Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 39: Complications Of Enteral Nutrition (continued)

Eduard Cabré, MD; Miguel A. Gassull, MD, PhD

In the last 30 years, significant advances in the design of both enteral access devices and chemically defined formula diets have resulted in a widespread use of enteral feeding in clinical practice. A major reason for preferring enteral feeding is its greater safety as compared to parenteral nutrition (PN). In fact, in pioneer studies, the morbidity rate of artificial nutrition in a district hospital was higher with PN1 than enteral nutrition (EN),2 especially for metabolic and septic complications. Even in recent meta-analytic studies, a lower complication rate (mainly infectious) is…