Comparisons between intragastric and small intestinal delivery of enteral nutrition in the critically ill: a systematic review and meta-analysis
M Deane Adam, Dhaliwal Rupinder, G Day Andrew, J Ridley Emma, R Davies Andrew, K Heyland Daren
Critical Care (UK) | BMC | Published : 2013
INTRODUCTION: The largest cohort of critically ill patients evaluating intragastric and small intestinal delivery of nutrients was recently reported. This systematic review included recent data to compare the effects of small bowel and intragastric delivery of enteral nutrients in adult critically ill patients. METHODS: This is a systematic review of all randomised controlled studies published between 1990 and March 2013 that reported the effects of the route of enteral feeding in the critically ill on clinically important outcomes. RESULTS: Data from 15 level-2 studies were included. Small bowel feeding was associated with a reduced risk of pneumonia (Relative Risk, RR, small intestinal vs...View full abstract
Prof Daren Heyland was awarded the 2012 Royal Adelaide Hospital Nimmo Professorship. The Nimmo Professorship facilitated collaboration required for this study.