Advances in management strategies for enteral nutrition-related gastric retention in adult patients with nasogastric tubes  

作　　者：Li-Fei Feng Xiang-Wei Li Xiao-Qiu Zhu Lin-Na Jin 

机构地区：[1]Department of Nursing,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310020,Zhejiang Province,China [2]Department of Rehabilitation,Hangzhou No.128 Hospital,Hangzhou 310007,Zhejiang Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2025年第3期38-46,共9页世界胃肠外科杂志(英文)

基　　金：Supported by Zhejiang Province Medical and Health Technology Planning Project,No.2019332856.

摘　　要：Gastric retention is a common complication in individuals receiving enteral nutrition(EN)via a nasogastric tube,increasing the risk of aspiration pneumonia and causing unnecessary interruptions in nutritional support.Given its clinical significance,establishing effective,evidence-based,and standardized manage-ment strategies is essential for bettering patient outcomes and mitigating compli-cations.This review systematically synthesized the diagnostic criteria,assessment methods,influencing factors,management procedures,and intervention strategies for gastric retention in EN patients.Although no universal consensus exists re-garding gastric residual volume(GRV)thresholds,evidence indicates that EN can continue at high GRV levels in the absence of gastrointestinal symptoms.Bedside ultrasound emerged as a non-invasive,and precise method GRV assessment,offering potential to standardize clinical practice.Key risk factors for gastric retention include neurological disorders and EN infusion rates exceeding 100 mL/h.Effective management strategies encompass non-pharmacological inter-ventions,pharmacological agents,and traditional Chinese medicine(TCM)the-rapies.This review underscored the need for integrated,multi-modal manage-ment strategies and recommended the adoption of bedside ultrasound and stan-dardized protocols to optimize EN delivery and improve patient outcomes.Large-scale,multicenter clinical trials should be a priority for future investigation to verify the effectiveness of TCM therapies and develop personalized intervention plans for high-risk patients.

关 键 词：Enteral nutrition Gastric retention Management strategies Gastric residual volume Bedside ultrasound General intervention Pharmacological intervention Traditional Chinese medicine 

分 类 号：R459.3[医药卫生—治疗学]