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Nutrition Support in Clinical Practice: Review of Published Data and Recommendations for Future Research DirectionsSummary of a Conference Sponsored by the National Institutes of Health, American Society for Parenteral and Enteral Nutrition, and American Society for Clinical Nutrition
Samuel Klein, MD
Washington University School of Medecine, 660 South Euclid Avenue, Box 8127, St. Louis MO 63110-1093
John Kinney, MD
Washington University School of Medecine, 660 South Euclid Avenue, Box 8127, St. Louis MO 63110-1093
Khursheed Jeejeebhoy, MB, BS, PHD
Washington University School of Medecine, 660 South Euclid Avenue, Box 8127, St. Louis MO 63110-1093
David Alpers, MD
Washington University School of Medecine, 660 South Euclid Avenue, Box 8127, St. Louis MO 63110-1093
Mark Hellerstein, MD, PHD
Washington University School of Medecine, 660 South Euclid Avenue, Box 8127, St. Louis MO 63110-1093
Michael Murray, MD, PHD
Washington University School of Medecine, 660 South Euclid Avenue, Box 8127, St. Louis MO 63110-1093
Patrick Twomey, MD
Washington University School of Medecine, 660 South Euclid Avenue, Box 8127, St. Louis MO 63110-1093
In the last 30 years, marked advances in enteral feeding techniques, venous access, and enteral and parenteral nutrient formulations have made it possible to provide nutrition support to almost all patients. Despite the abundant medical literature and widespread use of nutritional therapy, many areas of nutrition support remain controversial. Therefore, the leadership at the National Institutes of Health, The American Society for Parenteral and Enteral Nutrition, and The American Society for Clinical Nutrition convened an advisory committee to perform a critical review of the current medical literature evaluating the clinical use of nutrition support; the goal was to assess our current body of knowledge and to identify the issues that deserve further investigation. The panel was divided into five groups to evaluate the following areas: nutrition assessment, nutrition support in patients with gastrointestinal diseases, nutrition support in wasting diseases, nutrition support in critically ill patients, and perioperative nutrition support. The findings from each group are summarized in this report.
This document is not meant to establish practice guidelines for nutrition support. The use of nutritional therapy requires a careful integration of data from pertinent clinical trials, clinical expertise in the illness or injury being treated, clinical expertise in nutritional therapy, and input from the patient and his/her family. ( Journal of Parenteral and Enteral Nutrition 21:133-156, 1997)
Journal of Parenteral and Enteral Nutrition, Vol. 21, No. 3,
133-156 (1997)
DOI: 10.1177/0148607197021003133
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