scholarly journals Survey of Clinical Nutrition Practices of Canadian Gastroenterologists

2006 ◽  
Vol 20 (8) ◽  
pp. 527-530 ◽  
Author(s):  
Harminder Singh ◽  
Donald R Duerksen
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Nutritional Assessment ◽  
Training Programs ◽  
The United States ◽  
Clinical Nutrition ◽  
Nutrition Support ◽  
Full Time ◽  
Canadian Association ◽  
Nutrition Training

OBJECTIVE: Nutrition education is a required part of gastrointestinal training programs. The involvement of gastroenterologists in clinical nutrition once their training has been completed is unknown. The aim of the present study was to determine the practice pattern of gastroenterologists in clinical nutrition and their perceived adequacy of nutrition training during their gastroenterology (GI) fellowship.METHODS: The Canadian Association of Gastroenterology mailed a survey to all of its 463 Canadian clinician members and 88 trainee members. Components of the survey included knowledge of nutritional assessment and total parenteral nutrition, involvement in a nutrition support service, physician involvement in nutritional assessment and nutrition support teams, obesity management, insertion of gastrostomy (G) tubes and management of tube-related complications, and adequacy of training in clinical nutrition.RESULTS: Sixty per cent (n=279) of the Canadian Association of Gastroenterology clinicians and 38% (n=33) of the fellows responded. Of the clinicians, 80% were practicing adult gastroenterologists with the following demographics: those practicing full time in academic centres (42%), community practice (45%), completed training in the last 10 years (32%) and those that completed training in the United States (14%). Although only 6% had a primary focus of nutrition in their GI practices, 65% were involved in nutrition support (including total parenteral nutrition), 74% placed G tubes and 68% managed at least one of the major complications of G tube insertion. Respondents felt a gastroenterologist should be the physician’s consultant on nutrition support services (89%). Areas of potential inadequate training included nutritional assessment, indications for nutrition support, management of obesity and management of G tube-related complications. The majority of clinicians (67%) and trainees (73%) felt that nutrition training in their GI fellowship was underemphasized.CONCLUSIONS: The majority of Canadian gastroenterologists are involved in nutrition support. However, this survey demonstrated that nutritional training is underemphasized in most training programs. It is important for GI fellowship programs to develop standardized nutrition training that prepares trainees for their practice.

Metabolic Complications of Total Parenteral Nutrition: Effects of a Nutrition Support Service

1996 ◽  
Vol 20 (3) ◽  
pp. 206-210 ◽  
Author(s):  
Donna Chrisanderson ◽  
Douglas C. Heimburger ◽  
Sarah L. Morgan ◽  
Wilma J. Geels ◽  
Kathy L. Henry ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Support Service ◽  
Nutrition Support ◽  
Metabolic Complications

Total Parenteral Nutrition During Pregnancy in a Patient Requiring Long-Term Nutrition Support

1998 ◽  
Vol 13 (3) ◽  
pp. 123-128 ◽  
Author(s):  
Jay J. Mamel ◽  
Margaret Kuznicki ◽  
Margaret Carter ◽  
Deborah Witt ◽  
Jeffery M. Barrett
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Nutrition Support

scholarly journals The retrospective research of enteral nutrition with medium-chain triglyceride and total parenteral nutrition support of postoperative chylothorax in adults

2020 ◽  
Vol 8 ◽  
pp. 205031212093822
Author(s):  
Jie Zheng ◽  
Ying-Yi Chen ◽  
Chun-Ying Zhang ◽  
Wen-Qian Zhang ◽  
Zhi-Yong Rao
Keyword(s):  
Enteral Nutrition ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Heart Surgery ◽  
Medium Chain Triglyceride ◽  
Nutrition Support ◽  
Therapeutic Effects ◽  
Medium Chain ◽  
First Choice ◽  
Support Cost

Background: Chylothorax is caused by thoracic lymphatic system injuries that leads to the lymph extravasating into the thoracic cavity. There are few reports comparing the therapeutic effects of enteral nutrition with medium-chain triglyceride and total parenteral nutrition, and the results are inconsistent. Our study aimed to research the optimum nutrition support method for chylothorax. Study design: We retrospectively reviewed 35 chylothorax patients after heart and chest surgery from 2014 to 2018, at West China Hospital of Sichuan University, among them there were 27 post-heart surgery patients. We analyzed the therapeutic effects and costs of enteral nutrition with medium-chain triglyceride (E group) and total parenteral nutrition (T group) for chylothorax. Results: The results were similar in patients with all surgeries and patients with only post heart surgery. The total cost during hospitalization in E group was higher than T group ( P < 0.01), whereas the nutrition support cost was lower ( P < 0.001). The length of hospital stay was longer in E group than T group ( P > 0.05). Time from admission to surgery was shorter and from surgery to chylothorax diagnosis was longer in E group compared with T group. Time to resolution and removal of drainage was shorter in E group than T group but the differences were not significant. Conclusion: The therapeutic effects in enteral nutrition with medium-chain triglyceride and total parenteral nutrition had no obvious differences. Moreover, enteral nutrition with medium-chain triglyceride is safer and more economical. Therefore, we suggest that enteral nutrition with medium-chain triglyceride could be the first choice to treat postoperative chylothorax when the gastrointestinal tract function is allowed, and this result could be considered for postoperative chylous ascites.

