Rational application of parenteral and enteral nutrition preparations_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Bo ,  MENG Xiangling

Department of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, P.R.China;

Corresponding author：

MENG Xiangling, Email: anyimxl@gmail.com

Keywords：

parenteral nutrition; enteral nutrition; undernutrition; nutrition support; clinical application

DOI：

10.7507/1007-9424.201610003

Video：

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Objective To promote the clinical application of parenteral and enteral nutrition preparations in hospitalized patients. Methods Domestic and foreign articles about parenteral and enteral nutrition support were enrolled to make a review. Results Nowadays, parenteral and enteral nutrition played an important role in the medical treatment of perioperative and critically ill patients. Rational nutrition support could improve the condition of patients with nutritional risk and result in better clinical outcomes. Different enteral nutrition formulations should be used according to the diseases. Supplementally parenteral nutrition may also be useful in combination with enteral nutrition to reach the required intake targets. We should pay attention to the application of glucose, lipid emulsion, amino acids, vitamins, and so on, when performed parenteral nutrition support. Conclusion It is necessary to standardize parenteral and enteral nutrition support in the work of clinical practice, including the application of nutrition support and selection of nutrition preparations.

Citation： CHEN Bo, MENG Xiangling. Rational application of parenteral and enteral nutrition preparations. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(8): 1035-1039. doi: 10.7507/1007-9424.201610003 Copy

