Definition
Any method of nutrient delivery, not using the oral route, is defined as artificial nutrition. In general, delivery via the gastrointestinal tract, i.e., enteral nutrition (EN) and via venous blood vessels, i.e., parenteral nutrition (PN) can be differentiated. Fluids and rarely small amounts of other nutrients are sometimes delivered via the subcutaneous route, which is also classified as parenteral nutrition. The procedure of placement of an enteral or parenteral access should be differentiated from the delivery of nutrients via the respective access. Both components of artificial nutrition have different risks and complications. Artificial nutrition may be performed as a short-time (<4 weeks) or long-term intervention. The artificial delivery of nutrients may be supplemental, i.e., in addition to oral or food...
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References
Aubry E, Friedli N, Schuetz P, Stanga Z (2018) Refeeding syndrome in the frail elderly population: prevention, diagnosis and management. Clin Exp Gastroenterol 11:255–264. https://doi.org/10.2147/CEG.S136429
Burgos R, Breton I, Cereda E, Desport JC, Dziewas R, Genton L et al (2018) ESPEN guideline clinical nutrition in neurology. Clin Nutr 37(1):354–396. https://doi.org/10.1016/j.clnu.2017.09.003
Cawood AL, Elia M, Stratton RJ (2012) Systematic review and meta-analysis of the effects of high protein oral nutritional supplements. Ageing Res Rev 11(2):278–296. https://doi.org/10.1016/j.arr.2011.12.008
Cederholm T, Jensen GL, Correia M, Gonzalez MC, Fukushima R, Higashiguchi T et al (2018) GLIM criteria for the diagnosis of malnutrition – a consensus report from the global clinical nutrition community. Clin Nutr. https://doi.org/10.1016/j.clnu.2018.08.002
Coutaz M, Gay N (2014) Refeeding syndrome: unrecognized in geriatric medicine. J Am Med Dir Assoc 15(11):848–849. https://doi.org/10.1016/j.jamda.2014.08.019
Dennis MS, Lewis SC, Warlow C, Collaboration FT (2005) Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD): a multicentre randomised controlled trial. Lancet 365(9461):764–772. https://doi.org/10.1016/S0140-6736(05)17983-5
Druml C, Ballmer PE, Druml W, Oehmichen F, Shenkin A, Singer P et al (2016) ESPEN guideline on ethical aspects of artificial nutrition and hydration. Clin Nutr 35(3):545–556. https://doi.org/10.1016/j.clnu.2016.02.006
Friedli N, Stanga Z, Sobotka L, Culkin A, Kondrup J, Laviano A et al (2017) Revisiting the refeeding syndrome: results of a systematic review. Nutrition 35:151–160. https://doi.org/10.1016/j.nut.2016.05.016
Friedli N, Stanga Z, Culkin A, Crook M, Laviano A, Sobotka L et al (2018) Management and prevention of refeeding syndrome in medical inpatients: an evidence-based and consensus-supported algorithm. Nutrition 47:13–20. https://doi.org/10.1016/j.nut.2017.09.007
Gariballa S (2008) Refeeding syndrome: a potentially fatal condition but remains underdiagnosed and undertreated. Nutrition 24(6):604–606. https://doi.org/10.1016/j.nut.2008.01.053
Grant DG, Bradley PT, Pothier DD, Bailey D, Caldera S, Baldwin DL et al (2009) Complications following gastrostomy tube insertion in patients with head and neck cancer: a prospective multi-institution study, systematic review and meta-analysis. Clin Otolaryngol 34(2):103–112. https://doi.org/10.1111/j.1749-4486.2009.01889.x
Johnston SD, Tham TC, Mason M (2008) Death after PEG: results of the National Confidential Enquiry into Patient Outcome and Death. Gastrointest Endosc 68(2):223–227. https://doi.org/10.1016/j.gie.2007.10.019
