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25. Practical Aspects of Enteral Nutrition

Author

Silk, D. B. A., Bergmann, H., editor, Brückner, J. B., editor, Gemperle, M., editor, Henschel, W. F., editor, Mayrhofer, O., editor, Meßmer, K., editor, Peter, K., editor, and Vincent, J. L., editor

Published
1985
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31. Postoperative starvation after gastrointestinal surgery

Author

Silk, D B A and Gow, N Menzies

Subjects
Parenteral feeding -- Evaluation -- Physiological aspects, Parenteral therapy -- Evaluation -- Physiological aspects, Tube feeding -- Physiological aspects, Enteral feeding -- Physiological aspects, Gastrointestinal system -- Physiological aspects, Surgery -- Physiological aspects, Health, Evaluation, Physiological aspects
Abstract

Early feeding is beneficial The widespread practice of starving patients in the immediate period after gastrointestinal surgery has been challenged by a systematic review and meta-analysis in this issue (p [...]

Published
2001

34. Reply

Author

Silk, D B A

Subjects
Letters to the Editor
Published
1996

37. Introduction

Author

Silk, D B A and Grimble, G K

Subjects
Articles
Published
1994

40. Inflammatory bowel disease: nutritional implications and treatment.

Author

Silk, D. B. A., Payne-James, J., and Silk, D B

Abstract

It is clear that the nutritional state of patients with inflammatory bowel disease is often impaired and that the provision of nutritional support results in an improvement in nutritional state of these patients. Improvement in nutritional status can be achieved as effectively with enteral as with parenteral nutrition. The nutritional support appears to have no primary therapeutic effect in patients with ulcerative colitis. With regard to nutritional support in Crohn's disease, parenteral nutrition should be restricted to use as supportive rather than primary therapy. Available information now seems to suggest that most of the benefits of parenteral nutrition in Crohn's disease are related to improvement in nutritional state rather than as primary therapy, and its use should be restricted to treatments of specific complications of Crohn's disease, such as intestinal obstruction, related to stricture formation or short bowel syndrome following repeated resection. The present available evidence indicates that defined elemental diets may have a primary therapeutic role in the management of first acute attacks of Crohn's disease when there is a need to improve the nutritional status of patients with inflammatory bowel disease as an adjunct to primary drug therapy. Enteral nutrition is as efficacious as parenteral nutrition; moreover, it is safer to administer and more cost-effective. [ABSTRACT FROM AUTHOR]

Published
1989
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