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Current Trauma Reports

, Volume 3, Issue 3, pp 190–195 | Cite as

Gastric and Enteral Access for Feeding in Critically Ill Patients

  • David Hu
  • Steven Huang
  • Rahul A. ShethEmail author
Non-Vascular Interventional Radiology (A Thabet, Section Editor)
  • 100 Downloads
Part of the following topical collections:
  1. Topical Collection on Non-Vascular Interventional Radiology

Abstract

Purpose of Review

The purpose of this study is to review recent advancements, trends, and recommendations in gastric and enteral feeding with a focus on critically ill patients.

Recent Findings

Enteral feeding continues to serve as the mainstay for nutritional support in critically ill patients and is favored over parenteral nutrition, though recent trials suggest no substantial difference in outcomes between the two methods. Radiologic and endoscopic guidance remain the most common methods for enteral access. Additionally, recent advancements in enteral access technique and trials on best practices for timing and composition of nutritional support in critically ill patients continue to reduce complications, improve outcomes, and reduce cost.

Summary

Nutritional support improves outcomes in critically ill patients, and the safe and durable establishment of enteral access is an important component in the care of these patients.

Keywords

Naso/oral-gastric Gastrostomy Jejunostomy Gastrojejunostomy Nutrition Percutaneous access 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Research Support

None.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Baylor College of MedicineHoustonUSA
  2. 2.Department of Interventional RadiologyMD Anderson Cancer CenterHoustonUSA
  3. 3.Department of Interventional RadiologyT. Boone Pickens Academic Tower (FCT14.5092)HoustonUSA

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