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| Interpretation of ESPEN practical guideline home enteral nutrition in 2022 |
| 1Yu Yuan,1Liu Miao,2Cong Minghua |
| 1Department of Thoracic Surgery National Cancer Center National Clinical Research Center for Cancer Cancer Hospital Chinese
Academy of Medical Sciences and Peking Union Medical College Beijing 100021 China
2Department of Comprehensive Care National
Cancer Center National Clinical Research Center for Cancer Cancer Hospital Chinese Academy of Medical Sciences and Peking Union
Medical College Beijing 100021 China |
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Abstract Patients who are at high nutritional risk or are malnourished whose nutritional needs are not met by oral pathways and
whose gastrointestinal function is normal should be treated with enteral nutrition therapy. If the patient's nutritional intake is likely to be
qualitatively or quantitatively inadequate for a week or more enteral nutrition support therapy may be administered at home under the
guidance of a professional nutrition support team. The implementation of home enteral nutrition can effectively reduce the incidence of
complications and hospital stay save medical costs improve the clinical outcome of patients and have significant clinical and cost
effectiveness. With the development of medical treatment more patients are willing to receive long-term enteral nutrition support at
home. In 2022 the European Society for Clinical Nutrition and Metabolism ESPEN published the latest edition of the practical
guideline Home enteral nutrition which build on the guidelines published in 2019 providing the latest available evidence and expert
opinion and the content is presented in the form of a decision flow chart to make it more intuitive and refined. The guidelines put
forward 61 recommendations on 5 aspects indications for HEN equipment evaluation for HEN recommended products for HEN
monitoring and termination of HEN and structural requirements for HEN providing very important reference opinions for guiding
patients to conduct home enteral nutrition therapy. This article interprets the guidelines recategorize recommendations and aims to
improve understanding and provide guidance for family enteral nutrition practice.
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