Research Training and Productivity among Faculty: The Canadian Association of Professors of Psychiatry and the Canadian Psychiatric Association Survey

1996 ◽  
Vol 41 (3) ◽  
pp. 144-149 ◽  
Author(s):  
Nady El-Guebaly ◽  
Mark Atkinson
Keyword(s):  
United States ◽  
Research Training ◽  
Target Population ◽  
The United States ◽  
Influential Factor ◽  
Full Time ◽  
Active Involvement ◽  
Canadian Association ◽  
Academic Faculty ◽  
Time Faculty

Objective: This survey assesses the research training and productivity of academic faculty in Canadian departments of psychiatry and compares the findings with those of colleagues in the United States. Method: A questionnaire was adapted to suit the Canadian milieu and was distributed to a target population of 2484, including a core 522 full-time faculty. Results: The response rate among full-time faculty was 65%, but only 26.5% for clinical and adjunct faculty. A small proportion (16%) of our MD and a greater proportion (57%) of our PhD respondents were included in a fairly lenient definition of researcher. Departments seek to recruit PhDs with an active involvement in research. Overall there appear to be more similarities than differences in research interests with our colleagues in the United States. The pharmaceutical industry was the most frequently mentioned source of research funding for MDs, while the availability of a mentor was perceived as the most influential factor determining the choice of a research career. Conclusions: Recommendations include adequate exposure to research during medical school and residency as well as appropriate inducements for the recruitment and retention of practising researchers.

Biennial survey of physician clinical-nutrition training programs

1993 ◽  
Vol 57 (4) ◽  
pp. 463-469 ◽  
Author(s):  
D Heber ◽  
C H Halsted ◽  
C M Brooks ◽  
R W Chesney ◽  
M DiGirolamo ◽  
...  
Keyword(s):  
Training Programs ◽  
Clinical Nutrition ◽  
Nutrition Training

Enteral Nutrition Support Reduces the Necessity of Total Parenteral Nutrition to Reach Patient-Specific Caloric Goals Postpancreaticoduodenectomy

2015 ◽  
Vol 108 (12) ◽  
pp. 748-753 ◽  
Author(s):  
Mario H. Mueller ◽  
Katherine Vandenbussche ◽  
Maria Pelliccia ◽  
Myles Smith ◽  
Paul Karanicolas ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Nutrition Support ◽  
Patient Specific ◽  
Enteral Nutrition Support

Enteral and Parenteral Nutrition

2017 ◽  
Author(s):  
Kris M. Mogensen ◽  
Malcolm K. Robinson
Keyword(s):  
Small Bowel ◽  
Parenteral Nutrition ◽  
Ethical Issues ◽  
Nutritional Assessment ◽  
Enterocutaneous Fistula ◽  
Pelvic Abscess ◽  
Nutrition Support ◽  
Tube Placement ◽  
Fistula Formation ◽  
Enteral And Parenteral Nutrition

Alternative routes of nutrient administration are available for patients who are unable to eat or digest sufficient food to prevent malnutrition. These routes include enteral (administered through the gastrointestinal tract) and parenteral (administered intravenously). This review details the clinical consequences of malnutrition, nutritional assessment, the benefits of nutrition support therapy,  determining the nutrient prescription, special considerations in nutrition support therapy, aspects of obtaining enteral or parenteral access, monitoring of patients receiving nutrition support therapy, and complications and ethical issues associated with enteral and parenteral nutrition. Figures include algorithms showing the identification of malnutrition, the nutrition support decision process, and the approach to gastric residual monitoring; nasogastric tube displacement leading to pneumothorax; proper placement of a long or “midline” catheter versus a peripherally inserted central catheter; and photographs of a 43-year-old man with Crohn disease complicated by enterocutaneous fistula formation, distal small bowel obstruction, and evisceration of the small bowel after developing a pelvic abscess. Tables list acute illness- or injury-related malnutrition; chronic disease−related malnutrition; social or environmental circumstances−related malnutrition; indications and contraindications to enteral and parenteral nutrition; selected examples of predictive equations; electrolyte provision in parenteral nutrition; parenteral vitamin and trace element requirements; complications associated with enteral and parenteral nutrition; and indications, contraindications, and complications of gastrostomy tube placement. This review contains 6 highly rendered figures, 11 tables, and 167 references.

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