Intestinal Obstruction Secondary to Enteral Feedings in Burn Trauma Patients

Scaife, Courtney L.; Saffle, Jeffrey R.; Morris, Stephen

doi:10.1097/00005373-199911000-00007

Cited by 87 publications

(34 citation statements)

References 19 publications

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“…Some researchers have shown that the insoluble fibers may not reduce the occurrence of diarrhea. Besides, a few cases of intestinal obstruction have been reported in patients received insoluble fibers ( 2 , 20 ). One study compared the effect of enteral formula with and without soluble fiber and concluded that diarrhea episodes were significantly decreased in the patients received fiber containing formula ( 21 ).…”

Section: Resultsmentioning

confidence: 99%

Efficacy of commercial formulas in comparison with home-made formulas for enteral feeding: A critical review

Hassan-Ghomi

Nikooyeh

Motamed

2017

Med. J. Islam. Republic Iran

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Background: In several disease conditions, patients must inevitably be nourished by enteral feeding (EF). Though in many countries, commercial formulas are routinely used for EF, in Iran still home-made formulas are commonly employed as commercial formulas are not covered by insurance. This may pose patients to malnutrition and bring about further costs. The aim of this study was to evaluate the efficacy of EF commercial formulas in comparison with home-made formulas and thus to make further evidence for insurance policy-making Methods: Medline, Cochrane, Embass and Center for Review & Dissemination (CRD) as well as IranDoc and SID databases were searched. Keywords included formula, ICU, and enteral nutrition or tube feeding. No clinical trial study on the efficacy of EF formulas was found. Therefore, the compositions of available formulas and their cost-effectiveness were evaluated based on the clinical guidelines of scientific bodies such as American Society for Parenteral and Enteral Nutrition (ASPEN), European Society for Parenteral and Enteral Nutrition (ESPEN) and relative articles available in PubMed. In addition, the expert opinions were also taken into consideration. Results: Domestic commercial formulas seemed to less merit dietary recommended intakes, i.e. the amount of some nutrients were much higher, and some others were much lower than the recommended values. The amount of several micronutrients including vitamins B1, B6, C, D and K, as well as iron, calcium and magnesium were not sufficient to meet the body needs in most commercial formulas upon receiving 2000 kilocalories and less. Conclusion: Clinical studies on the efficacy of commercial formulas in comparison with home-made formulas are needed. Meanwhile, making suitable conditions for increasing the diversity of artificial nutrition products in the market would help clinical nutritionists to make better choices according to their patients conditions and to reduce the costs, as well.

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Section: Resultsmentioning

confidence: 99%

Efficacy of commercial formulas in comparison with home-made formulas for enteral feeding: A critical review

Hassan-Ghomi

Nikooyeh

Motamed

2017

Med. J. Islam. Republic Iran

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“…EN provides a complete nutrition with a low complication rate, good acceptance by the patient and favorable cost-effectiveness. 6 – 11 By delivering enteral feeding in the small bowel below the pylorus, the frequency of regurgitation and the risk of aspiration pneumonia are decreased. At the same time, nutrient intake is maximized with an increase in proteins and calories delivered and a shorter time to target the optimal dose of nutrition.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal obstruction caused by solidification and coagulation of enteral nutrition: pathogenetic mechanisms and potential risk factors

Leonello¹,

Rizzo²,

Dio³

et al. 2018

IMCRJ

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Enteral nutrition (EN) is preferred in order to provide nutrition and reduce catabolism in critically ill patients. Recent studies suggest that the use of EN is successful and complications are rare. However, an underestimated mechanical complication of tube feedings seen in critically ill patients is the coagulation and solidification of the EN causing gastrointestinal obstruction. This report describes two clinical cases (1.23% of all cases seen at our clinic) of obstruction and perforation of the small bowel secondary to the solidification of EN. The understanding and early recognition of this potential complication are essential for the prevention and successful treatment of this condition.

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“…Though EN intolerance is not uncommon in the critically injured, failure to recognize such intolerance may result in the rare but devastating complication of nonocclusive bowel necrosis. The documented incidence ranges from 0.3% to 8.5%, with a mortality frequently in excess of 50% 31 , 34 – 36 . The precise etiology of nonocclusive bowel necrosis remains unclear; however, its consistent association with EN implicates the inappropriate administration of nutrients into a dysfunctional gastrointestinal tract.…”

Section: Enmentioning

confidence: 99%

Nutrition Support in Adult Trauma Patients

2006

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Nutrition supplementation is paramount to the care of severely injured patients. Despite its widespread use in trauma patients, many areas of clinical practice remain controversial. The purpose of this paper is to critically review the literature studying the use of enteral vs parenteral nutrition (PN) and to provide the rationale for early enteral nutrition. Additional controversies confronting clinicians are reviewed, including the use of immune-enhancing agents and the optimal site for enteral nutrition delivery (gastric vs small intestinal). Evidence-based recommendations for clinical practice are presented when available.

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Intestinal Obstruction Secondary to Enteral Feedings in Burn Trauma Patients

Cited by 87 publications

References 19 publications

Efficacy of commercial formulas in comparison with home-made formulas for enteral feeding: A critical review

Efficacy of commercial formulas in comparison with home-made formulas for enteral feeding: A critical review

Gastrointestinal obstruction caused by solidification and coagulation of enteral nutrition: pathogenetic mechanisms and potential risk factors

Nutrition Support in Adult Trauma Patients

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