Hostname: page-component-848d4c4894-sjtt6 Total loading time: 0 Render date: 2024-06-16T00:17:13.223Z Has data issue: false hasContentIssue false
  • English
  • Français

Optimal nutritional support

Published online by Cambridge University Press:  07 March 2007

Nicholas Woodcock  and
John MacFie
Nicholas Woodcock
Affiliation:
Combined Gastroenterology Unit, Scarborough Hospital, Scarborough, North Yorkshire YO12 6QL, UK
John MacFie*
Affiliation:
Combined Gastroenterology Unit, Scarborough Hospital, Scarborough, North Yorkshire YO12 6QL, UK
*
Corresponding author: Professor John MacFie, fax +44 1723 354031, Johnmacfie@aol.com
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

There is ongoing debate about the respective roles of enteral and parenteral nutrition. The present short review suggests that these two feeding modalities are not mutually exclusive and that optimal nutritional support may necessitate the concomitant administration of enteral together with parenteral nutrition.

Keywords

Enteral nutritionParenteral nutritionNutritional supportMalnutrition
Type
Nutrition Society Symposium: Nutrition and metabolism in critical care
Information
Proceedings of the Nutrition Society , Volume 63 , Issue 3 , August 2004 , pp. 451 - 452
Copyright
Copyright © The Nutrition Society 2004

References

Baker, JP, Detsky, AP, Wesson, DF, Wolman, SL, Stewart, S, Whitewell, J, Langer, B & Jeejeebhoy, KN (1982) Nutritional assessment: a comparison of clinical judgement and objective measurements. New England Journal of Medicine 306, 969–972.Google Scholar
Bistrian, BR (1997) Effects of enteral and parenteral nutrition in rats infused with tumour necrosis factor. Journal of Parenteral and Enteral Nutrition 21, 305.CrossRefGoogle Scholar
Braunschweig, CL, Levy, P, Sheean, PM & Wang, X (2001) Enteral compared with parenteral nutrition: a meta-analysis. American Journal of Clinical Nutrition 74, 534–542.Google Scholar
Griffiths, RD (2001) Nutrition in intensive care: give enough but choose the route wisely?. Nutrition 17, 53–55.Google Scholar
Heyland, DK MacDonald, S Keefe, L & Drover, JW (1998) Total parenteral nutrition in the critically ill patient. A meta-analysis. Journal of the American Medical Association 280, 2013–2019.CrossRefGoogle ScholarPubMed
Kudsk, KA, Croce, MA, Fabian, TC, Minard, G, Tolley, EA, Poret, HA, Kuhl, MR & Brown, RO (1992) Enteral versus parenteral feeding: effects on septic morbidity after blunt and penetrating abdominal trauma. Annals of Surgery 215, 503–515.Google Scholar
Lipman, TO (1998) Grains or veins: is enteral nutrition really better than parenteral nutrition? A look at the evidence. Journal of Parenteral and Enteral Nutrition 22, 167–182.Google Scholar
MacFie, J (2000) Enteral versus parenteral nutrition: the significance of bacterial translocation and gut barrier function. Nutrition 16, 606–611.Google Scholar
Moore, FA, Feliciano, DV, Andrassy, RJ, McArdle, AH Booth, FV Morgenstein-Wagner, TB, Kellum, JM, Welling, RE, Moore, EE & Kellum, JM Jr (1992) Early enteral feeding, compared with parenteral, reduces postoperative septic complications: the results of a meta-analysis. Annals of Surgery 216, 172–183.Google Scholar
Taylor, SJ, Fettes, SB, Jewkes, C & Nelson, RJ (1999) Prospective, randomised, controlled trial to determine the effect of early enhanced enteral nutrition on clinical outcome in mechanically ventilated patients suffering head injury. Critical Care Medicine 27, 2525–2531.Google Scholar
Woodcock, NP, Zeigler, D, Palmer, MD, Buckley, P, Mitchell, CJ & MacFie, J (2001) Enteral versus parenteral nutrition: a pragmatic study. Nutrition 17, 1–12.Google Scholar