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Enteral Nutrition

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Geriatric Gastroenterology

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Abstract

Enteral nutrition alludes to feeding that utilizes the gastrointestinal tract to meet the nutrition and hydration needs of an individual in specific settings. Aging is associated with physiological changes and complex comorbid conditions and, in many, frailty, weight loss, and malnutrition. When older adults are unable to meet their long-term nutritional needs through the traditional intake of food and liquids, consideration is given to oral supplements and tube feeding via the gastrointestinal tract. Decision-making regarding long-term artificial nutrition and hydration may be complex and must primarily consider the patient’s wishes or existing advance care planning information in the absence of decision-making capacity. In the absence of capacity, the caregiver or healthcare proxy’s preferences are considered, as long as they are consistent with the patient’s wishes. Decision-making regarding enteral nutrition may be influenced by ethical dilemmas; cultural or religious beliefs; a lack of understanding of the benefits and adverse consequences; emotional distress surrounding illness; cultural, ethical, and religious beliefs; and alternate means of feeding. Advance care planning, properly executed, is particularly helpful in enabling decisions regarding the introduction of enteral nutrition for individuals without capacity. Enteral nutrition is provided through the selection of an appropriate formula from numerous options, one that is tailored to offer benefits for specific disorders. However, enteral nutrition may also be associated with adverse effects such as metabolic and electrolyte abnormalities, diarrhea, aspiration pneumonia, and poorer quality of life. The different means of enteral support, associated benefits, and adverse effects are outlined in the chapter.

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References

  • Achem SR, Devault KR. Dysphagia in aging. J Clin Gastroenterol. 2005;39(5):357–71.

    Article  PubMed  Google Scholar 

  • Aguilera JM, Kim B-K, Park DJ. Particular alimentations for nutrition, health and pleasure. Adv Food Nutr Res. 2019;87:371–408.

    Article  CAS  PubMed  Google Scholar 

  • Albanesi B, Marchetti A, D’Angelo D, et al. Exploring Nurses' Involvement in Artificial Nutrition and Hydration at the End of Life: A Scoping Review [published online ahead of print, 2020 Feb 21]. JPEN J Parenter Enteral Nutr. 2020; https://doi.org/10.1002/jpen.1772.

  • Alkhawaja S, Martin C, Butler RJ, Gwadry-Sridhar F. Post-pyloric versus gastric tube feeding for preventing pneumonia and improving nutritional outcomes in critically ill adults. Cochrane Database Syst Rev. 2015;2015(8):Cd008875.

    PubMed Central  Google Scholar 

  • Allard JP, Keller H, Jeejeebhoy KN, Laporte M, Duerksen DR, Gramlich L, et al. Decline in nutritional status is associated with prolonged length of stay in hospitalized patients admitted for 7 days or more: a prospective cohort study. Clin Nutr. 2016;35(1):144–52.

    Article  PubMed  Google Scholar 

  • American Gastroenterological Association Medical Position Statement. Guidelines for the use of enteral nutrition. Gastroenterology. 1995;108(4):1280–1.

    Article  Google Scholar 

  • American Geriatrics Society Ethics Committee and Clinical Practice and Models of Care Committee. American Geriatrics Society feeding tubes in advanced dementia position statement. J Am Geriatr Soc. 2014;62(8):1590–3.

    Article  Google Scholar 

  • Arcand M. End-of-life issues in advanced dementia: part 1: goals of care, decision-making process, and family education. Can Fam Physician. 2015a;61(4):330–4.

    PubMed  PubMed Central  Google Scholar 

  • Arcand M. End-of-life issues in advanced dementia: part 2: management of poor nutritional intake, dehydration, and pneumonia. Can Fam Physician. 2015b;61(4):337–41.

    PubMed  PubMed Central  Google Scholar 

  • Baiu I, Spain DA. Enteral nutrition. JAMA. 2019;321(20):2040.

    Article  PubMed  Google Scholar 

  • Baniardalan M, Sabzghabaee AM, Jalali M, Badri S. Bacterial safety of commercial and handmade enteral feeds in an Iranian teaching hospital. Int J Prev Med. 2014;5(5):604–10.