1.	Seron-Arbeloa C, Zamora-Elson M, Labarta-Monzon L, et al. Enteral nutrition in critical care. J Clin Med Res, 2013, 5(1): 1-11.
2.	Marik PE, Flemmer M. Immunonutrition in the surgical patient. Minerva Anestesiol, 2012, 78(3): 336-342.
3.	Holmes S. Enteral nutrition: an overview. Nurs Stand, 2012, 26(39): 41-46.
4.	Ishibe A, Ota M, Kanazawa A, et al. Nutritional management of anastomotic leakage after colorectal cancer surgery using elemental diet jelly. Hepatogastroenterology, 2015, 62(137): 30-33.
5.	Hino S, Ito A, Kondo T, et al. Elemental diet induces the proliferation of sialomucin goblet cells in the rat duodenum and jejunum. Biosci Biotechnol Biochem, 2015, 79(6): 992-996.
6.	Hunter J. Elemental diet and the nutritional treatment of Crohn’s disease. Gastroenterol Hepatol Bed Bench, 2015, 8(1): 4-5.
7.	Zheng T, Zhu X, Liang H, et al. Impact of early enteral nutrition on short term prognosis after acute stroke. J Clin Neurosci, 2015, 22(9): 1473-1476.
8.	Zhao J, Dong JN, Gong JF, et al. Impact of enteral nutrition on energy metabolism in patients with Crohn’s disease. World J Gastroenterol, 2015, 21(4): 1299-1304.
9.	Wei J, Chen W, Zhu M, et al. Guidelines for parenteral and enteral nutrition support in geriatric patients in China. Asia Pac J Clin Nutr, 2015, 24(2): 336-346.
10.	Wang F, Hou MX, Wu XL, et al. Impact of enteral nutrition on postoperative immune function and nutritional status. Genet Mol Res, 2015, 14(2): 6065-6072.
11.	Fell GL, Nandivada P, Gura KM, et al. Intravenous lipid emulsions in parenteral nutrition. Adv Nutr, 2015, 6(5): 600-610.
12.	Martindale RG, Warren M. Should enteral nutrition be started in the first week of critical illness? Curr Opin Clin Nutr Metab Care, 2015, 18(2): 202-206.
13.	Van Ooteghem G, El-Mourad M, Slimani A, et al. Is early enteral nutrition dangerous in acute non surgical complicated diverticulitis? About 25 patients fed with oral fiber free energetic liquid diet. Acta Gastroenterol Belg, 2013, 76(2): 235-240.
14.	Kamarul Zaman M, Chin KF, Rai V, et al. Fiber and prebiotic supplementation in enteral nutrition: a systematic review and meta-analysis. World J Gastroenterol, 2015, 21(17): 5372-5381.
15.	Majid HA, Cole J, Emery PW, et al. Additional oligofructose/inulin does not increase faecal bifidobacteria in critically ill patients receiving enteral nutrition: a randomised controlled trial. Clin Nutr, 2014, 33(6): 966-972.
16.	Mundi MS, Salonen BR, Bonnes S. Home parenteral nutrition: fat emulsions and potential complications. Nutr Clin Pract, 2016, 31(5): 629-641.
17.	Orrevall Y. Parenteral nutrition in the elderly cancer patient. Nutrition, 2015, 31(4): 610-611.
18.	Faria SL, Faria OP, Cardeal Mde A, et al. Diet-induced thermogenesis and respiratory quotient after Roux-en-Y gastric bypass surgery: a prospective study. Surg Obes Relat Dis, 2014, 10(1): 138-143.
19.	Anez-Bustillos L, Dao DT, Baker MA, et al. Intravenous fat emulsion formulations for the adult and pediatric patient: understanding the differences. Nutr Clin Pract, 2016, 31(5): 596-609.
20.	Turner JM, Josephson J, Field CJ, et al. Liver disease, systemic inflammation, and growth using a mixed parenteral lipid emulsion, containing soybean oil, fish oil, and medium chain triglycerides, compared with soybean oil in parenteral nutrition-fed neonatal piglets. JPEN J Parenter Enteral Nutr, 2016, 40(7): 973-981.
21.	Chen B, Zhou Y, Yang P, et al. Safety and efficacy of fish oil-enriched parenteral nutrition regimen on postoperative patients undergoing major abdominal surgery: a meta-analysis of randomized controlled trials. JPEN J Parenter Enteral Nutr, 2010, 34(4): 387-394.
