Constipation is more frequent than diarrhea in patients fed exclusively by enteral nutrition: results of an observational study
| Autor: | Maria de Lourdes Teixeira da Silva, Amanda F. Bittencourt, Lilian Mika Horie, Juliana Martins, L. Logullo, Glaucia Midori Shiroma, Dan Linetzky Waitzberg, M.C. Ortolani |
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| Rok vydání: | 2012 |
| Předmět: |
Diarrhea
Dietary Fiber Male medicine.medical_specialty Constipation Medicine (miscellaneous) Nutritional Status Gastroenterology Pharmacotherapy Enteral Nutrition Risk Factors Internal medicine medicine Humans Medical prescription Feeding tube Aged Retrospective Studies Nutrition and Dietetics business.industry Retrospective cohort study Hospitalization Parenteral nutrition Logistic Models Observational study Female medicine.symptom business Brazil |
| Zdroj: | Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition. 27(4) |
| ISSN: | 1941-2452 |
| Popis: | Digestive complications in enteral nutrition (EN) can negatively affect the nutrition clinical outcome of hospitalized patients. Diarrhea and constipation are intestinal motility disorders associated with pharmacotherapy, hydration, nutrition status, and age. The aim of this study was to analyze the frequency of these intestinal motility disorders in patients receiving EN and assess risk factors associated with diarrhea and constipation in hospitalized patients receiving exclusive EN therapy in a general hospital.The authors performed a sequential and observational study of 110 hospitalized adult patients fed exclusively by EN through a feeding tube. Patients were categorized according to the type of intestinal transit disorder as follows: group D (diarrhea, 3 or more watery evacuations in 24 hours), group C (constipation, less than 1 evacuation during 3 days), and group N (absence of diarrhea or constipation). All prescription drugs were recorded, and patients were analyzed according to the type and amount of medication received. The authors also investigated the presence of fiber in the enteral formula.Patients classified in group C represented 70% of the study population; group D comprised 13%, and group N represented 17%. There was an association between group C and orotracheal intubation as the indication for EN (P.001). Enteral formula without fiber was associated with constipation (logistic regression analysis: P.001).Constipation is more frequent than diarrhea in patients fed exclusively by EN. Enteral diet with fiber may protect against medication-associated intestinal motility disorders. The addition of prokinetic drugs seems to be useful in preventing constipation. |
| Databáze: | OpenAIRE |
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