Research Topics
| S A McClaveSummaryAffiliation: University of Louisville Country: USA Publications
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Detail Information
Publications
Indirect calorimetry: relevance to patient outcomeStephen A McClave
Department of Medicine, Division of Gastroenterology Hepatology, University of Louisville School of Medicine, 550 S Jackson St, Louisville, KY 40202, USA
Respir Care Clin N Am 12:635-50, vii. 2006..Inaccuracy leading to inappropriate under- or overfeeding may generate additional morbidity and adverse clinical consequences for patients already at high risk from hypermetabolic stress response to injury...
Enhanced protein-energy provision via the enteral route in critically ill patients: a single center feasibility trial of the PEP uP protocolDaren K Heyland
Department of Medicine, Queen s University, Kingston, ON, Canada
Crit Care 14:R78. 2010..The purpose of this pilot study is to assess the feasibility, acceptability, and safety of a new feeding protocol designed to enhance the delivery of enteral nutrition (EN)...
Spectrum of morbidity related to bolster placement at time of percutaneous endoscopic gastrostomy: buried bumper syndrome to leakage and peritonitisStephen A McClave
Division of Gastroenterology Hepatology, Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
Gastrointest Endosc Clin N Am 17:731-46. 2007..Aspects of the initial technique, awareness of contributing factors, and strategies for monitoring and surveillance of the PEG once placed are all important in preventing more serious sequelae...
Nutrition support in acute pancreatitisStephen A McClave
Division of Gastroenterology Hepatology, Department of Medicine, University of Louisville School of Medicine, 550 South Jackson Street, Louisville, KY 40202, USA
Gastroenterol Clin North Am 36:65-74, vi. 2007..In this manner, provision of EN represents primary therapy in the management of the patient with acute pancreatitis and is emerging as the gold standard of therapy in nutrition support for this disease process...
Preface. The benefit of enteral nutrition (EN) on patient outcome in critical care is profoundStephen A McClave
Division of Gastroenterology/Hepatology, University of Louisville School of Medicine, KY 40202, USA
Gastrointest Endosc Clin N Am 17:xiii-xv. 2007
Nutrition therapy of the severely obese, critically ill patient: summation of conclusions and recommendationsStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
JPEN J Parenter Enteral Nutr 35:88S-96S. 2011..The ideal enteral formula should have a low nonprotein calorie to nitrogen ratio and have a variety of pharmaconutrient agents added to modulate immune responses and reduce inflammation...
The physiologic response and associated clinical benefits from provision of early enteral nutritionStephen A McClave
Division of Gastroenterology Hepatology, University of Louisville, 550 S Jackson St, Louisville, KY 40202, USA
Nutr Clin Pract 24:305-15. 2009....
What is the significance of a physician shortage in nutrition medicine?Stephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
JPEN J Parenter Enteral Nutr 34:7S-20S. 2010..A consortium or council for collaboration among professional nutrition and medical/surgical societies is needed to pursue these initiatives and foster ongoing communication among vested parties...
Creating structure for continuation of initiativesStephen A McClave
Department of Medicine, Division ofGastroenterology Hepatology, University of Louisville School of Medicine, Louisville, KY 40202, USA
JPEN J Parenter Enteral Nutr 34:115S-22S. 2010..The council will assume responsibility for pursuing Summit initiatives and providing ongoing communication and collaboration between participant groups...
Compilation of recommendations from summit on increasing physician nutrition expertsStephen A McClave
Department of Medicine, Division of Gastroenterology Hepatology and Nutrition, University of Louisville School of Medicine, Louisville, KY 40202, USA
JPEN J Parenter Enteral Nutr 34:123S-32S. 2010..The role for any council arising from this Summit is yet to be defined but may certainly involve facilitating communication and collaboration of initiatives arising from many of the issues listed here...
When to feed the patient with gastrointestinal bleedingStephen A McClave
Division of Gastroenterology Hepatology, 550 S Jackson St, Louisville, Kentucky 40202, USA
Nutr Clin Pract 20:544-50. 2005....
Dissecting the energy needs of the bodyS A McClave
Department of Medicine, University of Louisville School of Medicine, 550 South Jackson Street, Louisville, Kentucky 40292, USA
Curr Opin Clin Nutr Metab Care 4:143-7. 2001..Recently reported studies have served mainly to reinforce concepts described previously, and clarify some areas of controversy...
