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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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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

  • Print ISBN: 978-2-287-33474-0

  • Online ISBN: 978-2-287-33475-7

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