    PubMed  PubMed Central  Google Scholar 

  • Başkaya MK. Inadvertent intracranial placement of a nasogastric tube in patients with head injuries. Surg Neurol. 1999;52(4):426–7.

    Article  PubMed  Google Scholar 

  • Blumenstein I, Shastri YM, Stein J. Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014;20(26):8505–24.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bobo E. Reemergence of blenderized tube feedings. Nutr Clin Pract. 2016;31(6):730–5.

    Article  PubMed  Google Scholar 

  • Bonten MJ, Gaillard CA, van der Hulst R, de Leeuw PW, van der Geest S, Stobberingh EE, et al. Intermittent enteral feeding: the influence on respiratory and digestive tract colonization in mechanically ventilated intensive-care-unit patients. Am J Respir Crit Care Med. 1996;154(2 Pt 1):394–9.

    Article  CAS  PubMed  Google Scholar 

  • Bremner WG. Hypertensive response to passage of a nasogastric tube. Anaesthesia. 1993;48(4):353.

    Article  CAS  PubMed  Google Scholar 

  • Brousseau VJ, Kost KM. A rare but serious entity: nasogastric tube syndrome. Otolaryngol Head Neck Surg. 2006;135(5):677–9.

    Article  PubMed  Google Scholar 

  • Brown B, Roehl K, Betz M. Enteral nutrition formula selection. Nutr Clin Pract. 2015;30(1):72–85.

    Article  PubMed  Google Scholar 

  • Buckler DA, Kelber ST, Goodwin JS. The use of dietary restrictions in malnourished nursing home patients. J Am Geriatr Soc. 1994;42(10):1100–2.

    Article  CAS  PubMed  Google Scholar 

  • Carrillo E, Muoz J, Tortosa JA. Intrapleural placement of a nasogastric tube. Can J Anaesth. 1998;45(3):284–5.

    Article  CAS  PubMed  Google Scholar 

  • Cereda E, Pedrolli C, Klersy C, Bonardi C, Quarleri L, Cappello S, et al. Nutritional status in older persons according to healthcare setting: a systematic review and meta-analysis of prevalence data using MNA®. Clin Nutr. 2016;35(6):1282–90.

    Article  PubMed  Google Scholar 

  • Chapman M, Peake SL, Bellomo R, Davies A, Deane A, Horowitz M, et al. Energy-dense versus routine enteral nutrition in the critically ill. N Engl J Med. 2018;379(19):1823–34.

    Article  PubMed  Google Scholar 

  • Corrigan ML, Escuro AA, Celestin J, Kirby DF. Nutrition in the stroke patient. Nutr Clin Pract. 2011;26(3):242–52.

    Article  PubMed  Google Scholar 

  • Culpepper JA, Veremakis C, Guntupalli KK, Sladen A. Malpositioned nasogastric tube causing pneumothorax and bronchopleural fistula. Chest. 1982;81(3):389.

    Article  CAS  PubMed  Google Scholar 

  • Cummings JR, Mason AE, Puterman E, Tomiyama AJ. Comfort eating and all-cause mortality in the US health and retirement study. Int J Behav Med. 2018;25(4):473–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Desmond P, Raman R, Idikula J. Effect of nasogastric tubes on the nose and maxillary sinus. Crit Care Med. 1991;19(4):509–11.

    Article  CAS  PubMed  Google Scholar 

  • Escuro AA, Hummell AC. Enteral formulas in nutrition support practice. Nutr Clin Pract. 2016;31(6):709–22.

    Article  CAS  PubMed  Google Scholar 

  • Ferreras J, Junquera LM, Garcia-Consuegra L. Intracranial placement of a nasogastric tube after severe craniofacial trauma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(5):564–6.

    Article  CAS  PubMed  Google Scholar 

  • Geeganage C, Beavan J, Ellender S, Bath PM. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev. 2012;10:Cd000323.

