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Enteral-feeding-related diarrhoea: proposed causes and possible solutions

Published online by Cambridge University Press:  28 February 2007

Timothy E. Bowling
Timothy E. Bowling
Affiliation:
Department of Gastroenterology and Nutrition, Central Middlesex Hospital, Acton Lane, London NW10 7NS
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Abstract

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Type
The Sir David Cuthbertson Medal Lecture
Information
Proceedings of the Nutrition Society , Volume 54 , Issue 2 , July 1995 , pp. 579 - 590
Copyright
Copyright © The Nutrition Society 1995

References

Bartlett, J. G. (1979). Antibiotic-associated pseudomembranous colitis. Review of Infectious Diseases 1, 530–539.CrossRefGoogle ScholarPubMed
Bartlett, J. G., Chang, T. U. & Gurwith, M. (1978). Antibiotic associated pseudomembranous colitis due to toxin-producing clostridia. New England Journal of Medicine 298, 531–534.CrossRefGoogle ScholarPubMed
Bastidas, J. A., Orandle, M. S., Zinner, M. J. & Yeo, C. J. (1990). Small bowel origin of the signal for meal-induced jejunal absorption. Surgery 108, 376–383.Google ScholarPubMed
Bastidas, J. A., Yeo, C. J., Schmieg, R. E., Zinner, M. J. (1989). Endogenous opiates in the mediation of early meal-induced jejunal absorption of water and electrolytes. American Journal of Surgery 157, 27–32.CrossRefGoogle Scholar
Bastow, M. D. (1986). Complications of enteral feeding. Gut 27, Suppl. 1, 51–55.CrossRefGoogle Scholar
Bilchik, A. J., Hines, O. J., Adrian, T. E., & McFadden, D. W., Berger, J. J., Zinner, M. J. & Ashley, S. W. (1993). Peptide YY is a physiological regulator of water and electrolyte absorption in the canine small bowel in vivo. Gastroenterology 105, 1441–1448.CrossRefGoogle ScholarPubMed
Binder, H. J. & Mehta, P. (1989). Short chain fatty acids stimulate active sodium and chloride absorption in vitro in the rat distal colon. Gastroenterology 96, 989–996.CrossRefGoogle ScholarPubMed
Bowling, T. E., Bloom, S. R. & Silk, D. B. A. (1956 b). Is an abnormal Peptide YY response the cause of enteral feeding related diarrhoea? Gastroenterology (In the Press).Google Scholar
Bowling, T. E., Raimundo, A. H., Grimble, G. K. & Silk, D. B. A. (1993 c). Colonic fluid secretion induced by enteral feeding in man is reversed by short chain fatty acids. Lancet 342, 1266–1268.CrossRefGoogle Scholar
Bowling, T. E., Raimundo, A. H., Jameson, J. S., Rogers, J. & Silk, D. B. A. (1993 b). Suppression of colonic motility in response to enteral feeding in man. Gastroenterology 104, A610.Google Scholar
Bowling, T. E., Raimundo, A. H. & Silk, D. B. A. (1993 a). In vivo segmental colonic perfusion in man: A new technique. European Journal of Gastroenterology and Hepatology 5, 809–815.CrossRefGoogle Scholar
Bowling, T. E., Raimundo, A. H. & Silk, D. B. A. (1995 a). Colonic secretory effect in response to enteral feeding in man. Gut (In the Press).Google Scholar
Brinson, R. R. & Kolts, B. E. (1987). Hypoalbuminaemia as an indicator of diarrhoeal incidence in critically ill patients. Critical Care Medicine 15, 506–509.CrossRefGoogle ScholarPubMed
Brinson, R. R., Pitts, V. L. & Taylor, S. A. (1989). Intestinal absorption of peptide enteral formulas in hypoproteinaemic (volume expanded) rats: A paired analysis. Critical Care Medicine 17, 657–660.CrossRefGoogle Scholar
