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Journal of Nutrition and Human Health | Volume 3
November 21-22, 2019 | Singapore
Clinical Nutrition and Fitness
17
th
International Conference on
J Nutr Hum Health, Volume 3
E
nteral nutrition EN is an important delivery of energy
and protein for critically ill patients. However, diarrhea
often occurs by various factors, one of which is EN types and
deliverymethods. Which types of EN possibly cause diarrhea?
Although no cause-and-effect link has been clarified for any
mechanism, long-term enteral nutrition, high-osmolality,
low-fiber formula, bolus feeding, overly rapid increase to the
target, and postpyloric enteral nutrition have been regarded
as the risk. Pectin, which becomes solid in the stomach,
would mitigate diarrhea. We conducted the propensity score
matched study to compare 199 traditional liquid EN TLEN and
199 pectin containing liquid EN PCLEN in our ICU and showed
the significant decrease of diarrhea event in the PCLEN group.
We also conducted the randomized control trial to compare
protein rich EN (1kcal/ml, including 9.2g protein, 3.7g lipid
and 7.5g carbohydrate in 100ml) and fat rich EN (1kcal/ml,
including 4.2g protein, 5.5g lipid and 9.7g carbohydrate in
100ml) in the critical care, inwhich the femoral muscle volume
was set as a primary outcome. Diarrhea incidence rate was
lower in protein rich EN. In this presentation, I would like to
discuss which types and features of EN would be associated
with diarrhea, and how we can avoid it. Because we should
not discontinue the EN only by diarrhea as the guidelines
suggested, we should consider choosing and change the EN
types. Some of EN would have advantage for diarrhea by
some significant mechanisms.
Speaker Biography
KensukeNakamura iscurrentlyservingasadoctoratHitachiGeneralHospital,
Japan. He completed his PhD in the year of 2014 at Tokyo University, Japan.
Also, he is an expert in the area of PICS/ICU-AW, Critical Care Nutrition, ICU
Rehabilitation, Muscle Training.
e:
mamashockpapashock@yahoo.co.jpKensuke Nakamura
Hitachi General Hospital, Japan
Enteral nutrition and diarrhea in critical care