    PubMed  Google Scholar 

  • Genu PR, de Oliveira DM, Vasconcellos RJ, Nogueira RV, Vasconcelos BC. Inadvertent intracranial placement of a nasogastric tube in a patient with severe craniofacial trauma: a case report. J Oral Maxillofac Surg. 2004;62(11):1435–8.

    Article  PubMed  Google Scholar 

  • Gomes CA Jr, Andriolo RB, Bennett C, Lustosa SA, Matos D, Waisberg DR, et al. Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. Cochrane Database Syst Rev. 2015;22(5):Cd008096.

    Google Scholar 

  • Gramlich L, Kichian K, Pinilla J, Rodych NJ, Dhaliwal R, Heyland DK. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature. Nutrition. 2004;20(10):843–8.

    Article  PubMed  Google Scholar 

  • Griffith DP, McNally AT, Battey CH, Forte SS, Cacciatore AM, Szeszycki EE, et al. Intravenous erythromycin facilitates bedside placement of postpyloric feeding tubes in critically ill adults: a double-blind, randomized, placebo-controlled study. Crit Care Med. 2003;31(1):39–44.

    Article  CAS  PubMed  Google Scholar 

  • Halloran O, Grecu B, Sinha A. Methods and complications of nasoenteral intubation. J Parenter Enter Nutr. 2011;35(1):61–6.

    Article  Google Scholar 

  • Heintschel M, Heuberger R. The potential role of zinc supplementation on pressure injury healing in older adults: a review of the literature. Wounds. 2017;29(2):56–61.

    PubMed  Google Scholar 

  • Heuschkel R, Duggan C. Enteral feeding: gastric versus post-pyloric. UptoDate [Internet]. 2019. Available from: https://www.uptodate.com/contents/enteral-feeding-gastric-versus-post-pyloric?source=history_widget#H4. Cited 1 Dec 2019.

  • Heyland DK, MacDonald S, Keefe L, Drover JW. Total parenteral nutrition in the critically ill patient: a meta-analysis. JAMA. 1998;280(23):2013–9.

    Article  CAS  PubMed  Google Scholar 

  • Heyland DK, Dhaliwal R, Drover JW, Gramlich L, Dodek P. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN J Parenter Enteral Nutr. 2003;27(5):355–73.

    Article  PubMed  Google Scholar 

  • Hoffer LJ, Bistrian BR, Driscoll DF. Enteral and parenteral nutrition. In: Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J, editors. Harrison’s principles of internal medicine. 20th ed. New York: McGraw-Hill Education; 2018.

    Google Scholar 

  • Horowitz M, Maddern GJ, Chatterton BE, Collins PJ, Harding PE, Shearman DJ. Changes in gastric emptying rates with age. Clin Sci. 1984;67(2):213–8.

    Article  CAS  Google Scholar 

  • Ichimaru S. Methods of enteral nutrition administration in critically ill patients: continuous, cyclic, intermittent, and bolus feeding. Nutr Clin Pract. 2018;33(6):790–5.

    Article  CAS  PubMed  Google Scholar 

  • Jaafar MH, Mahadeva S, Tan KM, Chin A-V, Kamaruzzaman SB, Khor HM, et al. Long-term nasogastric versus percutaneous endoscopic gastrostomy tube feeding in older Asians with dysphagia: a pragmatic study. Nutr Clin Pract. 2019;34(2):280–9.

    Article  PubMed  Google Scholar 

  • Jeejeebhoy KN. Enteral nutrition versus parenteral nutrition – the risks and benefits. Nat Clin Pract Gastroenterol Hepatol. 2007;4(5):260–5.

    Article  PubMed  Google Scholar 

  • Jensen GL, Cederholm T, Correia MITD, Gonzalez MC, Fukushima R, Higashiguchi T, et al. GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community. J Parenter Enter Nutr. 2019;43(1):32–40.

    Article  Google Scholar 

  • Jiyong J, Tiancha H, Huiqin W, Jingfen J. Effect of gastric versus post-pyloric feeding on the incidence of pneumonia in critically ill patients: observations from traditional and Bayesian random-effects meta-analysis. Clin Nutr. 2013;32(1):8–15.

    Article  PubMed  Google Scholar 

  • Juneja M, O’Keefe S. Enteral and Parenteral Nutrition. 2012:127–35.

