1. Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

2. ACCESS ROUTES

3. Guidelines ?

4. BSG : Guidelines for enteral feeding adult hospital patients British Society of Gastroenterology www.bsg.orgwww.bsg.org.uk Gut(2003) 52(suppVII):vii1-vii12

5. NICE : National Institute for Clinical Effectiveness Nutrition Support in Adults 2006 www.nice.org.uk

6. SIGN: Scottish Intercollegiate Guideline Network SIGN 78 (2004) Management of patients with stroke – Identification and management of patients with dysphagia SIGN (In press 2006) Diagnosis and management of head and neck cancer www.sign.ac.uk/guidelines

7. ESPEN guidelines on artificial enteral nutrition – percutaneous endoscopic gastrostomy (PEG) PEG – endoscopically Button PLG – laparoscopically eg.witzel, stamin janeway – surgical PSG - sonographically PFG – fluroscopically www.espen.org Clinical Nutrition (2005) 24,848-861

8. ESPEN guidelines on enteral nutrition Guidelines are divided into Evidence supports nutrition support Terminology Definitions and general topics Managing the patient journey through enteral nutritional care Ethical and legal aspects of enteral nutrition Methodology for the development of the ESPEN guidelines on enteral nutrition www.espen.org Clinical Nutrition (2006) 25 issue2,175-360

9. ESPEN guidelines on enteral nutrition:- Surgery including organ transplantation Non-surgical oncology Gastroenterology Pancreas Liver disease Adult renal failure Cardiology and pulmonology Wasting in HIV and other chronic infectious diseases Geriatrics www.espen.org Clinical Nutrition (2006) 25 issue2,175-360

10. HELPFUL TEXT Artificial nutritional support in clinical practice (second edition) J.Payne-James ISBN 1 9001 51979 Intestinal Failure J. Nightingale ISBN 1 9001 51 936 Nutrition Support for Adults and Children. A handbook for hospital practice. T. Bowling Oxford Medical Press

11. Thank you Have a safe Journey home