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[Elemental, semi-elemental, polymeric diets. Choice, indications, rational use].

J Cosnes1

  • 1Service de gastro-entérologie et de pathologie digestive postopératoire, hôpital Rothschild, Paris.

La Revue Du Praticien
|March 11, 1991
PubMed
Summary

Elemental, semi-elemental, and polymeric diets for enteral nutrition are compared. Semi-elemental and polymeric diets offer better absorption and cost-effectiveness for most patients, reserving elemental diets for specific cases.

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Area of Science:

  • Nutritional Science
  • Gastroenterology

Context:

  • Enteral nutrition is crucial for patients unable to consume food orally.
  • Different diet formulations exist, each with unique properties and applications.
  • Understanding these properties is key to optimizing patient outcomes.

Purpose:

  • To compare the properties of elemental, semi-elemental, and polymeric diets.
  • To evaluate their suitability for various enteral nutrition indications.
  • To provide guidance on selecting the most appropriate diet formulation.

Summary:

  • Elemental diets, while requiring no digestion, can negatively impact digestive secretions.
  • Semi-elemental diets are non-hyperosmolar and exhibit good absorbability.
  • Polymeric formulas are versatile for most enteral feeding needs, offering a balance of efficacy and cost.

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Impact:

  • The review guides clinicians in choosing cost-effective enteral nutrition strategies.
  • It highlights the importance of matching diet type to specific patient conditions.
  • Recommendations are provided for reserving specialized diets for niche indications like digestive tract rest or severe malabsorption.