    Google Scholar 

  • Kamarul Zaman M, Chin KF, Rai V, Majid HA. Fiber and prebiotic supplementation in enteral nutrition: a systematic review and meta-analysis. World J Gastroenterol. 2015;21(17):5372–81.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Kirby DF, DeLegge MH, Fleming CR. American gastroenterological association technical review on tube feeding for enteral nutrition. Gastroenterology. 1995;108(4):1282–301.

    Article  CAS  PubMed  Google Scholar 

  • Koretz RL, Avenell A, Lipman TO, Braunschweig CL, Milne AC. Does enteral nutrition affect clinical outcome? A systematic review of the randomized trials. Am J Gastroenterol. 2007;102(2):412–29. Quiz 68.

    Google Scholar 

  • Kritchevsky SB, Braun BI, Kusek L, Wong ES, Solomon SL, Parry MF, et al. The impact of hospital practice on central venous catheter-associated bloodstream infection rates at the patient and unit level: a multicenter study. Am J Med Qual. 2008;23(1):24–38.

    Article  PubMed  Google Scholar 

  • Lind LJ, Wallace DH. Submucosal passage of a nasogastric tube complicating attempted intubation during anesthesia. Anesthesiology. 1978;49(2):145–7.

    Article  CAS  PubMed  Google Scholar 

  • Locher JL, Robinson CO, Roth DL, Ritchie CS, Burgio KL. The effect of the presence of others on caloric intake in homebound older adults. J Gerontol A Biol Sci Med Sci. 2005;60(11):1475–8.

    Article  PubMed  Google Scholar 

  • Luft VC, Beghetto MG, de Mello ED, Polanczyk CA. Role of enteral nutrition in the incidence of diarrhea among hospitalized adult patients. Nutrition. 2008;24(6):528–35.

    Article  PubMed  Google Scholar 

  • MacLeod JB, Lefton J, Houghton D, Roland C, Doherty J, Cohn SM, et al. Prospective randomized control trial of intermittent versus continuous gastric feeds for critically ill trauma patients. J Trauma. 2007;63(1):57–61.

    PubMed  Google Scholar 

  • Mandal NG, Foxell R. Knotting of a nasogastric tube. Anaesthesia. 2000;55(1):99.

    Article  CAS  PubMed  Google Scholar 

  • McClave SA, Chang WK. Feeding the hypotensive patient: does enteral feeding precipitate or protect against ischemic bowel? Nutr Clin Pract. 2003;18(4):279–84.

    Article  PubMed  Google Scholar 

  • McClave SA, Lukan JK, Stefater JA, Lowen CC, Looney SW, Matheson PJ, et al. Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Crit Care Med. 2005;33(2):324–30.

    Article  PubMed  Google Scholar 

  • McClave SA, Taylor BE, Martindale RG, Warren MM, Johnson DR, Braunschweig C, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient. J Parenter Enter Nutr. 2016;40(2):159–211.

    Article  CAS  Google Scholar 

  • McMahon MM, Nystrom E, Braunschweig C, Miles J, Compher C, the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: nutrition support of adult patients with hyperglycemia. J Parenter Enter Nutr. 2013;37(1):23–36.

    Article  CAS  Google Scholar 

  • Mehanna HM, Moledina J, Travis J. Refeeding syndrome: what it is, and how to prevent and treat it. BMJ. 2008;336(7659):1495–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mentec H, Dupont H, Bocchetti M, Cani P, Ponche F, Bleichner G. Upper digestive intolerance during enteral nutrition in critically ill patients: frequency, risk factors, and complications. Crit Care Med. 2001;29(10):1955–61.

    Article  CAS  PubMed  Google Scholar 

  • Montecalvo MA, Steger KA, Farber HW, Smith BF, Dennis RC, Fitzpatrick GF, et al. Nutritional outcome and pneumonia in critical care patients randomized to gastric versus jejunal tube feedings. The Critical Care Research Team. Crit Care Med. 1992;20(10):1377–87.

