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5)在宅経腸栄養法の実際とその問題点(シンポジウム 在宅医療は可能か?, 第472回新潟医学会)

フォーマット:
論文(リポジトリ)
責任表示:
酒井, 靖夫 ; 畠山, 勝義
出版情報:
新潟医学会, 1993-07
掲載情報:
新潟医学会雑誌 = 新潟医学会雑誌
ISSN:
00290440  CiNii Articles  Webcat Plus  JAIRO
著者名:
巻:
107
通号:
7
開始ページ:
584
終了ページ:
590
バージョン:
publisher
概要:
Home enteral nutrition (HEN) has been used for a long time in Japan, and been further developed after the concept of home elemental enteral hyperalimentation (HEEH) was established. HEEH is indicated for patients with a variety of diseases, and therapeutic effects of HEEH are widely accepted. In addition, the number of the patients on HEEH is gradually increasing. Instruments required for HEEH include feeding tubes, irrigating bags, shaking bottles, liquid diet, and infusion pumps. Prior to the beginning of the naso-gastric tube feeding, patients have to learn and be accustumed to the self-intubation technique, in which they introduce the specific tube into their own stomach. A feeding tube can also be set intraoperatively or endoscopically into the G-I tract. Elemental diet (ED) or low residue diet (LRD) is selected depending on the patients' diseases or conditions. Concentration and infusion speed of the liquid diet must slowly be increased. Otherwise, diarrhoea and abdominal pain often ensues. It is basically important to evaluate, once a month, the nutritional status of the patients who undergoing HEEH for a long period. Health insurance has supported the HEEH, confined to the tube feeding by elemental diet. Although there are many diseases on which HEEH is effective, up to the present, the health insurance only covers a limited part of them. To increase the number of the diseases covered by the health insurance is strongly expected. 続きを見る
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