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Use of Enteral Nutrition for Gastrointestinal Bleeding Prophylaxis in the Critically Ill: Review of Current Literature

  • 01-09-2018
  • Gastroenterology, Critical Care, and Lifestyle Medicine (SA McClave, Section Editor)
Published in:

Abstract

Purpose of Review

This review provides a comprehensive overview of the etiology of stress-related mucosal disease, current acid suppression therapy recommendations, and the role enteral nutrition may play in disease prevention.

Recent Findings

Recent literature indicates enteral nutrition may prevent complications of stress-related mucosal disease by increasing splanchnic blood flow, enhancing gastrointestinal motility, and promoting cellular immunity and integrity through local nutrient delivery.

Summary

Stress-related mucosal disease is a common complication of hospitalization in the critically ill which may lead to overt gastrointestinal bleeding and enhanced mortality. High-risk patients have historically been prescribed acid suppression therapy, though enteral nutrition may also have a role in disease mitigation.
Title
Use of Enteral Nutrition for Gastrointestinal Bleeding Prophylaxis in the Critically Ill: Review of Current Literature
Authors
Carolyn Newberry
Jessica Schucht
Publication date
01-09-2018
Publisher
Springer US
Published in
Current Nutrition Reports / Issue 3/2018
Electronic ISSN: 2161-3311
DOI
https://doi.org/10.1007/s13668-018-0232-3
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