Discharged on Enteral Nutrition: What Now? The Poor State of Outpatient Support for Patients on Enteral Nutrition Support.

Sonali Palchaudhuri, Brigid Mccreary, Jessica Davis, Brenna Mcginnis, Susan Nyberg, Manpreet S Mundi, Angela Pham

Journal: Current gastroenterology reports 2023;25(3):61-68

PMID: 36734991

Abstract

PURPOSE OF REVIEW

While the use of enteral nutrition (EN) has increased, and more medical centers have developed inpatient programs to address the unique needs of these patients, our collective experience at a few large institutions indicates that there is very little systemic support for patients after discharge. Here, we discuss what we have observed to be some of the barriers to providing outpatient follow up care, summarize the impact we have seen on patients, and propose some possible solutions.

RECENT FINDINGS

We have observed and identified some of the root causes to include financial barriers; uncoordinated care transitions; high complexity of care, including medication management; and diffuse leadership to a multidisciplinary problem. Systematic support for outpatient care for patients discharged on enteral nutrition is rare and limited, due to many root causes. There are a few tools and tips that we have summarized here for individual providers, and a few promising methods in development, but a systematic approach is in great need.

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Address: Division of Gastroenterology, Massachusetts General Hospital, Boston, MA, USA. [email protected].; Hospital of the University of Pennsylvania, Philadelphia, PA, USA.; UofL Health - UofL Hospital, Louisville, KY, USA.; Penn Medicine Center for Health Care Innovation, Philadelphia, PA, USA.; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN, USA.; Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL, USA.

Link outs

Free resources

Subscription / membership required

Bant logo

© Copyright 2026, Nutrition Evidence

NED wishes to thank the following organisations for their support:

We use cookies to improve your experience and analyze site traffic with Google Analytics. By continuing to use our site, you agree to our use of cookies. Learn more.