Lipp A, Lusardi G (2006) Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy. Cochrane Database Syst Rev (4):CD005571. https://doi.org/10.1002/14651858.CD005571.pub2
Lipp A, Lusardi G (2013) Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy. Cochrane Database Syst Rev (11):CD005571. https://doi.org/10.1002/14651858.CD005571.pub3
Metheny N, McSweeney M, Wehrle MA, Wiersema L (1990) Effectiveness of the auscultatory method in predicting feeding tube location. Nurs Res 39(5):262–267
Milne AC, Potter J, Vivanti A, Avenell A (2009) Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev 2:CD003288. https://doi.org/10.1002/14651858.CD003288.pub3
Mitchell SL, Tetroe JM (2000) Survival after percutaneous endoscopic gastrostomy placement in older persons. J Gerontol A Biol Sci Med Sci 55(12):M735–M739
Mitchell SL, Mor V, Gozalo PL, Servadio JL, Teno JM (2016) Tube feeding in US nursing home residents with advanced dementia, 2000–2014. JAMA 316(7):769–770. https://doi.org/10.1001/jama.2016.9374
Potack JZ, Chokhavatia S (2008) Complications of and controversies associated with percutaneous endoscopic gastrostomy: report of a case and literature review. Medscape J Med 10(6):142
Pourhassan M, Cuvelier I, Gehrke I, Marburger C, Modreker MK, Volkert D et al (2017) Risk factors of refeeding syndrome in malnourished older hospitalized patients. Clin Nutr 37(4):1354–1359. https://doi.org/10.1016/j.clnu.2017.06.008
Schrag SP, Sharma R, Jaik NP, Seamon MJ, Lukaszczyk JJ, Martin ND et al (2007) Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. A comprehensive clinical review. J Gastrointestin Liver Dis 16(4):407–418
Shega JW, Hougham GW, Stocking CB, Cox-Hayley D, Sachs GA (2003) Barriers to limiting the practice of feeding tube placement in advanced dementia. J Palliat Med 6(6):885–893. https://doi.org/10.1089/109662103322654767
Teno JM, Gozalo PL, Mitchell SL, Kuo S, Rhodes RL, Bynum JP et al (2012) Does feeding tube insertion and its timing improve survival? J Am Geriatr Soc 60(10):1918–1921. https://doi.org/10.1111/j.1532-5415.2012.04148.x
Volkert D, Chourdakis M, Faxen-Irving G, Fruhwald T, Landi F, Suominen MH et al (2015) ESPEN guidelines on nutrition in dementia. Clin Nutr 34(6):1052–1073. https://doi.org/10.1016/j.clnu.2015.09.004
Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L et al (2018) ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr. https://doi.org/10.1016/j.clnu.2018.05.024
Wirth R, Voss C, Smoliner C, Sieber CC, Bauer JM, Volkert D (2012) Complications and mortality after percutaneous endoscopic gastrostomy in geriatrics: a prospective multicenter observational trial. J Am Med Dir Assoc 13(3):228–233. https://doi.org/10.1016/j.jamda.2011.07.010
Wirth R, Dziewas R, Beck AM, Clave P, Hamdy S, Heppner HJ et al (2016) Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clin Interv Aging 11:189–208. https://doi.org/10.2147/CIA.S97481
Wollman B, D’Agostino HB, Walus-Wigle JR, Easter DW, Beale A (1995) Radiologic, endoscopic, and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature. Radiology 197(3):699–704. https://doi.org/10.1148/radiology.197.3.7480742
Yardley IE, Donaldson LJ (2010) Patient safety matters: reducing the risks of nasogastric tubes. Clin Med (Lond) 10(3):228–230
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Wirth, ., Volkert, D. (2019). Artificial Nutrition at Old Age. In: Gu, D., Dupre, M. (eds) Encyclopedia of Gerontology and Population Aging. Springer, Cham. https://doi.org/10.1007/978-3-319-69892-2_117-1
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DOI: https://doi.org/10.1007/978-3-319-69892-2_117-1
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