ISSN:0884-5336    

DOI:10.1177/011542659400900387

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

Although more than 70 prospective randomized controlled trials have evaluated the use of nutrition support in patients with cancer, the indications for nutrition therapy in this patient population remain controversial. We reviewed the published prospective randomized controlled trials that evaluated clinically important endpoints (morbidity, mortality, and duration of hospitalization). Many trials had serious shortcomings in study design that limit the ability to draw definitive conclusions from the data. In general, the data failed to demonstrate the clinical efficacy of providing nutrition support to most patients with cancer. Therefore, the indications for using nutrition therapy should be the same as those for patients with benign disease.

ISSN:0884-5336    

DOI:10.1177/011542659400900391

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

Despite the high frequency of diarrhea, chemically defined diets have traditionally been used with needle catheter jejunostomies, a common form of postpyloric enteral access, to avoid tube occlusion. We reviewed our experience with 57 patients fed a fiber‐containing diet to determine the incidence of catheter occlusion and diarrhea. Eight catheters temporarily occluded but were reopened and remained patent for an additional 6.3 ± 3.1 days for an overall success rate of 91% (52 of 57). The five remaining occluded catheters were removed after 6.2 ± 1.8 days. Four of the five patients with occluded catheters tolerated gastric feedings, but one required a permanent jejunostomy. Diarrhea occurred in six (10.5%) of the 57 patients given the fiber‐containing formula. We concluded that a fiber‐containing formula can be administered through needle catheter jejunostomies if the catheter is irrigated daily and if no medications are given via the catheter. A fiber‐containing formula may reduce the incidence of diarrhea in jejunostomy‐fed patients compared with patients fed chemically defined diets.

ISSN:0884-5336    

DOI:10.1177/0115426594009003101

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

Severe hypophosphatemia is associated with significant morbidity in hospitalized patients. Specialized nutrition support is an important factor that contributes to the development of this metabolic disorder. Current treatment regimens for hypophosphatemia are empiric and often fail to normalize serum phosphorus concentrations in these patients. Patients who develop hypophosphatemia during the administration of specialized nutrition support exhibit increased phosphorus demands and require aggressive replacement therapy.

ISSN:0884-5336    

DOI:10.1177/0115426594009003105

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/0115426594009003109

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900306

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900308

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900312

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900313

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900315

出版商:Sage Publications    

年代:1994

数据来源: WILEY