Enteral Continuity
Enteral Continuity - Related Videos
09:40
Batch and Continuous Bioreactors
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2023
Bioreactors are used to grow organisms in large volumes, thereby enabling the production of mass quantities of the target product. These reactors can be batch reactors, which contain all of the components needed for cell growth, or continuous reactors, which have inlet and outlet ports allowing for the addition of fresh growth media and the removal of cell waste. This video presents batch and continuous reactors and demonstrates the use of bioreactors to grow bacteria in the laboratory.
11:26
In Situ Ca2+ Imaging of the Enteric Nervous System
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Cited by 24 •
2015
The enteric nervous system (ENS) is a network of neurons and glia located in the gut wall that controls intestinal reflexes. This protocol describes methods for recording the activity of enteric neurons and glia in live preparations of ENS using Ca2+ imaging.
01:18
Drug Delivery: Enteral Route
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2024
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs. Drugs in...
01:05
Physiology of Enteric Nervous System and Gut Health
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2024
The gastrointestinal tract, responsible for the digestion and absorption of nutrients, is safeguarded by the intestinal barrier, which consists of secretory, physical, and immune components. At the forefront is the secretory barrier, composed of essential elements such as mucus, gut microbiota, and defense proteins. They collaborate to break down food particles, facilitate nutrient absorption, and maintain optimal gut health. These secretory components ensure the smooth functioning of the...
01:11
Enteric Nervous System: Regulation of GI Motor Activity
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2024
The Enteric Nervous System (ENS) plays a pivotal role in regulating gastrointestinal or GI motor activity. This complex network of nerves, deeply embedded within the gut wall, responds to changes in the gut environment and receives input from both the autonomic nervous system and the central nervous system. By doing so, the ENS operates various programs tailored to the body's nutritional status and needs. During periods of fasting, the ENS initiates the migrating myoelectric complex, a program...
FAQs
Adequate blood supply helps determine whether bowel segments are viable enough to join safely. Surgeons therefore assess the condition of the bowel before creating an anastomosis, the surgical connection between segments. If viability is inadequate, healing may be compromised, increasing concern for an insecure connection and subsequent leakage. This assessment is central to safe reconstruction.
Successful restoration depends on more than creating a physical connection. The joined segments must heal, remain secure, and permit coordinated bowel motility so material can progress through the tract. Impaired healing can raise the risk of leakage, while abnormal passage or narrowing can contribute to obstruction. These factors determine whether continuity functions effectively after treatment.
Temporary diversion separates the normal route of intestinal passage from downstream bowel for a period of management, whereas restored continuity reconnects suitable bowel segments to reestablish passage through the tract. In clinical practice, restoration may follow diversion, resection, or treatment of intestinal injury. The decision depends on bowel viability, healing, motility, and other safety considerations.
The process begins with assessment of bowel viability and identification of healthy segments. Surgeons may remove an injured or unsuitable portion, then join the remaining healthy ends with an anastomosis. A temporary diversion may be part of the overall treatment pathway. Throughout reconstruction, maintaining blood supply and creating a secure connection are essential goals.
Restoration may be considered after a temporary diversion, bowel resection, or treatment of intestinal injury when the clinical conditions support a safe connection. Reestablishing the pathway can allow enteral nutrition and reduce dependence on an ostomy or parenteral feeding. It remains appropriate only when bowel viability, healing, motility, and anastomotic security are satisfactory.
Follow-up assessment focuses on whether material can pass through the bowel and whether digestion and absorption can support enteral nutrition. Clinicians also evaluate healing, bowel motility, and the anastomosis for leakage or obstruction. These findings help determine whether the restored pathway is functioning as intended and whether further management is needed.