Burdon, D. W., Thompson, H. & Candy, D. C. A. (1981). Enterotoxins of Clostridium difficile. Lancet 2, 258–259.CrossRefGoogle ScholarPubMed
Casewell, M. W., Cooper, J. E. & Webster, M. (1981). Enteral feeds contaminated with Enterobacter cloacae as a cause of septicaemia. British Medical Journal 282, 973.CrossRefGoogle ScholarPubMed
Casewell, M. W. & Phillips, I. (1978). Food as a source of Klebsiella species for colonisation and infection of intensive care patients. Journal of Clinical Pathology 31, 845–849.CrossRefGoogle ScholarPubMed
Cataldi-Betcher, E. L., Seltzer, M. H., Slocum, B. A. & Jones, K. W. (1983). Complications occurring during enteral nutrition support: A prospective study. Journal of Parenteral and Enteral Nutrition 7, 546–552.CrossRefGoogle ScholarPubMed
Cummings, J. H. (1981). Short chain fatty acids in the human colon. Gut 22, 763–779.CrossRefGoogle ScholarPubMed
Cummings, J. H. & Branch, W. J. (1986). Fermentation and production of short chain fatty acids in the human large intestine. In Dietary Fibre: Basic and Clinical Aspects, pp. 131–152 [Vahouny, G. B. and Kritchevsky, D. editors]. New York: Plenum Press.CrossRefGoogle Scholar
Debongnie, J. C. & Phillips, S. F. (1978). Capacity of the human colon to absorb fluid. Gastroenterology 74, 698–703.CrossRefGoogle ScholarPubMed
Dobb, G. J. & Towler, S. (1990). Diarrhoea during enteral feeding in the critically ill: A compariso of feeds with and without fibre. Intensive Care Medicine 16, 252–255.CrossRefGoogle Scholar
Duffy, P. A., Granger, D. N. & Taylor, A. E. (1978). Intestinal secretion induced by volume expansion in the dog. Gastroenterology 75, 413–418.CrossRefGoogle ScholarPubMed
du Moulin, G. C., Paterson, D. G., Hedley-White, J. & Lisbon, A. (1982). Aspiration of gastric bacteria in antacid-treated patients: A frequent cause of post-operative colonisation of the airway. Lancet i, 570–578.Google Scholar
Ford, E. G., Jennings, M. & Andrassy, R. J. (1987). Serum albumin (oncotic pressure) correlates with enteral feeding tolerance in the pediatric surgical patient. Journal of Pediatric Surgery 22, 597–601.CrossRefGoogle ScholarPubMed
Frankenfield, D. C. & Beyer, P. L. (1989). Soy-polysaccharide fiber: Effect on diarrhoea in tube-fed, head-injured patients. American Journal of Clinical Nutrition 50, 533–538.CrossRefGoogle ScholarPubMed
George, W. L., Rolfe, R. D. & Finegold, S. M. (1982). Clostridium difficile and its cytotoxin in faces of patients with antimicrobial agent associated diarrhoea and miscellaneous conditions. Journal of Clinical Microbiology 15, 1049–1053.CrossRefGoogle Scholar
George, W. L., Sutter, V. L. & Finegold, S. M. (1978). Toxicity and antimicrobial susceptibility of Clostridium difficile, a cause of antimicrobial agent-associated colitis. Current Microbiology 1, 55–58.CrossRefGoogle Scholar
Grube, B. J., Heimbach, D. M. & Marvin, J. A. (1987). Clostridium difficile diarrhoea in critically ill burned patients. Archives of Surgery 122, 655–661.CrossRefGoogle ScholarPubMed
Guenter, P. A., Settle, R. G., Perlmutter, S., Marino, P. L., DeSimone, G. A. & Rolandelli, R. R. (1990). Tube feeding related diarrhoea in acutely ill patients. Journal of Parenteral and Enteral Nutrition 14, 277–280.Google Scholar
Hart, G. & Dobb, G. J. (1988). Effect of a fecal bulking agent on diarrhoea during enteral feeding in the critically ill. Journal of Parenteral and Enteral Nutrition 12, 465–468.CrossRefGoogle ScholarPubMed
