[Expert consensus on identification and prevention in adult enteral nutrition intolerance (2026 edition)].
摘要
Enteral nutrition (EN) is one of the important approaches in clinical nutritional support therapy. EN intolerance (ENI) occurs frequently during the implementation of EN. Currently, there is a lack of unified diagnostic criteria and monitoring methods for ENI identification and prevention both domestically and internationally, and intervention strategies remain inconsistent, which significantly impede the standardized application of EN. To further standardize the clinical identification, monitoring and intervention of ENI, the China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch, the Chinese Society of Parenteral and Enteral Nutrition, the Chinese Nutrition Society Branch of Clinical Nutrition organized nearly 100 Chinese experts in related fields to make current consensus. The consensus is based on the best evidence and focus on the following topics: assessment and monitoring of ENI, prevention and treatment of ENI, etc. Finally, 22 recommendations were proposed to offer guidance on identification, prevention and treatment of ENI, as well as to promote the standardized implementation of EN.