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[Cyclic enteral nutrition]

X Hébuterne1, P Rampal

  • 1Service de Gastroentérologie et Nutrition parentérale à Domicile, Hôpital de l'Archet, Nice.

Presse Medicale (Paris, France : 1983)
|February 10, 1996
PubMed
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Cyclic enteral nutrition, a 12-14 hour overnight infusion, is well-tolerated by malnourished patients. This method enhances daytime activity and psychological well-being, proving effective for home-based nutritional support.

Area of Science:

  • Clinical Nutrition
  • Gastroenterology
  • Patient Care

Context:

  • Cyclic enteral nutrition involves overnight nutrient infusion via pump.
  • It is frequently used for malnourished ambulatory patients.
  • Previous studies indicate good tolerance in this population.

Purpose:

  • To evaluate the efficacy and tolerance of cyclic enteral nutrition.
  • To compare cyclic infusion with continuous 24-hour infusion.
  • To highlight the benefits of cyclic enteral nutrition for home care.

Summary:

  • Cyclic enteral nutrition is well-tolerated, with a low incidence of aspiration pneumonia (<2%).
  • Except in cases of major small intestine resection, absorption remains effective, comparable to 24-hour infusion.

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  • Key advantages include preserved fasting-feeding balance, enhanced daytime physical activity, and improved psychological well-being.

    • Impact:

    • Facilitates improved protein-energy metabolism and physical activity during the day.
    • Supports oral nutrition re-education programs and patient mobility.
    • Enables effective home-based enteral nutrition programs, improving patient quality of life.