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Foundations for the rational prescription of enteral medical nutrition therapy
Juan José López-Gómez1, Daniel De Luis-Román1
1Servicio de Endocrinología y Nutrición, Hospital Clínico Universitario de Valladolid, Valladolid, España; Servicio de Endocrinología y Nutrición HCUVA, Instituto de Investigación Biosanitaria de Valladolid (IBioVALL), Valladolid, España; Centro de Investigación de Endocrinología y Nutrición, Facultad de Medicina, Universidad de Valladolid, Valladolid, España; Centro de Investigación Biomédica en Red (CIBEROBN) de la Obesidad y Nutrición, Instituto de Salud Carlos III, Valladolid, España.
Abstract:
Enteral nutrition consists of providing nutrients through the digestive tract, either via oral supplements or fully through nasoenteric tubes or stomas. Its use requires a comprehensive nutritional assessment that identifies nutritional status and energy-protein requirements, in addition to an evaluation of the underlying disease. The choice of formula should be understood as a prescription within the framework of medical nutrition therapy, based on clinical criteria and the available scientific evidence, given that its composition influences not only the improvement of nutritional status but may also affect disease progression. A thorough understanding of formula components is essential to select the option that best fits the patient's needs. Overall, a structured, evidence-based approach centered on an accurate nutritional diagnosis is key to optimizing clinical outcomes.
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