Should indirect calorimetry be used as part of nutritional assessment?S A McClave
University of Louisville School of Medicine, Department of Medicine, Division of Gastroenterology Hepatology, 550 South Jackson Street, Louisville, KY 40202, U S A
J Clin Gastroenterol 33:14-9. 2001..Indirect calorimetry is a convenient, accessible, and highly accurate instrument for the measurement of caloric requirements and is a valuable tool for the optimization of nutritional support in the intensive care unit...
Enteral access for nutritional support: rationale for utilizationStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Kentucky 40202, USA
J Clin Gastroenterol 35:209-13. 2002..Endoscopic skills and expertise in gastrointestinal physiology are vital to the success of a nutrition support service and the provision of enteral tube feeding...
Issues of nutritional support for the patient with acute pancreatitisStephen A McClave
Department of Medicine, University of Louisville School of Medicine, KY 40202, USA
Semin Gastrointest Dis 13:154-60. 2002..Vigilant monitoring is required to assure safe and effective delivery of enteral nutrients...
Clinical use of gastric residual volumes as a monitor for patients on enteral tube feedingStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Kentucky 40202, USA
JPEN J Parenter Enteral Nutr 26:S43-8; discussion S49-50. 2002..The use of gastric residual volumes (GRVs) as a clinical monitor for patients receiving enteral tube feeding (ETF) is based on presumptions that are not physiologically sound and practice that is poorly standardized...
North American Summit on Aspiration in the Critically Ill Patient: consensus statementStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Kentucky 40202, USA
JPEN J Parenter Enteral Nutr 26:S80-5. 2002..Management strategies for treating aspiration pneumonia are based on degree of diagnostic certainty, time of onset, and host factors...
Achievement of steady state optimizes results when performing indirect calorimetryStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Kentucky 40202, USA
JPEN J Parenter Enteral Nutr 27:16-20. 2003..The use of steady state as the endpoint for performance of indirect calorimetry (IC) is controversial. We designed this prospective study to evaluate the necessity and significance of achieving steady state...
Clinical use of the respiratory quotient obtained from indirect calorimetryStephen A McClave
Department of Medicine, University of Louisville School of Medicine and Kindred Healthcare Hospital Division, Kentucky 40202, USA
JPEN J Parenter Enteral Nutr 27:21-6. 2003..This prospective, multicenter study was designed to determine the clinical use of RQ for monitoring adequacy and tolerance of nutrition support...
Critical care nutrition: reducing the risk of aspirationStephen A McClave
Division of Gastroenterology Hepatology, University of Louisville School of Medicine, 550 S Jackson St, Louisville, KY 40202, USA
Semin Gastrointest Dis 14:2-10. 2003..A variety of management strategies may be used in the intensive care unit to reduce risk of aspiration, while efforts continue to provide sufficient volume of enteral nutrients...
Poor validity of residual volumes as a marker for risk of aspiration in critically ill patientsStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA
Crit Care Med 33:324-30. 2005..No appropriate designated RV level to identify aspiration could be derived as a result of poor sensitivity over a wide range of RV. Study results do not support the conventional use of RV as a marker for the risk of aspiration...
Complications of enteral accessStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA
Gastrointest Endosc 58:739-51. 2003
Clinical guidelines and nutrition therapy: better understanding and greater application to patient careStephen A McClave
Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Louisville School of Medicine, 550 South Jackson Street, Louisville, KY 40202, USA
Crit Care Clin 26:451-66, viii. 2010....
Critical care nutrition: getting involved as a gastrointestinal endoscopistStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA
J Clin Gastroenterol 40:870-90. 2006....
Nutritional support in acute pancreatitisStephen A McClave
Division of Gastroenterology/Hepatology, University of Louisville School of Medicine, Louisville, KY, USA
Nestle Nutr Workshop Ser Clin Perform Programme 8:207-15; discussion 215-21. 2003
Care and long-term maintenance of percutaneous endoscopic gastrostomy tubesStephen A McClave
Department of Medicine, Division of Gastroenterology Hepatology, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA
JPEN J Parenter Enteral Nutr 30:S27-38. 2006..Dietitians, wound-care ostomy nurses, and other nutrition support specialists are encouraged to be more proactive with their participation in the care and management of the PEG site...
Nutrition support in acute pancreatitis: a systematic review of the literatureStephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
JPEN J Parenter Enteral Nutr 30:143-56. 2006....
