The possibilities, realities and outlook for artificial enteral feeding in the surgical clinic

The key problems are pointed out depending in their solution on the understanding by clinicians of different aspects of enteral artificial nutrition (EAN) as a variant of nutritional maintenance in practical surgery. These problems are: maintenance of performing EAN with the creation of the optimum nutrition tract; choice of the nutrition substrate sources for EAN; medicines accompanying EAN. The tasks of its maintenance are to provide the access to digestive tract, supply and equipment for EAN. The basic, actual and subsidiary variants of the nutritional maintenance are considered from the viewpoints of choosing means for EAN. Six classes of nutritional mixtures are described as means for the basic nutritional maintenance. Main directions for medicamentous support are presented: optimization of properties of the nutritional mixture and overcoming possible functional complications of EAN.