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Patients who require nutrition therapy but have contraindications for or cannot tolerate enteral nutrition are appropriate candidates for parenteral nutrition. In the geriatric population, it is indicated if oral or enteral nutrition is impossible for 3 days or when oral or enteral nutrition is likely insufficient for more than 7 to 10 days.
The American Society for Parenteral and Enteral Nutrition (ASPEN) is a US-based professional organization. Its members include dieticians, nurses, pharmacists, physicians and scientists who are involved in providing clinical nutrition to patients. [5] ASPEN was founded on June 5, 1975. [6] It was officially incorporated on November 30, 1976. [7]
Enteral administration is food or drug administration via the human gastrointestinal tract. This contrasts with parenteral nutrition or drug administration (Greek para, "besides" + enteros), which occurs from routes outside the GI tract, such as intravenous routes. Enteral administration involves the esophagus, stomach, and small and large ...
The parenteral route is any route that is not enteral (par-+ enteral). Parenteral administration can be performed by injection, that is, using a needle (usually a hypodermic needle) and a syringe, [16] or by the insertion of an indwelling catheter. Locations of application of parenteral administration include: Central nervous system:
Administration can take place via enteral administration (absorption of the drug through the gastrointestinal tract) [2] or parenteral administration (generally injection, infusion, or implantation). [3] [4] Contrast with topical administration where the effect is generally local. [4]
Percutaneous endoscopic gastrostomy (PEG) is an endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the abdominal wall, most commonly to provide a means of feeding when oral intake is not adequate (for example, because of dysphagia or sedation).
There are dozens of conditions that may require tube feeding (enteral nutrition) to prevent or treat malnutrition. Conditions that necessitate feeding tubes include prematurity, failure to thrive (or malnutrition), neurologic and neuromuscular disorders, inability to swallow, anatomical and post-surgical malformations of the mouth and esophagus, cancer, Sanfilippo syndrome, and digestive ...
European Parenteral and Enteral National Societies support ESPEN in the form of block members, e.g. the British, [4] German, [5] French, [6] and Austrian societies. [7] Under the umbrella of ESPEN, many ongoing projects are supported by its members, such as NutritionDay, [8] Home Artificial Nutrition, and Fight Against Malnutrition. [9]
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