Pulse - October 2022 - 18

PULSE SPECIAL SECTION
References
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Intestinal Permeability: The Role of the " Leaky Gut "
in Health and Disease. Journal of equine veterinary science
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2. Lewis SJ, Egger M, Sylvester PA, et al. Early enteral
feeding versus " nil by mouth " after gastrointestinal surgery:
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3. Will K, Nolte I, Zentek J. Early enteral nutrition
in young dogs suffering from haemorrhagic gastroenteritis.
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4. Mohr AJ, Leisewitz AL, Jacobson LS, et al. Effect of early
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protein loss, and outcome in dogs with severe parvoviral
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in a catabolic, inflammatory state
as a result of acute or chronic disease.
These patients are often minimally
active, thus there are risks to
overfeeding, such as vomiting and
hyperglycemia; meeting their resting
energy requirement (RER; 70
x BWkg0.75) is the goal during
hospitalization.
g For patients who are overweight
or obese, use their estimated ideal
bodyweight for calculating resting
energy requirements.
g When animals have not consumed
food for several days, it is recommended
to gradually
increase
energy intake to reach RER. These
patients may have a compromised
gastrointestinal tract and may also
be prone to development of refeeding
syndrome. Gradually increasing
their calorie intake to meet RER
18
helps with gastrointestinal tolerance
and promotes metabolic adaptations
that reduce the likelihood of developing
refeeding syndrome.
u Monitoring
g Measure what is offered and what is
consumed.
g Monitor patient weight daily. If the
patient is losing weight at RER,
adjust the calories offered to promote
weight maintenance. P
Enteral nutrition maintains the integrity and
selective permeability of the intestinal tract,
helps preserve immune function and maintain
gastrointestinal tract motility, and has been
associated with numerous other benefits.
OCTOBER 2022
12. Fascetti AJ, Delaney SJ. Nutritional Management of
Exocrine Pancreatic Diseases. West Sussex, UK: John
Wiley & Sons, Ltd;221-233.
13. Qin HL, Su ZD, Hu LG, et al. Effect of early intrajejunal
nutrition on pancreatic pathological features and
gut barrier function in dogs with acute pancreatitis.
Clinical Nutrition 2002;21:469-473.
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