Abstrait
Il y a vingt-cinq ans, la nutrition entérale (NE) était réalisée dans les cuisines des hôpitaux à partir ďaliments mixés et homogénéisés (1). Les mélanges nutritifs industriels ont supplanté ces préparations artisanales qui ne doivent plus être utilisées, ce ďautant qu’elles ne sont pas compatibles avec les sondes de petite taille employées aujourďhui. Ľabandon de cette fabrication artisanale, puis le recours quasi exclusif à des régulateurs de débit (qui ne nécessitent pas le déconditionnement des poches) au détriment des Nutripompes® réfrigérées ont fortement réduit le risque de contamination bactérienne (2) et par là-même ľincidence des diarrhées ďorigine infectieuse en NE (3). D’autre part, du fait de leur fluidité, ils entraînent moins ďobstructions de sondes que les préparations artisanales, et ils apportent des quantités relativement reproductibles ďélectrolytes, vitamines et oligoéléments. Enfin, la plupart ďentre eux ne contiennent ni lactose ni gluten, ce qui contribue à accroître leur tolérance.
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Références
Lévy E, Malafosse M, Huguet C, Loygue J (1973) Réanimation entérle à faible débit continu. Principe, réalisations, perspectives (280 cas). Nouv Presse Med 2: 911–3
Okuma T, Nakamura M, totake H, Fukunaga Y (2000) Microbial contamination of enteral feeding formulas and diarrrhea. Nutrition 16:719–22
Rampal P, Hébuterne X, Roustan F, Lundy P (1988) Complications digestives et respiratoires de ľalimentation entérale continue. Ann Gastroenterol Hepatol 24: 297–300
Rees RG, Cooper TM, Beetham R et al. (1989) Influence of energy and nitrogen contents of enteral diets on nitrogen balance: a double blind prospective controlled clinical trial. Gut 30: 123–9
Binder H, Mehta P (1989) Short chain fatty acids stimulate sodium and chloride adsorption in vitro in the rat distal colon. Gastroenterology 96: 989–96
Cataldi-Betcher EL, Seltzer MH, Slocum BA, Jones KW (1983) Complications occuring during enteral nutrition support: a prospective study. JPEN J Parenter Enteral Nutr 7: 546–52
Schneider SM, Le Gall P, Girard-Pipau F et al. (2000) Total artificial nutrition is associated with major changes in the fecal flora. Eur J Nutr 39: 248–55
Yang G, Wu XT, Zhou Y, Wang YL (2005) Application of dietary fiber in clinical enteral nutrition: a meta-analysis of randomized controlled trials. World J Gastroenterol 11: 3935–8
Silk DB (1989) Fibre and enteral nutrition. Gut 30: 246–64
Guenter PA, Settle RG, Perlmutter S et al. (1991) Tube feeding-related diarrhea in acutely Ill patients. JPEN J Parenter Enteral Nutr 15: 277–80
Dobb GJ, Towler SC (1990) Diarrhoea during enteral feeding in the critically ill: a comparison of feeds with and without fibre. Intensive Care Med 16: 252–5
Frankenfield DC, Beyer PL (1989) Soy-polysaccharide fiber: effect on diarrhea in tube-fed, head-injured patients. Am J Clin Nutr 50: 533–8
Khalil L, Ho KH, Png D, Ong CL (1998) The effect of enteral fibre-containing feeds on stool parameters in the post-surgical period. Singapore Med J 39: 156–9
Hart GK, Dobb GJ (1988) Effect of a fecal bulking agent on diarrhea during enteral feeding in the critically ill. JPEN J Parenter Enteral Nutr 12: 465–8
Homann HH, Kemen M, Fuessenich C et al. (1994) Reduction in diarrhea incidence by soluble fiber in patients receiving total or supplemental enteral nutrition. JPEN J Parenter Enteral Nutr 18: 486–90
Spapen H, Diltoer M, Van Malderen C et al. (2001) Soluble fiber reduces the incidence of diarrhea in septic patients receiving total enteral nutrition: a prospective, double-blind, randomized, and controlled trial. Clin Nutr 20: 301–5
Rushdi TA, Pichard C, Khater YH (2004) Control of diarrhea by fiber-enriched diet in ICU patients on enteral nutrition: a prospective randomized controlled trial. Clin Nutr 23: 1344–52
Zimmaro DM, Rolandelli RH, Koruda MJ et al. (1989) Isotonic tube feeding formula induces liquid stool in normal subjects: reversal by pectin. JPEN J Parenter Enteral Nutr 13: 117–23
Schultz AA, Ashby-Hughes B, Taylor R et al. (2000) Effects of pectin on diarrhea in critically ill tube-fed patients receiving antibiotics. Am J Crit Care 9: 403–11
Schneider SM, Girard-Pipau F, Anty R et al. (2006) Effects of total enteral nutrition supplemented with a multi-fibre mix on faecal short-chain fatty acids and microbiota. Clin Nutr 25: 82–90
Nakao M, Ogura Y, Satake S et al. (2002) Usefulness of soluble dietary fiber for the treatment of diarrhea during enteral nutrition in elderly patients. Nutrition 18: 35–9
Ziegler F, Nitenberg G, Coudray-Lucas C et al. (1998) Pharmacokinetic assessment of an oligopeptide-based enteral formula in abdominal surgery patients. Am J Clin Nutr 67: 124–8
Ziegler F, Ollivier JM, Cynober L et al. (1990) Efficiency of enteral nitrogen support in surgical patients: small peptides v non-degraded proteins. Gut 31: 1277–83
Rees RG, Hare WR, Grimble GK et al. (1992) Do patients with moderately impaired gastrointestinal function requiring enteral nutrition need a predigested nitrogen source? A prospective crossover controlled clinical trial. Gut 33: 877–81
