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A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
ESPEN Guidelines on Parenteral Nutrition: gastroenterology
André Van Gossum1, Eduard Cabre, Xavier Hébuterne
1Hôpital Erasme, Clinic of Intestinal Diseases and Nutrition Support, Brussels, Belgium.
Clinical Nutrition (Edinburgh, Scotland)
|June 12, 2009
Summary
Parenteral nutrition is essential for intestinal failure but not a primary treatment for Crohn
Area of Science:
- Gastroenterology and Clinical Nutrition
Background:
- Patients with Crohn's disease (CD), ulcerative colitis (UC), and short bowel syndrome (SBS) often experience undernutrition and nutrient deficiencies.
- Fluid and electrolyte imbalances are significant concerns in SBS patients.
Purpose of the Study:
- To provide evidence-based guidelines on the use of parenteral nutrition (PN) in CD, UC, and SBS.
- To outline indications, application, and formula selection for PN in acute and chronic illness phases.
Main Methods:
- The guidelines are based on a review of existing evidence.
- Recommendations are provided for various clinical scenarios.
Main Results:
- PN is not recommended as a primary treatment for CD and UC.
- PN is a reliable option when oral or enteral feeding is not feasible.
- PN is mandatory for intestinal failure, particularly in the acute phase.
Conclusions:
- Specific nutrient supplementation lacks strong supporting data for CD and UC.
- Close monitoring of water and electrolyte balance is crucial for SBS patients.
- Growth hormone, glutamine, and GLP-2 are not currently recommended for SBS patients.
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