ASPEN-FELANPE Clinical Guidelines

Autor: José Eduardo de Aguilar-Nascimento, Ezra Steiger, Marion F. Winkler, Vanessa J. Kumpf, Felanpe, Amber M. Hall, Liam McKeever, Charlene Compher, José Ignacio Díaz-Pizarro Graf
Rok vydání: 2016
Předmět:
Zdroj: Journal of Parenteral and Enteral Nutrition. 41:104-112
ISSN: 1941-2444
0148-6071
DOI: 10.1177/0148607116680792
Popis: Background: The management of patients with enterocutaneous fistula (ECF) requires an interdisciplinary approach and poses a significant challenge to physicians, wound/stoma care specialists, dietitians, pharmacists, and other nutrition clinicians. Guidelines for optimizing nutrition status in these patients are often vague, based on limited and dated clinical studies, and typically rely on individual institutional or clinician experience. Specific nutrient requirements, appropriate route of feeding, role of immune-enhancing formulas, and use of somatostatin analogues in the management of patients with ECF are not well defined. The purpose of this clinical guideline is to develop recommendations for the nutrition care of adult patients with ECF. Methods: A systematic review of the best available evidence to answer a series of questions regarding clinical management of adults with ECF was undertaken and evaluated using concepts adopted from the Grading of Recommendations, Assessment, Development, and Evalu...
Databáze: OpenAIRE