שאלה משלב א׳ בכירורגיה אורולוגית · מועד 2024 (Sep), שאלה 43

Correct: D — early enteral nutrition reduces infective complications. That is the consistent finding of the randomised evidence, attributed to preservation of gut mucosal integrity and of gut-associated lymphoid tissue, and it is the basis of the preference for the enteral route. Mortality, by contrast, is not clearly reduced relative to early parenteral nutrition (option A); gastric feeding is safe in most patients, post-pyloric access being reserved for those with gastroparesis or repeated aspiration (option B); and enteral feeding *increases* splanchnic blood flow, which is the reason it is withheld in the patient on escalating vasopressors (option C).

מקור: ch. בספר5 עמ107 הזנה אנטרלית לעומת פאראנטרלית