Heibert, J. M., Brown, A. & Anderson, R. G. (1981). Comparison of continuous vs intermittent tube feedings in adult burn patients. Journal of Parenteral and Enteral Nutrition 5, 73–75.CrossRefGoogle Scholar
Heymsfield, S. B., Bethel, R. A., Ansley, J. D., Nixon, D. W. & Rudman, D. (1979). Enteral hyperalimentation: An alternative to central venous hyperalimentation. Annals of Internal Medicine 90, 63–71.CrossRefGoogle ScholarPubMed
Holtug, K., Clausen, M. R., Hove, H., Christiansen, J. & Mortenser., P. B. (1992). The colon in carbohydrate malabsorption: Short chain fatty acids, pH, and osmotic diarrhoea. Scandinavian Journal of Gastroenterology 27, 545–552.CrossRefGoogle Scholar
Jacobs, L. R. (1983). Effects of dietary fiber on mucosal growth and cell proliferation in the small intestine of the rat: A comparison of oat bran, pectin and guar with iota1 fiber deprivation. American Journal of Clinical Nutrition 37, 954–960.CrossRefGoogle Scholar
Jones, B. J. M., Lees, R., Andrews, J., Frost, P. & Silk, D. B. A. (1983). Comparison of an elemental and polymeric enteral diet in patients with normal gastrointestinal function. Gut 24, 78–84.CrossRefGoogle ScholarPubMed
Kelly, T. W., Patrick, M. R. & Hillman, K. M. (1983). Study of diarrhoea in critically ill patients. Critical Care Medicine 11, 7–9.CrossRefGoogle ScholarPubMed
Keohane, P. P., Attrill, H., Jones, B. J. M. & Silk, D. B. A. (1983). The roles of lactose and Clostridium difficile in the pathogenesis of enteral feeding associated diarrhoea. Clinical Nutrition 1, 259–264.CrossRefGoogle ScholarPubMed
Keohane, P. P., Attrill, H., Love, M., Frost, P. & Silk, D. B. A. (1984). Relation between osmolality and gastrointestinal side effects in enteral nutrition. British Medical Journal 288, 678–680.CrossRefGoogle ScholarPubMed
Levine, H. G. & Lamont, J.T. (1982). Diarrhoea we can treat: Antibiotic-associated colitis. Comprehensive Therapeutics 8, 36–43.Google ScholarPubMed
McFadden, D. W., Jaffe, B. M., Ferrara, B. A. & Zinner, M. J. (1984). Jejunal absorptive response to a test meal and its modification by cholinergic and calcium channel blockade in the awake dog. Surgical Forum 35, 174–176.Google Scholar
Okuno, M., Nakanishi, Y., Shinomura, Y., Kiyohara, T., Ishikawa, H. & Tarui, S. (1992). Peptide YY enhances NaC1 and water absorption in the rat colon in vivo. Experientia 48, 47–50.CrossRefGoogle Scholar
Paving, H. H., Rossing, N., Nielsen, S. L. & Lassen, N. A. (1974). Increased transcapillary escape rate of albumin, Ig G, and Ig M after plasma volume expansion. American Journal of Physiology 227, 245–250.CrossRefGoogle Scholar
Payne-James, J. J., Rana, S. K., Bray, M. J., McSwiggan, D. A. & Silk, D. B. A. (1992). Retrograde (ascending) bacterial contamination of enteral diet administration systems. Journal of Parenteral and Enteral Nutrition 16, 369–373.CrossRefGoogle ScholarPubMed
Poitras, P., Modigliani, R. & Bernier, J. J. (1980). Effect of gastrin, secretin, cholecystokinin, glucagon and gastric inhibitory polypeptide on jejunal absorption in man. Gut 21, 299–304.CrossRefGoogle ScholarPubMed
Pottecher, B., Goetc, M. L., Jacquemaire, M. A., Reeb, E. & Lavillaureix, J. (1979). Enterocolites infectieuses chez des malades de reanimation alimentes par sonde nasogastrique (Infectious enterocolitis among patients being fed by nasogastric catheter). Annals d' Anesthesia de France 20, 595–598.Google Scholar
