RT Journal Article
SR Electronic
T1 Diarrhoea in the enterally fed patient
JF Frontline Gastroenterology
JO Frontline Gastroenterol
FD BMJ Publishing Group Ltd
SP 140
OP 143
DO 10.1136/fg.2009.000547
VO 1
IS 3
A1 T E Bowling
YR 2010
UL http://fg.bmj.com/content/1/3/140.abstract
AB Diarrhoea complicating enteral feeding is very common in all clinical settings. The major risk factor is the use of concomitant antibiotics. The underlying mechanisms for the diarrhoea mainly relate to alterations in the colonic flora and physiological responses to the mode of feed delivery although a clear understanding of what is actually happening in vivo remains elusive. Management of diarrhoea includes rationalising medications, excluding relevant comorbidity and using antidiarrhoeal medications. Altering the method and site of feed delivery—for example, continuous to bolus, gastric to postpyloric—can also be tried in the more difficult cases.