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News from the Journal of Parenteral and Enteral Nutrition (JPEN) April 2014
Date:4/9/2014

To help healthcare providers stay abreast of the latest and ever-changing developments in clinical nutrition, the Journal of Parenteral and External Nutrition (JPEN) makes research available as soon as possible. The following are selections from JPEN's OnlineFirst articles, which are published online before they appear in a regular issue of the journal:

A.S.P.E.N. Clinical Guidelines: Support of Pediatric Patients With Intestinal Failure at Risk of Parenteral NutritionAssociated Liver Disease
Embargoed until 12:01 a.m. ET on Tuesday, April 1, 2014

Children in care for severe intestinal failure who receive prolonged intravenous feeding are susceptible to the development of liver disease. Through a review of existing evidence, this clinical guideline is designed to develop recommendations for the care of such pediatric patients by answering four questions:

1. Is ethanol lock effective at preventing blood-stream infection and catheter removal in children at risk?
2. What lipid strategies can be used to reduce the risk of or treat liver disease?
3. Can ursodeoxycholic acid through tube feeding improve the treatment of liver disease?
4. Are outcomes improved when patients are managed by a multidisciplinary intestinal rehabilitation team?


Causes and Consequences of Interrupted Enteral Nutrition: A Prospective Observational Study in Critically Ill Surgical Patients
Embargoed until 12:01 a.m. ET on Tuesday, April 8, 2014

Malnutrition and underfeeding are major challenges in caring for critically ill patients. This study looked at interruptions in enteral (tube) feeding and its impacts on patients in post-surgery intensive care. The study found that feeding interruption was frequent, typically unavoidable, and led to negative outcomes. One strategy to counter this problem is to maximize nutrient delivery before and after feeding interruptions.


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Contact: Troy Petenbrink
media@nutritioncare.org
202-297-1703
American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)
Source:Eurekalert

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