Progress in implementation and monitoring of post-pyloric feeding in critically ill patients
Li Wenzhe
Xu Yan
Yu Xiangyou
Abstract：Nutrition support is crucial for critically ill patients,and how to achieve enteral access is one of the key decisions for the initiation of early enteral nutrition.Post-pyloric feeding has many advantages such as good tolerability,few complications and high feasibility.Recommendations in guidelines for nutrition have also suggest to switch from gastric to post-pyloric feeding when necessary.However,there is still great heterogeneity about post-pyloric feeding in clinical practice.Gastrointestinal dysfunction is an important influencing factor in the nutritional support treatment of critically ill patients,and individualized treatment strategies are needed for enteral nutrition initiation timing,feeding route,feeding goal,feeding method and speed.With the development and maturity of various technologies,the insertion method of post-pyloric feeding tube has been continuously innovated,which provides effective support for the implementation and monitoring of post-pyloric feeding.This review provides an updated overview of the application of post-pyloric feeding in nutrition support in critically ill patients,and summarizes the new evidence in order to provide reference for clinicians.
Keywords：Critically ill patientPost-pyloric feedingNasal jejunal feeding tubeGastrointestinal dysfunction scoreMis-inhaling
Publication Date：2025-03-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 87-92 )