Dr. Edmundo Brito de la Fuente, February 7, 2009.
Executive Vice-President of Kabi Innovation Centre, Business Unit Enteral Nutrition, Germany.
Email: edmundo.brito@fresenius-kabi.com
The term Enteral Nutrition (EN) is used to comprise all forms of nutritional support that imply the use of “dietary foods for special medical purposes also known as FSMP” as defined in the European legal regulation of the commission directive 1999/21/EC of 25 March 1999. This definition is independent of the route of application. It includes oral nutritional supplements (ONS) as well as tube feeding via different tubes placed inside patients (e.g., nasogastric, nasoenteral or percutaneous). This definition differs from others which may include blenderized food. Important to highlight here is the fact that prescription and thus reimbursement of EN products is in many countries (most Europeans) dependent of the use of industrial products rather than the route of application. EN is part of a qualified nutritional regimen in the in-and outpatient setting, and usually one of the tasks of professionals with special training in EN or the nutritional support team. The reader may already note that we are talking here of foods/nutrition for critically and chronically ill patients as well as those who need a specialized nutritional support as a consequence of disease specific treatments.... Read more