S3-Leitlinie Heimenterale und heimparenterale Ernährung der Deutschen
                    Gesellschaft für Ernährungsmedizin (DGEM)

Stephan C. Bischoff; Jann Arends; Christiane Decker-Baumann; Elisabeth Hütterer; Sebastian Koch; Stefan Mühlebach; Ingeborg Roetzer; Andrea Schneider; Claudia Seipt; Ralph Simanek; Zeno Stanga

doi:10.1055/a-2270-7667

Aktuelle Ernährungsmedizin, Table of Contents

Aktuelle Ernährungsmedizin 2024; 49(02): 73-155
DOI: 10.1055/a-2270-7667

Leitlinie

S3-Leitlinie Heimenterale und heimparenterale Ernährung der Deutschen Gesellschaft für Ernährungsmedizin (DGEM)

In Zusammenarbeit mit der Österreichischen Arbeitsgemeinschaft für klinische Ernährung (AKE), der Gesellschaft für Ernährungsmedizin und Metabolismus Schweiz (GESKES) und der Fachgesellschaft Deutsche Gesellschaft für Pflegewissenschaft (DGP)S3 Guideline Home Enteral and Home Parenteral Nutrition of the German Society for Clinical Nutrition and Metabolism (DGEM)In cooperation with the Austrian Society for Clinical Nutrition (AKE), the Swiss Society for Clinical Nutrition and Metabolism (GESKES) and the German Society of Nursing Science (DGP)

Authors

Stephan C. Bischoff

¹Institut für Ernährungsmedizin, Universität Hohenheim, Stuttgart, Deutschland
Jann Arends

²Klinik für Innere Medizin I, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Deutschland
Christiane Decker-Baumann

³Nationales Centrum für Tumorerkrankungen (NCT), Universitätsklinikum Heidelberg, Heidelberg, Deutschland
Elisabeth Hütterer

⁴Medizinische Universität Wien, Universitätsklinik für Innere Medizin I, Wien, Österreich
Sebastian Koch

⁵Medizinische Klinik mit Schwerpunkt Infektiologie und Pneumologie Campus Charité Mitte, Charité Universitätsmedizin Berlin, Berlin, Deutschland
Stefan Mühlebach

⁶Universität Basel, Institut für Klinische Pharmazie & Epidemiologe, Spitalpharmazie, Basel, Schweiz
Ingeborg Roetzer

³Nationales Centrum für Tumorerkrankungen (NCT), Universitätsklinikum Heidelberg, Heidelberg, Deutschland

⁷Klinik für Hämatologie und Onkologie, Krankenhaus Nordwest, Frankfurt am Main, Deutschland
Andrea Schneider

⁸Medizinische Hochschule Hannover, Klinik für Gastroenterologie, Hepatologie, Infektiologie und Endokrinologie, Hannover, Deutschland
Claudia Seipt

⁸Medizinische Hochschule Hannover, Klinik für Gastroenterologie, Hepatologie, Infektiologie und Endokrinologie, Hannover, Deutschland
Ralph Simanek

⁹Gesundheitszentrum Floridsdorf der Österreichischen Gesundheitskasse, Hämatologische Ambulanz, Wien, Österreich
Zeno Stanga

¹⁰Universitätsklinik für Diabetologie, Endokrinologie, Ernährungsmedizin und Metabolismus, Inselspital, Universitätsspital Bern und Universität Bern, Bern, Schweiz

Abstract

Zusammenfassung

Medizinische Ernährungstherapie, die enterale und parenterale Ernährung umfasst, ist ein wesentlicher Teil der Ernährungstherapie. Medizinische Ernährungstherapie beschränkt sich nicht auf die Krankenhausbehandlung, sondern kann effektiv und sicher auch zu Hause eingesetzt werden. Dadurch hat sich der Stellenwert der Medizinischen Ernährungstherapie deutlich erhöht und ist zu einem wichtigen Bestandteil der Therapie vieler chronischer Erkrankungen geworden. Für Menschen mit chronischem Darmversagen, z. B. wegen Kurzdarmsyndrom ist die Medizinische Ernährungstherapie sogar lebensrettend. In der Leitlinie wird die Evidenz für die Medizinische Ernährungstherapie in 161 Empfehlungen dargestellt. Die Leitlinie wendet sich in erster Linie an Ärzte, Ernährungsfachkräfte und Pflegekräfte, sie dient der Information für Pharmazeuten und anderes Fachpersonal, kann aber auch für den interessierten Laien hilfreich sein.

Abstract

Medical nutrition therapy which includes enteral and parenteral nutrition is an essential part of nutritional therapy. Medical nutrition therapy is not limited to hospital treatment but can also be used effectively and safely at home. As a result, the importance of medical nutritional therapy has increased significantly and has become an important part of the therapy of many chronic diseases. For people with chronic intestinal failure, e. g. because of short bowel syndrome, medical nutritional therapy is even life-saving. In this guideline, the evidence for medical nutritional therapy is presented in 161 recommendations. The guideline is primarily aimed at doctors, nutritionists and nursing staff; it serves as information for pharmacists and other specialists but can also be helpful for interested laypersons.

Schlüsselwörter

Heimenterale Ernährung - heimparenterale Ernährung - Sondennahrung - Zugangswege - Pumpen

Key words

Home enteral nutrition - home parenteral nutrition - tube feeding - access devices - pumps

Full Text

References

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