    Article  CAS  PubMed  Google Scholar 

  • Montejo JC. Enteral nutrition-related gastrointestinal complications in critically ill patients: a multicenter study. The Nutritional and Metabolic Working Group of the Spanish Society of Intensive Care Medicine and Coronary Units. Crit Care Med. 1999;27(8):1447–53.

    Article  CAS  PubMed  Google Scholar 

  • Montejo JC, Minambres E, Bordeje L, Mesejo A, Acosta J, Heras A, et al. Gastric residual volume during enteral nutrition in ICU patients: the REGANE study. Intensive Care Med. 2010;36(8):1386–93.

    Article  CAS  PubMed  Google Scholar 

  • Morley JE, Kraenzle D. Causes of weight loss in a community nursing home. J Am Geriatr Soc. 1994;42(6):583–5.

    Article  CAS  PubMed  Google Scholar 

  • Naber TH, Schermer T, de Bree A, Nusteling K, Eggink L, Kruimel JW, et al. Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications. Am J Clin Nutr. 1997;66(5):1232–9.

    Article  CAS  PubMed  Google Scholar 

  • Namasivayam-MacDonald AM, Shune SE. The burden of dysphagia on family caregivers of the elderly: a systematic review. Geriatrics. 2018;3(2):30.

    Article  PubMed Central  Google Scholar 

  • Nathoo N, Nadvi SS. Intracranial malposition of a nasogastric tube following repair of choanal atresia. Br J Neurosurg. 1999;13(4):409–10.

    Article  CAS  PubMed  Google Scholar 

  • National Institute for Health and Clinical Excellence. Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition. Clinical guideline CG32. London: NICE; 2006. Available from: https://www.nice.org.uk/guidance/cg32. Updated 2017.

  • Ott DJ, Mattox HE, Gelfand DW, Chen MY, Wu WC. Enteral feeding tubes: placement by using fluoroscopy and endoscopy. AJR Am J Roentgenol. 1991;157(4):769–71.

    Article  CAS  PubMed  Google Scholar 

  • Parker BA, Chapman IM. Food intake and ageing – the role of the gut. Mech Ageing Dev. 2004;125(12):859–66.

    Article  CAS  PubMed  Google Scholar 

  • Pash E. Enteral nutrition: options for short-term access. Nutr Clin Pract. 2018;33(2):170–6.

    Article  PubMed  Google Scholar 

  • Petrov MS, Zagainov VE. Influence of enteral versus parenteral nutrition on blood glucose control in acute pancreatitis: a systematic review. Clin Nutr. 2007;26(5):514–23.

    Article  CAS  PubMed  Google Scholar 

  • Prabhakaran S, Doraiswamy VA, Nagaraja V, Cipolla J, Ofurum U, Evans DC, et al. Nasoenteric tube complications. Scand J Surg. 2012;101(3):147–55.

    Article  CAS  PubMed  Google Scholar 

  • Quain AM, Khardori NM. Nutrition in wound care management: a comprehensive overview. Wounds. 2015;27(12):327–35.

    PubMed  Google Scholar 

  • Reignier J, Mercier E, Le Gouge A, Boulain T, Desachy A, Bellec F, et al. Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized controlled trial. JAMA. 2013;309(3):249–56.

    Article  CAS  PubMed  Google Scholar 

  • Reintam Blaser A, Starkopf J, Alhazzani W, Berger MM, Casaer MP, Deane AM, et al. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Med. 2017;43(3):380–98.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rice TW, Wheeler AP, Thompson BT, Steingrub J, Hite RD, Moss M, et al. Initial trophic vs full enteral feeding in patients with acute lung injury: the EDEN randomized trial. JAMA. 2012;307(8):795–803.

    Article  PubMed  CAS  Google Scholar 

  • Ritchie C, Yukawa M. Geriatric nutrition: nutritional issues in older adults. In: UptoDate [Internet]. 2019. Available from: https://www.uptodate.com/contents/geriatric-nutrition-nutritional-issues-in-older-adults?search=malnutrition&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1. Cited 1 Dec 2019.

  • Rolls BJ. Do chemosensory changes influence food intake in the elderly? Physiol Behav. 1999;66(2):193–7.

