Diarrhea in enterally fed patients: Blame the diet?

Sue Joan Chang, Hsiu Hua Huang

研究成果: Review article

29 引文 (Scopus)

摘要

Purpose of review:Diarrhea has great impact on enteral nutrition. The purpose of this review is to identify the factors leading to diarrhea during enteral nutrition and to provide the published updates on diarrhea prevention through nutritional intervention. Recent findings: Diarrhea in enteral fed patients is attributed to multiple factors, including medications (major contributor), infections, bacterial contamination, underlying disease, and enteral feeding. Diet management can alleviate diarrhea in enteral feeding. High content of fermentable oligosaccharides, disaccharides, and monosaccharides and polyols (FODMAPs) in enteral formula is postulated to induce diarrhea and lower FODMAPs formula may reduce the likelihood of diarrhea in enterally fed patients. Fiber-enriched formula can reduce the incidence of diarrhea and produce short-chain fatty acids for colonocytes. Ingesting prebiotics, nonviable probiotics or probiotic derivatives, and human lactoferrin may provide alternatives for reducing/preventing diarrhea. Summary: Enteral feeding is not generally considered the primary cause of diarrhea, which is frequently linked to prescribed medications. When diarrhea is apparent, healthcare members should evaluate the possible risk factors and systematically attempt to eliminate the underlying causes of diarrhea before reducing or suspending enteral feeding. Lower FODMAPs formula, prebiotics, probiotic derivatives, and lactoferrin may be used to manage enteral feeding-related diarrhea.

原文English
頁(從 - 到)588-594
頁數7
期刊Current Opinion in Clinical Nutrition and Metabolic Care
16
發行號5
DOIs
出版狀態Published - 2013 九月 1

指紋

Diarrhea
Diet
Enteral Nutrition
Monosaccharides
Disaccharides
Probiotics
Oligosaccharides
Prebiotics
Lactoferrin
Small Intestine
Volatile Fatty Acids
Bacterial Infections
Delivery of Health Care
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

引用此文

Chang, Sue Joan ; Huang, Hsiu Hua. / Diarrhea in enterally fed patients : Blame the diet?. 於: Current Opinion in Clinical Nutrition and Metabolic Care. 2013 ; 卷 16, 編號 5. 頁 588-594.
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Diarrhea in enterally fed patients : Blame the diet? / Chang, Sue Joan; Huang, Hsiu Hua.

於: Current Opinion in Clinical Nutrition and Metabolic Care, 卷 16, 編號 5, 01.09.2013, p. 588-594.

研究成果: Review article

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