Die Gastroparese des kritisch kranken Patienten – ein unterschätztes Problem?
| العنوان: | Die Gastroparese des kritisch kranken Patienten – ein unterschätztes Problem? |
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| المؤلفون: | S. Fruhwald |
| المصدر: | Aktuelle Ernährungsmedizin. 34:118-125 |
| بيانات النشر: | Georg Thieme Verlag KG, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | medicine.medical_specialty, Nutrition and Dietetics, Gastric emptying, business.industry, Critically ill, Medicine (miscellaneous), medicine.disease, Stomach emptying, Sepsis, Pneumonia, Parenteral nutrition, Paralysis, Medicine, Gastroparesis, medicine.symptom, business, Intensive care medicine |
| الوصف: | Intestinal motility disturbances - like gastroparesis - worsen the outcome of critically ill patients. Inadequate and delayed feeding as well as micro aspiration, pneumonia and systemic infections up to sepsis and multiple organ failure have to be mentioned. Especially in milder cases and in the beginning symptoms are unspecific and diffuse. On the other hand the awareness of physicians has not been raised sufficiently; both problems are responsible for a lower number of patients diagnosed than affected. Especially in critically ill patients it is reasonable to distinguish between a temporary and a permanent gastroparesis. In patients with permanent gastroparesis we distinguish between three grades of severity. The most important therapeutic option is to adapt enteral nutrition according to the delay in gastric emptying. Four to six fluid-dominated, low fat and low fiber meals should be preferred in patients who eat by themselves, in intubated patients enteral nutrition should be started with lower rates, and increased more slowly. Prokinetic and antiemetic drugs complete the therapeutic options we have in critically ill patients. |
| تدمد: | 1438-9916 0341-0501 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::1d98465162981e36ae33826fe1f1cd68Test https://doi.org/10.1055/s-0028-1090156Test |
| رقم الانضمام: | edsair.doi...........1d98465162981e36ae33826fe1f1cd68 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14389916 03410501 |
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