Tiengou LE, Gloro R, Pouzoulet J et al. (2006) Semi-elemental formula or polymeric formula: is there a better choice for enteral nutrition in acute pancreatitis? Randomized comparative study. JPEN J Parenter Enteral Nutr 30: 1–5
Khoshoo V, Brown S (2002) Gastric emptying of two wheybased formulas of different energy density and its clinical implication in children with volume intolerance. Eur J Clin Nutr 56: 656–8
Kleibeuker JH, Boersma-van Ek W (1991) Acute effects of continuous nasogastric tube feeding on gastric function: comparison of a polymeric and a nonpolymeric formula. JPEN J Parental Enteral Nutr 15: 80–4
Zachos M, Tondeur M, Griffiths AM (2001) Enteral nutritional therapy for inducing remission of Crohn’s disease. Cochrane Database Syst Rev: CD000542
American Gastroenterological Association (1995) American Gastroenterological Association technical review on tube feeding for enteral nutrition. Gastroenterology 108: 1282–301
Beale RJ, Bryg DJ, Bihari DJ (1999) Immunonutrition in the critically ill: a systematic review of clinical outcome. Crit Care Med 27: 2799–805
Heyland DK, Novak F, Drover JW et al. (2001) Should immunonutrition become routine in critically ill patients? A systematic review of the evidence. JAMA 286: 944–53
Heys SD, Walker LG, Smith I, Eremin O (1999) Enteral nutritional supplementation with key nutrients in patients with critical illness and cancer: a meta-analysis of randomized controlled clinical trials. Ann Surg 229: 467–77
Heyland DK, Dhaliwal R, Drover JW et al. (2003) Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN J Parenter Enteral Nutr 27: 355–73
Zaloga GP (2006) Parenteral nutrition in adult inpatients with functioning gastrointestinal tracts: assessment of outcomes. Lancet 367: 1101–11
Lochs H, Dejong C, Hammarqvist F et al. (2006) ESPEN Guidelines on Enteral Nutrition: Gastroenterology. Clin Nutr 25: 260–74
Fell JM, Paintin M, Arnaud-Battandier F et al. (2000) Mucosal healing and a fall in mucosal pro-inflammatory cytokine mRNA induced by a specific oral polymeric diet in paediatric Crohn’s disease. Aliment Pharmacol Ther 14: 281–9
Ramirez S, Moreau J, Hébuterne X et al. (2004) Tolérance, modalités de prescription et efficacité ďune nutrition orale par un mélange spécifique polymérique dans la maladie de Crohn chez ľadulte (résumé). Nutr Clin Metabol 18: 551
(2000) Recommendations for the nutritional management of patients with diabetes mellitus. Eur J Clin Nutr 54: 353–5
(2002) American Diabetes Association position statement: evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. J Am Diet Assoc 102: 109–18
Craig LD, Nicholson S, Silverstone FA, Kennedy RD (1998) Use of a reduced-carbohydrate, modified-fat enteral formula for improving metabolic control and clinical outcomes in long-term care residents with type 2 diabetes: results of a pilot trial. Nutrition 14: 529–34
Gumbiner B, Low CC, Reaven PD (1998) Effects of a monounsaturated fatty acid-enriched hypocaloric diet on cardiovascular risk factors in obese patients with type 2 diabetes. Diabetes Care 21: 9–15
Leon-Sanz M, Garcia-Luna PP, Sanz-Paris A et al. (2005) Glycemic and lipid control in hospitalized type 2 diabetic patients: evaluation of 2 enteral nutrition formulas (low carbohydrate-high monounsaturated fat vs high carbohydrate). JPEN J Parenter Enteral Nutr 29: 21–9
Low CC, Grossman EB, Gumbiner B (1996) Potentiation of effects of weight loss by monounsaturated fatty acids in obese NIDDM patients. Diabetes 45: 569–75
McCargar LJ, Innis SM, Bowron E et al. (1998) Effect of enteral nutritional products differing in carbohydrate and fat on indices of carbohydrate and lipid metabolism in patients with NIDDM. Mol Cell Biochem 188: 81–9
Hébuterne X, Schneider S (1999) Nutritional support of patients with liver diseases. Nutr Clin Care 2: 300–8
Eriksson L, Conn H (1989) Branched chain amino acids in the treatment of encephalopathy: an analysis of variants. Hepatology 10: 228–46
Marchesini G, Dioguardi FS, Bianchi GP et al. (1990) Long-term oral branched-chain amino acid treatment in chronic hepatic encephalopathy. A randomized double-blind casein-controlled trial. The Italian Multicenter Study Group. J Hepatol 11: 92–101
Marchesini G, Bianchi G, Merli M et al. (2003) Nutritional supplementation with branched-chain amino acids in advanced cirrhosis: a double-blind, randomized trial. Gastroenterology 124: 1792–801
Cabré E, Gonzalez-Huix F, Abad-Lacruz A et al. (1990) Effects of total enteral nutrition on the short term outcome of severely malnourished cirrhotics: a randomized controlled trial. Gastroenterology 98: 715–20
Angellilo V, Bedi S, Durfee D et al. (1985) Effects of a low and high carbohydrate feedings in ambulatory patients with chronic obstructive pulmonary disease and chronic hypercapnia. Ann Intern Med 103: 883–5
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Schneider, S., Filippi, J., Hébuterne, X. (2007). Nutrition entérale: produits. In: Traité de nutrition artificielle de l’adulte. Springer, Paris. https://doi.org/10.1007/978-2-287-33475-7_42
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DOI: https://doi.org/10.1007/978-2-287-33475-7_42
Publisher Name: Springer, Paris
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