Immunonutrition

Zusammenfassung

Mit dem Konzept der Immunonutrition wird die Erwartung verbunden, durch Ernährung mit Anreicherung spezifischer Wirkstoffe den Krankheitsverlauf vor allem bei kritisch Kranken oder chirurgischen Patienten, die oft der enteralen oder parenteralen Ernährung bedürfen, günstig beeinflussen zu können. In diesem Artikel wird eine Übersicht zu den jeweils zugrunde liegenden pathophysiologischen Vorstellungen und zu den mehr oder weniger gesicherten Indikationen für diese ernährungstherapeutische Strategie gegeben.

Abstract

The concept of immunonutrition has evolved from the idea of improving disease outcome in critically ill or surgical patients by nutritional intervention using enteral formulae or parenteral solutions enriched with specific nutrients. In this article the underlying pathophysiological concepts and the more or less agreed upon indications for such a nutritional strategy are reviewed.

Schlüsselwörter

Immunonutrition - Glutamin - ω-3-Fettsäuren - Arginin - enterale Ernährung - parenterale Ernährung

Keywords

Immunonutrition - glutamine - ω-3 fatty acids - arginine - enteral nutrition - parenteral nutrition

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