Purpose of Review
While the use of enteral nutrition (EN) has increased, and more medical centers have developed inpatient programs to address the unique needs of these patients, our collective experience at a few large institutions indicates that there is very little systemic support for patients after discharge. Here, we discuss what we have observed to be some of the barriers to providing outpatient follow up care, summarize the impact we have seen on patients, and propose some possible solutions.
We have observed and identified some of the root causes to include financial barriers; uncoordinated care transitions; high complexity of care, including medication management; and diffuse leadership to a multidisciplinary problem.
Systematic support for outpatient care for patients discharged on enteral nutrition is rare and limited, due to many root causes. There are a few tools and tips that we have summarized here for individual providers, and a few promising methods in development, but a systematic approach is in great need.
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Conflict of Interest
Brigid McCreary declares that she has no conflicts of interest.
Brenna McGinnis declares that she has no conflicts of interest.
Susan Nyberg declares that she has no conflicts of interest.
Jessica Davis declares that she has no conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Sonali Palchaudhuri participated in the Nestle Nutrition Institute Clinical Nutrition Fellowship.
Manpreet Mundi has received research grants from Fresenius Kabi, Nestle, Vectiv Bio, and Rockfield. He serves on the advisory board for NorthSea.
Angela Pham has received research grants from Pfizer.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of the Topical Collection on Nutrition and Obesity.
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Palchaudhuri, S., Mccreary, B., Davis, J. et al. Discharged on Enteral Nutrition: What Now? The Poor State of Outpatient Support for Patients on Enteral Nutrition Support. Curr Gastroenterol Rep 25, 61–68 (2023). https://doi.org/10.1007/s11894-023-00864-x