The role of endoscopically placed feeding or decompression tubesStephen A McClave
Division of Gastroenterology Hepatology, University of Louisville School of Medicine, 550 South Jackson Street, KY 40202, USA
Gastroenterol Clin North Am 35:83-100. 2006..Only minor modifications of the basic technique used for PEG placement for nutritional purposes are required to adapt the technique to a variety of other applications in palliative care...
Ethical and medicolegal aspects of PEG-tube placement and provision of artificial nutritional therapyMark H Delegge
Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
Gastrointest Endosc 62:952-9. 2005
Comment on: probiotic prophylaxis in predicted severe acute pancreatitis: a randomized, double-blind, placebo-controlled trialStephen A McClave
Division of Gastroenterology Hepatology, University of Louisville, Kentucky, USA
JPEN J Parenter Enteral Nutr 33:444-6. 2009..Enteral administration of probiotics could prevent infectious complications, but convincing evidence is scarce. Our aim was to assess the effects of probiotic prophylaxis in patients with predicted severe acute pancreatitis...
Pre-pyloric versus post-pyloric feedingAbdul Jabbar
Department of Medicine, Division of Gastroenterology/Hepatology, University of Louisville School of Medicine, 550 S. Jackson St, Louisville, KY 40202, USA
Clin Nutr 24:719-26. 2005....
Part II. Common nutritional issues in older adultsChristine S Ritchie
Department of Medicine, University of Louisville School of Medicine, Kentucky, USA
Dis Mon 48:713-24. 2002
Obesity, inflammation, and the potential application of pharmaconutritionMatt C Cave
Department of Medicine, University of Louisville School of Medicine, 500 S Jackson Street, University of Louisville, Louisville, KY 40292, USA
Nutr Clin Pract 23:16-34. 2008..A number of dietary agents such as arginine, fish oil, and carnitine may correct these problems at the molecular level. Pharmaconutrition formulas may provide exciting innovations for the nutrition therapy of the obese patient...
Do physician attitudes and practices limit use of EUS in the staging and the treatment of esophageal carcinoma?Stephen A McClave
Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA
Gastrointest Endosc 61:840-8. 2005..Education of primary care clinicians may be needed before the full impact of EUS on patient care can be appreciated...
Gastric residual volume (GRV) and gastric contents measurement by refractometryWei Kuo Chang
Division of Gastroenterology, Department of Internal Medicine, Tri Service General Hospital, Taipei, Taiwan, Republic of China
JPEN J Parenter Enteral Nutr 31:63-8. 2007..In this paper, we have validated these mathematical equations so that they can be implemented in clinical practice...
Monitoring bolus nasogastric tube feeding by the Brix value determination and residual volume measurement of gastric contentsWei Kuo Chang
Division of Gastroenterology, Department of Internal Medicine, Tri Service General Hospital, Taipei, Taiwan, Republic of China
JPEN J Parenter Enteral Nutr 28:105-12. 2004..In this pilot study, we used the Brix value (BV) measurement of gastric contents to monitor both GRV and food content in patients receiving nasogastric feeding...
Endoscopic approaches to enteral nutritional supportJames A Disario
University of Utah Health Sciences Center, Salt Lake City 84132, USA
Gastrointest Endosc 55:901-8. 2002
Feeding the injured pancreasStephen A McClave
Gastroenterology 129:1129-30. 2005
Predicting life expectancy before percutaneous endoscopic gastrostomy placement: a lesson in futility or an exercise of injustice?Stephen A McClave
Gastrointest Endosc 68:228-30; quiz 333, 335. 2008
Simplify the technique of nasoenteric feeding tube placement with a modified suture tieWei Kuo Chang
Division of Gastroenterology, Department of Internal Medicine, Tri Service General Hospital, National Defense Medical Center, Taipei, Taiwan
J Clin Gastroenterol 39:47-9. 2005..These results indicate that a modified suture tied to the tip of a nasoenteric feeding tube reduces the technical difficulty of the procedure and facilitates rapid successful placement into the small bowel...
The Optical Dilator: a clear, over-the-scope bougie with sequential dilating segmentsMichael P Jones
Division of Gastroenterology, Feinberg School of Medicine, Northwestern University Chicago, Illinois 60611-2908, USA
Gastrointest Endosc 63:840-5. 2006..CONCLUSION: The Optical Dilator maintains the value of tactile sensation and the convenience of 3 dilating sizes for each passage of the instrument with the added benefit of direct visualization...
