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[Diarrhea during enteral feeding].

Stéphane M Schneider1, Xavier Hébuterne

  • 1Fédération d'hépato-gastroentérologie et de nutrition clinique, Hôpital de l'Archet, Nice (06). stephane.schneider@unice.fr

Presse Medicale (Paris, France : 1983)
|July 24, 2003
PubMed
Summary

Diarrhea in tube-fed patients is common and increases illness, making nutritional goals difficult. Restoring gut bacteria with prebiotics and probiotics shows promise for prevention.

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Area of Science:

  • Gastroenterology
  • Critical Care Medicine
  • Clinical Nutrition

Context:

  • Diarrhea affects 2-70% of tube-fed patients, with higher incidence in critically ill individuals.
  • Causes include nutritional factors, patient conditions like malnutrition, and medications such as antibiotics.
  • Clostridium difficile infection is a significant risk associated with antibiotic use.

Purpose:

  • To review the causes, consequences, and management strategies for diarrhea in tube-fed patients.
  • To highlight the impact of diarrhea on patient morbidity and nutritional support.
  • To explore preventive measures and therapeutic approaches, including the role of microflora restoration.

Summary:

  • Diarrhea in tube-fed patients is multifactorial, stemming from nutritional issues, patient health status, and treatments like antibiotics.
  • Effective management requires identifying and treating the underlying cause, alongside symptomatic treatment for fluid and electrolyte balance.
  • Prevention strategies focus on regulating feeding rates, combating Clostridium difficile, and restoring colonic microflora.

Impact:

  • Diarrhea complicates patient recovery and impedes the achievement of nutritional targets, increasing overall morbidity.
  • Understanding the diverse causes is crucial for developing targeted interventions.
  • Restoring the colonic microflora through prebiotics and probiotics presents a promising avenue for preventing and managing diarrhea, warranting further investigation.

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