Abstract
Purpose of Review
Nutrition support teams were popularized at the end of the twetieth century because of the prevalence of malnutrition in hospitalized patients and innovation in parenteral nutrition. This is a review of the history of nutrition support services (NSS) and the role played by the gastroenterologist as its lead physician.
Recent Findings
NSS have evolved from a team that was responsible for parenteral nutrition (PN) orders and prescription to a multidisciplinary effort that is able to optimize nutrition and additionally promote and provider enteral nutrition (EN) support. Base on their training, gastroenterologists have a unique opportunity to provide expertise and lead NSS.
Summary
NSS offer benefits to hospitals to minimize infectious risks, monitor EN and PN, and reduce costs. The physician-directed team will be a resource for education in nutrition and for developments in nutritional therapy.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References and Recommended Reading
Papers of particular interest, published recently, have been highlighted as: • Of importance
Butterworth CE. The skeleton in the hospital closet. 1974. Nutrition. 1994;10(5):435–41.
Bistrian BR, Blackburn GL, Hallowell E, Heddle R. Protein status of general surgical patients. JAMA. 1974;230(6):858–60.
Sanders RA, Sheldon GF. Septic complications of total parenteral nutrition. A five-year experience. Am J Surg. 1976;132(2):214–20. https://doi.org/10.1016/0002-9610(76)90050-7.
Nehme AE. Nutritional support of the hospitalized patient. JAMA. 1980;243:1906–8.
Jacobs DO, Melnik G, Forlaw L, Gebhardt C, Settle RG, DiSipio M, Rombeau JL. Impact of a nutritional support service on VA surgical patients. J Am Coll Nutr. 1984;3(4):311–5. https://doi.org/10.1080/07315724.1984.10720054.
Gales BJ, Gales MJ. Nutritional support teams: a review of comparative trials. Ann Pharmacother. 1994;28(2):227–35. https://doi.org/10.1177/106002809402800214.
Hickey MM, Munyer TO, Salem RB, Yost RL. Parenteral nutrition utilization: evaluation of an educational protocol and consult service. JPEN J Parenter Enteral Nutr. 1979;3(6):433–7. https://doi.org/10.1177/014860717900300606.
Bistrian BR. Brief history of parenteral and enteral nutrition in the hospital in the USA. Nestle Nutr Workshop Ser Clin Perform Programme. 2009;12:127–36. https://doi.org/10.1159/000235675.
Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med. 1991;325(8):525–32. https://doi.org/10.1056/NEJM199108223250801.
van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R. Intensive insulin therapy in critically ill patients. N Engl J Med. 2001;345(19):1359–67. https://doi.org/10.1056/NEJMoa011300.
Compher C, Bingham AL, McCall M, Patel J, Rice TW, Braunschweig C, McKeever L. Guidelines for the provision of nutrition support therapy in the adult critically ill patient: The American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2022;46(1):12–41. https://doi.org/10.1002/jpen.2267. It is well established that nutrition support services are important to monitor infectious complication, regulate EN and PN, and minimize costs. The lead for the NSS is not defined. The gastroenterologist is in a unique position to support the team.
Blackburn GL, Wollner S, Bistrian BR. Nutrition support in the intensive care unit: an evolving science. Arch Surg. 2010;145(6):533–8. https://doi.org/10.1001/archsurg.2010.97.
Soeters P, Bozzetti F, Cynober L, Forbes A, Shenkin A, Sobotka L. Defining malnutrition: a plea to rethink. Clin Nutr. 2017;36(3):896–901. https://doi.org/10.1016/j.clnu.2016.09.032.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Jennifer Katz declares that she has no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of the Topical Collection on Nutrition and Obesity
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Katz, J. The Role of the Gastroenterologist in Modern Nutrition Support Services. Curr Treat Options Gastro 21, 57–63 (2023). https://doi.org/10.1007/s11938-023-00408-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11938-023-00408-2