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2nd ed, by John L. Rombeau and Michael D. Caldwell, 638 pp, with illus, $95, Philadelphia, Pa, WB Saunders Co, 1990.

JOHN P. GRANT, MD, Reviewer
Durham, NC

Arch Surg. 1991;126(7):913-914.

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The second edition of this textbook continues in the tradition of the first in presenting a thorough review of the science and practice of enteral nutrition. All chapters have been significantly revised to incorporate the newer techniques, solutions, and supplies developed over the last 5 years. All references have been updated to include the current pertinent literature, providing a good resource for additional reading on subjects of interest. The index is also well done. The chapters on basic human nutrition are thorough, yet concise. Of current interest is a comprehensive discussion of the effects of malnutrition on gastrointestinal immunity and the role of the gut mucosal barrier in critically ill patients. An exhaustive listing of available solutions and their nutrient compositions is presented and includes specialized products for treatment of patients with renal, hepatic, pulmonary, and cardiac failure. Finally, a chapter on the pharmacologic aspects of enteral nutrition thoroughly reviews . . . [Full Text PDF of this Article]

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