Raimundo, A. H., Jameson, J. S., Rogers, J. & Silk, D. B. A. (1992). The effect of enteral nutrition on distal colonic motility. Gastroenterology 102, A573.Google Scholar
Raimundo, A. H., Rogers, J. & Silk, D. B. A. (1990 a). Is enteral feeding related diarrhoea initiated by an abnormal colonic response to intragastric diet infusion? Gut 31, A1195.Google Scholar
Raimundo, A. H., Rogers, J., Spiller, R. C., Cahill, E. & Silk, D. B. A. (1988). Colonic in-flow and small bowel motility during intraduodenal enteral nutrition. Gut 29, A1469–A1470.Google Scholar
Raimundo, A. H., Wilden, S., Rogers, J., Fielden, P. & Silk, D. B. A. (1990 b). Influence of metronidazole on volatile fatty acid (VFA) production from soy polysaccharide – relevance to enteral feeding related diarrhoea. Gastroenterology 99, A197.Google Scholar
Roediger, W. E. W. (1980). Role of anaerobic bacteria in the metabolic welfare of the colonic mucosa in man. Gut 21, 793–798.CrossRefGoogle ScholarPubMed
Rogers, J., Henry, M. M. & Misiewicz, J. J. (1989). Increased segmental activity and intraluminal pressures in the sigmoid colon of patients with the irritable bowel syndrome. Gut 30, 634–641.CrossRefGoogle ScholarPubMed
Rogers, J. & Misiewicz, J. J. (1989). Fully automated computer analysis of intracolonic pressures. Gut 30, 642–649.CrossRefGoogle ScholarPubMed
Ruppin, H., Bar-Meir, S., Soergel, K. H., Wood, C. M. & Schmitt, M. G. (1980). Absorption of short chain fatty acids by the colon. Gastroenterology 78, 1500–1507.CrossRefGoogle ScholarPubMed
Sarr, M. G., Kelly, K. A. & Phillips, S. F. (1980). Canine jejunal absorption and transit during interdigestive and digestive motor states. American Journal of Physiology 239, G167–G172.Google ScholarPubMed
Sarr, M. G., Kelly, K. A. & Phillips, S. F. (1981). Feeding augments canine jejunal absorption via a hormonal mechanism. Digestive Diseases and Science 26, 961–965.CrossRefGoogle Scholar
Silk, D. B. A. (1987). Towards the optimization of enteral nutrition. Clinical Nutrition 6, 61–74.CrossRefGoogle Scholar
Surawicz, C. M., Elmer, G. W., Speelman, P., McFarland, L. V., Chinn, J. & van Belle, G. (1989). Prevention of antibiotic associated diarrhoea by Saccharomyces boulardii: A prospective study. Gastro-enterology 96, 981–988.CrossRefGoogle ScholarPubMed
Simmons, N. A. (1981). Hazards of naso-enteric feeds. Journal of Hospital Infection 2, 276–278.CrossRefGoogle ScholarPubMed
Tatemoto, K., Nakano, G. & Makk, P. (1988). Isolation and primary structure of human peptide YY. Biochemical and Biophysical Research Communications 157, 713–717.CrossRefGoogle ScholarPubMed
Waitzberg, D., Teixera de Silva, M. L. & Borges, V. C. (1988). Factors associated with diarrhoea in tube fed patients. Role of serum albumin concentration. Clinical Nutrition 7, Suppl. 1, 58.Google Scholar
Williams, N. S., Meyer, J. H., Jehn, D. & Miller, J. (1984). Canine intestinal transit and digestion of radiolabelled liver particles. Gastroenterology 86, 1451–1459.CrossRefGoogle ScholarPubMed
Wright, J. P., Barbezat, G. O. & Clain, J. E. (1978). Jejunal secretion in response to a duodenal mixed nutrient perfusion. Gastroenterology 76, 94–98.CrossRefGoogle Scholar
Yeo, C. J., Bastidas, J. A., Schmieg, R. E. & Zinner, M. J. (1990). Meal-stimulated absorption of water and electrolytes in canine jejunum. American Journal of Physiology 259, G402–G409.Google ScholarPubMed