    Article  CAS  PubMed  Google Scholar 

  • Rushdi TA, Pichard C, Khater YH. Control of diarrhea by fiber-enriched diet in ICU patients on enteral nutrition: a prospective randomized controlled trial. Clin Nutr. 2004;23(6):1344–52.

    Article  CAS  PubMed  Google Scholar 

  • Scaife CL, Saffle JR, Morris SE. Intestinal obstruction secondary to enteral feedings in burn trauma patients. J Trauma. 1999;47(5):859–63.

    Article  CAS  PubMed  Google Scholar 

  • Schwartz DB. Enteral nutrition and dementia integrating ethics. Nutr Clin Pract. 2018;33(3):377–87.

    Article  PubMed  Google Scholar 

  • Scott R, Bowling TE. Enteral tube feeding in adults. J R Coll Physicians Edinb. 2015;45(1):49–54.

    Article  CAS  PubMed  Google Scholar 

  • Seres D. Nutrition support in critically ill patients: enteral nutrition. In: UptoDate [Internet]. 2019. Available from: https://www.uptodate.com/contents/nutrition-support-in-critically-ill-patients-enteral-nutrition?search=enteral%20nutritlectedTitle=1~150&usage_type=default&display_rank=1#H34. Cited 1 Dec 2019.

  • Seres D. Nutrition support in critically ill patients: parenteral nutrition. In: UptoDate [Internet]. 2020. Available from: https://www.uptodate.com/contents/nutrition-support-in-critically-ill-patients-parenteral-nutrition?source=autocomplete&index=0~2&search=pare. Cited 5 Feb 2020.

  • Shi H, Lu JH, Wang SN, Na Q, Xu LF, Hong JA. Effect of early enteral nutrition in elderly patients with hip fracture during the perioperative period. J Back Musculoskelet Rehabil. 2020;33(1):109–17.

    Article  PubMed  Google Scholar 

  • Slagt C, Innes R, Bihari D, Lawrence J, Shehabi Y. A novel method for insertion of post-pyloric feeding tubes at the bedside without endoscopic or fluoroscopic assistance: a prospective study. Intensive Care Med. 2004;30(1):103–7.

    Article  PubMed  Google Scholar 

  • Sofferman RA, Haisch CE, Kirchner JA, Hardin NJ. The nasogastric tube syndrome. Laryngoscope. 1990;100(9):962–8.

    Article  CAS  PubMed  Google Scholar 

  • Sorokin R, Gottlieb JE. Enhancing patient safety during feeding-tube insertion: a review of more than 2,000 insertions. JPEN J Parenter Enteral Nutr. 2006;30(5):440–5.

    Article  PubMed  Google Scholar 

  • Souza JT, Ribeiro PW, de Paiva SAR, Tanni SE, Minicucci MF, Zornoff LAM, et al. Dysphagia and tube feeding after stroke are associated with poorer functional and mortality outcomes. Clin Nutr. 2019;S0261–5614(19):33174–7.

    Google Scholar 

  • Steevens EC, Lipscomb AF, Poole GV, Sacks GS. Comparison of continuous vs intermittent nasogastric enteral feeding in trauma patients: perceptions and practice. Nutr Clin Pract. 2002;17(2):118–22.

    Article  PubMed  Google Scholar 

  • Sullivan MM, Sorreda-Esguerra P, Platon MB, Castro CG, Chou NR, Shott S, et al. Nutritional analysis of blenderized enteral diets in the Philippines. Asia Pac J Clin Nutr. 2004;13(4):385–91.

    PubMed  Google Scholar 

  • Tappenden KA, Quatrara B, Parkhurst ML, Malone AM, Fanjiang G, Ziegler TR. Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. J Acad Nutr Diet. 2013;113(9):1219–37.

    Article  PubMed  Google Scholar 

  • Taylor SJ, Manara AR, Brown J. Treating delayed gastric emptying in critical illness: metoclopramide, erythromycin, and bedside (cortrak) nasointestinal tube placement. JPEN J Parenter Enteral Nutr. 2010;34(3):289–94.

