Enteral Feeding Access Routes Guidelines

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Enteral Feeding Access Routes Guidelines

• Carole Anne McAtear
• Greater Glasgow and Clyde University Hospitals
  Division

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ACCESS ROUTES
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Guidelines ?
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BSG Guidelines for enteral feeding adult
hospital patients

• British Society of Gastroenterology
• www.bsg.org.uk
• Gut(2003) 52(suppVII)vii1-vii12

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NICE National Institute for Clinical
Effectiveness

• Nutrition Support in Adults 2006
• www.nice.org.uk

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SIGN Scottish Intercollegiate Guideline Network

• SIGN 78 (2004) Management of patients with stroke
  Identification and management of patients with
  dysphagia
• SIGN (In press 2006) Diagnosis and management of
  head and neck cancer
• www.sign.ac.uk/guidelines

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ESPEN guidelines on artificial enteral nutrition
percutaneous endoscopic gastrostomy (PEG)

• PEG endoscopically
• Button
• PLG laparoscopically
• eg.witzel, stamin janeway surgical
• PSG - sonographically
• PFG fluroscopically
• www.espen.org
• Clinical Nutrition (2005) 24,848-861

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ESPEN guidelines on enteral nutrition

• Guidelines are divided into
• Evidence supports nutrition support
• Terminology Definitions and general topics
• Managing the patient journey through enteral
  nutritional care
• Ethical and legal aspects of enteral nutrition
• Methodology for the development of the ESPEN
  guidelines on enteral nutrition
• www.espen.org
• Clinical Nutrition (2006) 25 issue2,175-360

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ESPEN guidelines on enteral nutrition-

• Surgery including organ transplantation
• Non-surgical oncology
• Gastroenterology
• Pancreas
• Liver disease
• Adult renal failure
• Cardiology and pulmonology
• Wasting in HIV and other chronic infectious
  diseases
• Geriatrics
  
• www.espen.org
• Clinical Nutrition (2006) 25 issue2,175-360

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HELPFUL TEXT

• Artificial nutritional support in clinical
  practice (second edition)
• J.Payne-James
• ISBN 1 9001 51979
• Intestinal Failure
• J. Nightingale
• ISBN 1 9001 51 936
• Nutrition Support for Adults and Children . A
  handbook for hospital practice.
• T. Bowling
• Oxford Medical Press

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Thank you

• Have a safe Journey home