Enteral Feeding Access Routes

Guidelines

Carole Anne McAtearGreater Glasgow and Clyde University Hospitals Division

ACCESS ROUTES

Guidelines ?

BSG : Guidelines for enteral feeding adult hospital patients

British Society of Gastroenterology

www.bsg.org.ukGut(2003) 52(suppVII):vii1-vii12

NICE : National Institute for Clinical Effectiveness

Nutrition Support in Adults 2006

www.nice.org.uk

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

ESPEN guidelines on artificial enteral nutrition – percutaneous endoscopic gastrostomy

(PEG) PEG – endoscopically ButtonPLG – laparoscopically

eg.witzel, stamin janeway – surgical PSG - sonographicallyPFG – fluroscopically

www.espen.orgClinical Nutrition (2005) 24,848-861

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.orgClinical Nutrition (2006) 25 issue2,175-360

ESPEN guidelines on enteral nutrition:-

Surgery including organ transplantationNon-surgical oncologyGastroenterologyPancreasLiver diseaseAdult renal failure Cardiology and pulmonologyWasting in HIV and other chronic infectious diseases

Geriatrics

www.espen.orgClinical Nutrition (2006) 25 issue2,175-360

HELPFUL TEXT

Artificial nutritional support in clinical practice (second edition)

J.Payne-James ISBN 1 9001 51979

Intestinal FailureJ. NightingaleISBN 1 9001 51 936

Nutrition Support for Adults and Children . A handbook for hospital practice.

T. BowlingOxford Medical Press

Thank you

Have a safe Journey home