22.	Zhu M, Li X. Meta-analysis of structured triglyceride versus other lipid emulsions for parenteral nutrition. Nutrition, 2013, 29(6): 833-840.
23.	Triana Junco M, García Vázquez N, Zozaya C, et al. An exclusively based parenteral fish-oil emulsion reverses cholestasis. Nutr Hosp, 2014, 31(1): 514-516.
24.	Zou L, Akoh CC. Antioxidant activities of annatto and palm tocotrienol-rich fractions in fish oil and structured lipid-based infant formula emulsion. Food Chem, 2015, 168: 504-511.
25.	黄琳, 王振江, 李玉珍. 肠外营养制剂的新进展及其安全应用. 中国执业药师, 2010, 7(3): 8-12.
26.	Park HW, Lee NM, Kim JH, et al. Parenteral fish oil-containing lipid emulsions may reverse parenteral nutrition-associated cholestasis in neonates: a systematic review and meta-analysis. J Nutr, 2015, 145(2): 277-283.
27.	Martin JM, Stapleton RD. Omega-3 fatty acids in critical illness. Nutr Rev, 2010, 68(9): 531-541.
28.	Singer P, Shapiro H, Theilla M, et al. Anti-inflammatory properties of omega-3 fatty acids in critical illness: novel mechanisms and an integrative perspective. Intensive Care Med, 2008, 34(9): 1580-1592.
29.	Burns CP, Halabi S, Clamon G, et al. PhaseⅡstudy of high-dose fish oil capsules for patients with cancer-related cachexia. Cancer, 2004, 101(2): 370-378.
30.	Hojsak I, Kolaček S. Fat overload syndrome after the rapid infusion of SMOFlipid emulsion. JPEN J Parenter Enteral Nutr, 2014, 38(1): 119-121.
31.	Schiavone PA, Piccolo K, Compher C. Application of the A. S. P. E. N. clinical guideline for nutrition support of hospitalized adult patients with obesity: a case study of home parenteral nutrition. Nutr Clin Pract, 2014, 29(1): 73-77.
32.	Slattery E, Rumore MM, Douglas JS, et al. 3-in-1 vs 2-in-1 parenteral nutrition in adults: a review. Nutr Clin Pract, 2014, 29(5): 631-635.
33.	Wales PW, Allen N, Worthington P, et al. A. S. P. E. N. clinical guidelines: support of pediatric patients with intestinal failure at risk of parenteral nutrition-associated liver disease. JPEN J Parenter Enteral Nutr, 2014, 38(5): 538-557.
34.	Huang HH, Wu PC, Kang SP, et al. Postoperative hypocaloric peripheral parenteral nutrition with branched-chain-enriched amino acids provides no better clinical advantage than fluid management in nonmalnourished colorectal cancer patients. Nutr Cancer, 2014, 66(8): 1269-1278.
35.	Szpetnar M, Matras P, Boguszewska-Czubara A, et al. Is additional enrichment of diet in branched-chain amino acids or glutamine beneficial for patients receiving total parenteral nutrition after gastrointestinal cancer surgery? Adv Clin Exp Med, 2014, 23(3): 423-431.
36.	Cano NJ, Aparicio M, Brunori G, et al. ESPEN Guidelines on Parenteral Nutrition: adult renal failure. Clin Nutr, 2009, 28(4): 401-414.
37.	DeBellis HF, Fetterman JW Jr. Enteral nutrition in the chronic obstructive pulmonary disease (COPD) patient. J Pharm Pract, 2012, 25(6): 583-585.
38.	Sviri S, Khalaila R, Daher S, et al. Increased Vitamin B12 levels are associated with mortality in critically ill medical patients. Clin Nutr, 2012, 31(1): 53-59.
39.	Marti-Bonmati E, Feliu AP, Telleria AV. Vitamin and oligoelement additives in parenteral nutrition. Farm Hosp, 2011, 35(2): 96-97.
40.	Thomson P, Duerksen DR. Vitamin D deficiency in patients receiving home parenteral nutrition. JPEN J Parenter Enteral Nutr, 2011, 35(4): 499-504.
41.	Shearer MJ. Vitamin K in parenteral nutrition. Gastroenterology, 2009, 137(5 Suppl): S105-S118.
42.	申振亚, 周发春, 杨洁. 围手术期水电解质紊乱临床诊治. 中国实用外科杂志, 2014, 34(2): 145-149.

