients in the nonhospital setting.
CONTENTS IX
Ethical Issues in Instituting and Discontinuing Enteral Feeding 723
Virginia M. Herrmann and Patrick F. Norris
The shift from inpatient care has not lessened the importance of
ethical issues in caring for patients. Dilemmas involving withhold¬
ing and withdrawing enteral nutrition require input from the pa¬
tient, family, and caregivers. Decisions to forego or discontinue
treatment such as home enteral support should never be distin¬
guished from the responsibility of providing support and compas¬
sionate care throughout life, even during dying.
Cost and Cost Benefit of Enteral Nutrition 733
Karen L. Goff
Enteral nutrition is a therapy provided routinely in the hospital,
extended care, and home care settings for patients who are unable
to maintain adequate oral nutrition yet have a functioning gastroin¬
testinal tract. Information about the cost and effectiveness or bene¬
fits of enteral nutrition in the hospital and home care settings is
important to know when making decisions about providing this
therapy. This article discusses the methods used in cost analysis,
explains the difference between cost and charges, and reviews the
current information known about the cost effectiveness and cost
benefits of enteral nutrition in the acute care setting and at home.
Index 745
Subscription Information Inside back cover
X CONTENTS
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| indexdate | 2024-07-09T18:22:17Z |
| institution | BVB |
| language | English |
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| physical | XIV S., S. 529 - 749 Ill., graph. Darst. |
| publishDate | 1998 |
| publishDateSearch | 1998 |
| publishDateSort | 1998 |
| publisher | Saunders |
| record_format | marc |
| series | Gastrointestinal endoscopy clinics of North America |
| series2 | Gastrointestinal endoscopy clinics of North America |
| spelling | Enteral nutrition Moshe Shike ... guest ed. Philadelphia [u.a.] Saunders 1998 XIV S., S. 529 - 749 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Gastrointestinal endoscopy clinics of North America 8,3 Alimentation entérale Enteral feeding Sondenernährung (DE-588)4055511-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Sondenernährung (DE-588)4055511-2 s DE-604 Shike, Moshe Sonstige oth Gastrointestinal endoscopy clinics of North America 8,3 (DE-604)BV005455484 8,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008217931&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Enteral nutrition Gastrointestinal endoscopy clinics of North America Alimentation entérale Enteral feeding Sondenernährung (DE-588)4055511-2 gnd |
| subject_GND | (DE-588)4055511-2 (DE-588)4143413-4 |
| title | Enteral nutrition |
| title_auth | Enteral nutrition |
| title_exact_search | Enteral nutrition |
| title_full | Enteral nutrition Moshe Shike ... guest ed. |
| title_fullStr | Enteral nutrition Moshe Shike ... guest ed. |
| title_full_unstemmed | Enteral nutrition Moshe Shike ... guest ed. |
| title_short | Enteral nutrition |
| title_sort | enteral nutrition |
| topic | Alimentation entérale Enteral feeding Sondenernährung (DE-588)4055511-2 gnd |
| topic_facet | Alimentation entérale Enteral feeding Sondenernährung Aufsatzsammlung |
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