What is nutrition support?
An alternate means of providing nutrients to people who cannot eat
any or enough food
When is it needed?
Illness resulting in inability to take in adequate nutrients by
mouth
Illness or surgery that results in malfunctioning gastrointestinal
tract
Two types:
Enteral nutrition
Parenteral nutrition
, Indications for Enteral Nutrition
Malnourished patient expected to be unable
to eat adequately for > 5-7 days
Adequately nourished patient expected to
be unable to eat > 7-9 days
Adaptive phase of short bowel syndrome
Following severe trauma or burns
, Contraindications to Enteral Nutrition Support
Malnourished patient expected to eat within 5-7 days
Severe acute pancreatitis
High output enteric fistula distal to feeding tube
Inability to gain access
Intractable vomiting or diarrhea
Aggressive therapy not warranted
Expected need less than 5-7 days if malnourished
or 7-9 days if normally nourished
, Enteral Access Devices
Nasogastric
Nasoenteric
Gastrostomy
PEG (percutaneous endoscopic gastrostomy)
Surgical or open gastrostomy
Jejunostomy
PEJ (percutaneous endoscopic jejunostomy)
Surgical or open jejunostomy
Transgastric Jejunostomy
PEG-J (percutaneous endoscopic gastro-jejunostomy)
Surgical or open gastro-jejunostomy
An alternate means of providing nutrients to people who cannot eat
any or enough food
When is it needed?
Illness resulting in inability to take in adequate nutrients by
mouth
Illness or surgery that results in malfunctioning gastrointestinal
tract
Two types:
Enteral nutrition
Parenteral nutrition
, Indications for Enteral Nutrition
Malnourished patient expected to be unable
to eat adequately for > 5-7 days
Adequately nourished patient expected to
be unable to eat > 7-9 days
Adaptive phase of short bowel syndrome
Following severe trauma or burns
, Contraindications to Enteral Nutrition Support
Malnourished patient expected to eat within 5-7 days
Severe acute pancreatitis
High output enteric fistula distal to feeding tube
Inability to gain access
Intractable vomiting or diarrhea
Aggressive therapy not warranted
Expected need less than 5-7 days if malnourished
or 7-9 days if normally nourished
, Enteral Access Devices
Nasogastric
Nasoenteric
Gastrostomy
PEG (percutaneous endoscopic gastrostomy)
Surgical or open gastrostomy
Jejunostomy
PEJ (percutaneous endoscopic jejunostomy)
Surgical or open jejunostomy
Transgastric Jejunostomy
PEG-J (percutaneous endoscopic gastro-jejunostomy)
Surgical or open gastro-jejunostomy