    Article  PubMed  Google Scholar 

  • Thompson MP, Morris LK. Unexplained weight loss in the ambulatory elderly. J Am Geriatr Soc. 1991;39(5):497–500.

    Article  CAS  PubMed  Google Scholar 

  • Ticinesi A, Nouvenne A, Lauretani F, Prati B, Cerundolo N, Maggio M, et al. Survival in older adults with dementia and eating problems: to PEG or not to PEG? Clin Nutr. 2016;35(6):1512–6.

    Article  PubMed  Google Scholar 

  • Torrington KG, Bowman MA. Fatal hydrothorax and empyema complicating a malpositioned nasogastric tube. Chest. 1981;79(2):240–2.

    Article  CAS  PubMed  Google Scholar 

  • Valentine RJ, Turner WW Jr, Borman KR, Weigelt JA. Does nasoenteral feeding afford adequate gastroduodenal stress prophylaxis? Crit Care Med. 1986;14(7):599–601.

    Article  CAS  PubMed  Google Scholar 

  • Volicer L. Goals of care in advanced dementia: quality of life, dignity and comfort. J Nutr Health Aging. 2007;11(6):481.

    CAS  PubMed  Google Scholar 

  • Volkert D, Berner YN, Berry E, Cederholm T, Coti Bertrand P, Milne A, et al. ESPEN guidelines on enteral nutrition: geriatrics. Clin Nutr. 2006;25(2):330–60.

    Article  CAS  PubMed  Google Scholar 

  • Wallace JI, Schwartz RS, LaCroix AZ, Uhlmann RF, Pearlman RA. Involuntary weight loss in older outpatients: incidence and clinical significance. J Am Geriatr Soc. 1995;43(4):329–37.

    Article  CAS  PubMed  Google Scholar 

  • Weinberg L, Skewes D. Pneumothorax from intrapleural placement of a nasogastric tube. Anaesth Intensive Care. 2006;34(2):276–9.

    Article  CAS  PubMed  Google Scholar 

  • White JV, Guenter P, Jensen G, Malone A, Schofield M, Group AMW, et al. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition. J Parenter Enter Nutr. 2012;36(3):275–83.

    Article  Google Scholar 

  • Wilson M-MG, Vaswani S, Liu D, Morley JE, Miller DK. Prevalence and causes of undernutrition in medical outpatients. Am J Med. 1998;104(1):56–63.

    Article  CAS  PubMed  Google Scholar 

  • Zaloga GP. Parenteral nutrition in adult inpatients with functioning gastrointestinal tracts: assessment of outcomes. Lancet. 2006;367(9516):1101–11.

    Article  PubMed  Google Scholar 

  • Zaninotto G, Bonavina L, Pianalto S, Fassina A, Ancona E. Esophageal strictures following nasogastric intubation. Int Surg. 1986;71(2):100–3.

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Hospital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Maanit Kohli

  2. Brookdale Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Allen Andrade

  3. Department of Medicine, Division of Geriatrics, Montefiore Medical Center, Wakefield Campus, Bronx, NY, USA

    T. S. Dharmarajan

  4. Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA

    T. S. Dharmarajan

  5. Department of Medicine, New York Medical College, Valhalla, NY, USA

    T. S. Dharmarajan

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  1. Maanit Kohli
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  2. Allen Andrade
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  3. T. S. Dharmarajan
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Correspondence to Maanit Kohli .

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Editors and Affiliations

  1. Department of Medicine, Robert Wood Johnson School of Medicine, Rutgers University, New Brunswick, NJ, USA

    C. S. Pitchumoni

  2. Department of Medicine, Division of Geriatrics, Montefiore Medical Center, Wakefield Campus, Bronx, NY, USA

    T.S. Dharmarajan

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Kohli, M., Andrade, A., Dharmarajan, T.S. (2021). Enteral Nutrition. In: Pitchumoni, C.S., Dharmarajan, T. (eds) Geriatric Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-030-30192-7_106

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  • Online ISBN: 978-3-030-30192-7

  • eBook Packages: MedicineReference Module Medicine

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