Wednesday, January 5, 2011
FEED AND TREAT
SPECIAL enteral FEEDS
Glutamine
Glutamine is as a source of energy for enterocyte.
Glutamine causes a small positive change in nitrogen balance.
In stress and marrow transplants, glutamine shortens hospital stay,and limits infection.
Polymeric feeds
These are made from proteins and 2.5L of this feed can provide
2500 Kcal of energy.
Some recent products also contain fibre to take care of constipation, or diarrhoea complained of by the patients.
Elemental Feeds
These feeds contain pre-digested protein (peptides and amino-
acids).
They are expensive unpalatable (can only be used for
tube feeds).
They may be of value in patients with pancreatic
insufficiency.
Disease specific
These have selected amino acids for specific disease needs e.g/
Glutamine feeds, this non essential amino acid is of value in
renal ammonia genesis, and also as energy substrate for enterocytes,
lymphocytes, and other rapidly dividing cells.
Any questions be sent to drmmkapur@gmail.com
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