1. Seron-Arbeloa C, Zamora-Elson M, Labarta-Monzon L, et al. Enteral nutrition in critical care. J Clin Med Res, 2013, 5(1): 1-11.
2. Marik PE, Flemmer M. Immunonutrition in the surgical patient. Minerva Anestesiol, 2012, 78(3): 336-342.
3. Holmes S. Enteral nutrition: an overview. Nurs Stand, 2012, 26(39): 41-46.
4. Ishibe A, Ota M, Kanazawa A, et al. Nutritional management of anastomotic leakage after colorectal cancer surgery using elemental diet jelly. Hepatogastroenterology, 2015, 62(137): 30-33.
5. Hino S, Ito A, Kondo T, et al. Elemental diet induces the proliferation of sialomucin goblet cells in the rat duodenum and jejunum. Biosci Biotechnol Biochem, 2015, 79(6): 992-996.
6. Hunter J. Elemental diet and the nutritional treatment of Crohn’s disease. Gastroenterol Hepatol Bed Bench, 2015, 8(1): 4-5.
7. Zheng T, Zhu X, Liang H, et al. Impact of early enteral nutrition on short term prognosis after acute stroke. J Clin Neurosci, 2015, 22(9): 1473-1476.
8. Zhao J, Dong JN, Gong JF, et al. Impact of enteral nutrition on energy metabolism in patients with Crohn’s disease. World J Gastroenterol, 2015, 21(4): 1299-1304.
9. Wei J, Chen W, Zhu M, et al. Guidelines for parenteral and enteral nutrition support in geriatric patients in China. Asia Pac J Clin Nutr, 2015, 24(2): 336-346.
10. Wang F, Hou MX, Wu XL, et al. Impact of enteral nutrition on postoperative immune function and nutritional status. Genet Mol Res, 2015, 14(2): 6065-6072.
11. Fell GL, Nandivada P, Gura KM, et al. Intravenous lipid emulsions in parenteral nutrition. Adv Nutr, 2015, 6(5): 600-610.
12. Martindale RG, Warren M. Should enteral nutrition be started in the first week of critical illness? Curr Opin Clin Nutr Metab Care, 2015, 18(2): 202-206.
13. Van Ooteghem G, El-Mourad M, Slimani A, et al. Is early enteral nutrition dangerous in acute non surgical complicated diverticulitis? About 25 patients fed with oral fiber free energetic liquid diet. Acta Gastroenterol Belg, 2013, 76(2): 235-240.
14. Kamarul Zaman M, Chin KF, Rai V, et al. Fiber and prebiotic supplementation in enteral nutrition: a systematic review and meta-analysis. World J Gastroenterol, 2015, 21(17): 5372-5381.
15. Majid HA, Cole J, Emery PW, et al. Additional oligofructose/inulin does not increase faecal bifidobacteria in critically ill patients receiving enteral nutrition: a randomised controlled trial. Clin Nutr, 2014, 33(6): 966-972.
16. Mundi MS, Salonen BR, Bonnes S. Home parenteral nutrition: fat emulsions and potential complications. Nutr Clin Pract, 2016, 31(5): 629-641.
17. Orrevall Y. Parenteral nutrition in the elderly cancer patient. Nutrition, 2015, 31(4): 610-611.
18. Faria SL, Faria OP, Cardeal Mde A, et al. Diet-induced thermogenesis and respiratory quotient after Roux-en-Y gastric bypass surgery: a prospective study. Surg Obes Relat Dis, 2014, 10(1): 138-143.
19. Anez-Bustillos L, Dao DT, Baker MA, et al. Intravenous fat emulsion formulations for the adult and pediatric patient: understanding the differences. Nutr Clin Pract, 2016, 31(5): 596-609.
20. Turner JM, Josephson J, Field CJ, et al. Liver disease, systemic inflammation, and growth using a mixed parenteral lipid emulsion, containing soybean oil, fish oil, and medium chain triglycerides, compared with soybean oil in parenteral nutrition-fed neonatal piglets. JPEN J Parenter Enteral Nutr, 2016, 40(7): 973-981.
21. Chen B, Zhou Y, Yang P, et al. Safety and efficacy of fish oil-enriched parenteral nutrition regimen on postoperative patients undergoing major abdominal surgery: a meta-analysis of randomized controlled trials. JPEN J Parenter Enteral Nutr, 2010, 34(4): 387-394.
22. Zhu M, Li X. Meta-analysis of structured triglyceride versus other lipid emulsions for parenteral nutrition. Nutrition, 2013, 29(6): 833-840.
23. Triana Junco M, García Vázquez N, Zozaya C, et al. An exclusively based parenteral fish-oil emulsion reverses cholestasis. Nutr Hosp, 2014, 31(1): 514-516.
24. Zou L, Akoh CC. Antioxidant activities of annatto and palm tocotrienol-rich fractions in fish oil and structured lipid-based infant formula emulsion. Food Chem, 2015, 168: 504-511.
25. 黄琳, 王振江, 李玉珍. 肠外营养制剂的新进展及其安全应用. 中国执业药师, 2010, 7(3): 8-12.
26. Park HW, Lee NM, Kim JH, et al. Parenteral fish oil-containing lipid emulsions may reverse parenteral nutrition-associated cholestasis in neonates: a systematic review and meta-analysis. J Nutr, 2015, 145(2): 277-283.
27. Martin JM, Stapleton RD. Omega-3 fatty acids in critical illness. Nutr Rev, 2010, 68(9): 531-541.
28. Singer P, Shapiro H, Theilla M, et al. Anti-inflammatory properties of omega-3 fatty acids in critical illness: novel mechanisms and an integrative perspective. Intensive Care Med, 2008, 34(9): 1580-1592.
29. Burns CP, Halabi S, Clamon G, et al. PhaseⅡstudy of high-dose fish oil capsules for patients with cancer-related cachexia. Cancer, 2004, 101(2): 370-378.
30. Hojsak I, Kolaček S. Fat overload syndrome after the rapid infusion of SMOFlipid emulsion. JPEN J Parenter Enteral Nutr, 2014, 38(1): 119-121.
31. Schiavone PA, Piccolo K, Compher C. Application of the A. S. P. E. N. clinical guideline for nutrition support of hospitalized adult patients with obesity: a case study of home parenteral nutrition. Nutr Clin Pract, 2014, 29(1): 73-77.
32. Slattery E, Rumore MM, Douglas JS, et al. 3-in-1 vs 2-in-1 parenteral nutrition in adults: a review. Nutr Clin Pract, 2014, 29(5): 631-635.
33. Wales PW, Allen N, Worthington P, et al. A. S. P. E. N. clinical guidelines: support of pediatric patients with intestinal failure at risk of parenteral nutrition-associated liver disease. JPEN J Parenter Enteral Nutr, 2014, 38(5): 538-557.
34. Huang HH, Wu PC, Kang SP, et al. Postoperative hypocaloric peripheral parenteral nutrition with branched-chain-enriched amino acids provides no better clinical advantage than fluid management in nonmalnourished colorectal cancer patients. Nutr Cancer, 2014, 66(8): 1269-1278.
35. Szpetnar M, Matras P, Boguszewska-Czubara A, et al. Is additional enrichment of diet in branched-chain amino acids or glutamine beneficial for patients receiving total parenteral nutrition after gastrointestinal cancer surgery? Adv Clin Exp Med, 2014, 23(3): 423-431.
36. Cano NJ, Aparicio M, Brunori G, et al. ESPEN Guidelines on Parenteral Nutrition: adult renal failure. Clin Nutr, 2009, 28(4): 401-414.
37. DeBellis HF, Fetterman JW Jr. Enteral nutrition in the chronic obstructive pulmonary disease (COPD) patient. J Pharm Pract, 2012, 25(6): 583-585.
38. Sviri S, Khalaila R, Daher S, et al. Increased Vitamin B12 levels are associated with mortality in critically ill medical patients. Clin Nutr, 2012, 31(1): 53-59.
39. Marti-Bonmati E, Feliu AP, Telleria AV. Vitamin and oligoelement additives in parenteral nutrition. Farm Hosp, 2011, 35(2): 96-97.
40. Thomson P, Duerksen DR. Vitamin D deficiency in patients receiving home parenteral nutrition. JPEN J Parenter Enteral Nutr, 2011, 35(4): 499-504.
41. Shearer MJ. Vitamin K in parenteral nutrition. Gastroenterology, 2009, 137(5 Suppl): S105-S118.
42. 申振亚, 周发春, 杨洁. 围手术期水电解质紊乱临床诊治. 中国实用外科杂志, 2014, 34(2): 145-149.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Rational application of parenteral and enteral nutrition preparations

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