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Enteral Nutrition by Endoscopic Means; II. Complications and Management
N Hoepffner1, O Schröder, J Stein
1Medizinische Klinik I, ZAFES, J. W. Goethe-Universität Frankfurt, Frankfurt/Main, Germany.
Zeitschrift Fur Gastroenterologie
|December 14, 2004
Summary
Enteral and tube feeding (ETF) can cause mechanical, gastrointestinal, and metabolic complications. Following feeding guidelines can reduce complication rates, with gastrointestinal issues being the most common.
Area of Science:
- Clinical Medicine
- Gastroenterology
- Nutrition Science
Background:
- Enteral and tube feeding (ETF) is widely used but associated with potential complications.
- Complications are categorized as mechanical, gastrointestinal, or metabolic.
- Factors influencing complication rates include feeding access, formula composition, and disease severity.
Purpose of the Study:
- To review the types and frequencies of complications associated with ETF.
- To identify factors influencing complication rates.
- To highlight strategies for reducing ETF-related complications.
Main Methods:
- Review of existing literature on ETF complications.
- Analysis of complication data based on feeding access and patient condition.
- Synthesis of information on guideline adherence for complication prevention.
Main Results:
- Complication rates vary significantly based on feeding route (e.g., nasoenteric, gastric, small bowel).
- Gastrointestinal complications, such as diarrhea, are the most frequent, occurring in 8-65% of patients.
- Mechanical complications range from 0-20%.
Conclusions:
- Adherence to established guidelines for ETF, including formula, administration, and patient supervision, is crucial.
- Careful management can mitigate the risk of ETF-related complications.
- Gastrointestinal side effects are the most prevalent issue in ETF patients.