[The non-energetic importance of enteral nutrition of critically ill patients].
OBJECTIVE
The aim of this review is to describe recently discussed nonenergetic effects of enteral nutrition.


METHODS
Results of current animal and clinical studies are summarized and the place of enteral nutritional regimen in critically ill patients is discussed.


METHODS
The possible protective effect of early enteral nutrition in critically ill patients concerning stress ulcus prophylaxis, infections, and the pathogenesis of multiple organ failure is gaining particular attention in this review.


RESULTS
The reduction of intestinal bacterial translocation and the decline of catabolism during enteral substrate application seems to be proven by animal experiments.


CONCLUSIONS
The relevance of early enteral nutrition in critically ill patients, however, needs to be investigated in further clinical studies.
Suchner
U
U
Institut für Anaesthesiologie, Klinikum Grosshadern, Ludwig-Maximilians-Universität München, BRD.
Senftleben
U
U
Askanazi
J
J
Peter
K
K
D000818:Animals; D003422:Critical Care; D016207:Cytokines / Q000097:blood; D004734:Energy Metabolism / Q000502:physiology*; D004750:Enteral Nutrition; D006801:Humans; D007422:Intestines / Q000382:microbiology; D009102:Multiple Organ Failure / Q000517:prevention & control; D018805:Sepsis / Q000517:prevention & control; D013276:Stomach Ulcer / Q000517:prevention & control; D013312:Stress, Physiological / Q000150:complications
D016207:Cytokines
Nichtenergetische Bedeutung der enteralen Ernährung bei kritisch kranken Patienten.