Stephen A McClave

Summary

Affiliation: University of Louisville
Country: USA

Publications

  1. ncbi request reprint Complications of enteral access
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA
    Gastrointest Endosc 58:739-51. 2003
  2. doi request reprint Nutrition in pancreatitis
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
    World Rev Nutr Diet 105:160-8. 2013
  3. doi request reprint The use of indirect calorimetry in the intensive care unit
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USA
    Curr Opin Clin Nutr Metab Care 16:202-8. 2013
  4. doi request reprint Drivers of oxidative stress in acute pancreatitis: the role of nutrition therapy
    Stephen A McClave
    Department of Medicine, Division of Gastroenterology Hepatology, University of Louisville School of Medicine, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 36:24-35. 2012
  5. ncbi request reprint Clinical guidelines and nutrition therapy: better understanding and greater application to patient care
    Stephen 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
  6. ncbi request reprint Critical care nutrition: getting involved as a gastrointestinal endoscopist
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA
    J Clin Gastroenterol 40:870-90. 2006
  7. ncbi request reprint Nutrition support in acute pancreatitis: a systematic review of the literature
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 30:143-56. 2006
  8. ncbi request reprint Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA
    Crit Care Med 33:324-30. 2005
  9. doi request reprint Pharmaconutrition for the obese, critically ill patient
    Ryan T Hurt
    Department of Medicine, University of Louisville School of Medicine, 550 South Jackson St, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 35:60S-72S. 2011
  10. doi request reprint "CAN WE FEED?" A mnemonic to merge nutrition and intensive care assessment of the critically ill patient
    Keith R Miller
    Department of Surgery, University of Louisville, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 35:643-59. 2011

Detail Information

Publications50

  1. ncbi request reprint Complications of enteral access
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky 40202, USA
    Gastrointest Endosc 58:739-51. 2003
  2. doi request reprint Nutrition in pancreatitis
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
    World Rev Nutr Diet 105:160-8. 2013
    ..Provision of early enteral nutrition is therapeutic, changing the patient's hospital course in a favorable manner...
  3. doi request reprint The use of indirect calorimetry in the intensive care unit
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USA
    Curr Opin Clin Nutr Metab Care 16:202-8. 2013
    ..The report also seeks to determine whether emerging strategies for nutrition therapy in the ICU change the need for an accurate measurement of energy requirements by indirect calorimetry...
  4. doi request reprint Drivers of oxidative stress in acute pancreatitis: the role of nutrition therapy
    Stephen A McClave
    Department of Medicine, Division of Gastroenterology Hepatology, University of Louisville School of Medicine, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 36:24-35. 2012
    ..Understanding the mechanisms involved in this complex disease process and the manner in which these mechanisms are influenced by dietary agents affords new and exciting therapeutic options for the future...
  5. ncbi request reprint Clinical guidelines and nutrition therapy: better understanding and greater application to patient care
    Stephen 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
    ....
  6. ncbi request reprint Critical care nutrition: getting involved as a gastrointestinal endoscopist
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA
    J Clin Gastroenterol 40:870-90. 2006
    ....
  7. ncbi request reprint Nutrition support in acute pancreatitis: a systematic review of the literature
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 30:143-56. 2006
    ....
  8. ncbi request reprint Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA
    Crit Care Med 33:324-30. 2005
    ..Elevated residual volumes (RV), considered a marker for the risk of aspiration, are used to regulate the delivery of enteral tube feeding. We designed this prospective study to validate such use...
  9. doi request reprint Pharmaconutrition for the obese, critically ill patient
    Ryan T Hurt
    Department of Medicine, University of Louisville School of Medicine, 550 South Jackson St, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 35:60S-72S. 2011
    ..These nutrients could potentially be added to current EN formulas or provided as supplements...
  10. doi request reprint "CAN WE FEED?" A mnemonic to merge nutrition and intensive care assessment of the critically ill patient
    Keith R Miller
    Department of Surgery, University of Louisville, Louisville, KY 40202, USA
    JPEN J Parenter Enteral Nutr 35:643-59. 2011
    ....
  11. doi request reprint Nutrition therapy of the severely obese, critically ill patient: summation of conclusions and recommendations
    Stephen 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...
  12. doi request reprint Compilation of recommendations from summit on increasing physician nutrition experts
    Stephen 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...
  13. doi request reprint The physiologic response and associated clinical benefits from provision of early enteral nutrition
    Stephen A McClave
    Division of Gastroenterology Hepatology, University of Louisville, 550 S Jackson St, Louisville, KY 40202, USA
    Nutr Clin Pract 24:305-15. 2009
    ....
  14. ncbi request reprint Critical care nutrition: reducing the risk of aspiration
    Stephen 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...
  15. ncbi request reprint Ethical and medicolegal aspects of PEG-tube placement and provision of artificial nutritional therapy
    Mark H Delegge
    Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
    Gastrointest Endosc 62:952-9. 2005
  16. ncbi request reprint Clinical use of the respiratory quotient obtained from indirect calorimetry
    Stephen 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...
  17. doi request reprint Comment on: probiotic prophylaxis in predicted severe acute pancreatitis: a randomized, double-blind, placebo-controlled trial
    Stephen 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...
  18. ncbi request reprint Nutritional support in acute pancreatitis
    Stephen 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
  19. doi request reprint Physician-delivered malnutrition: why do patients receive nothing by mouth or a clear liquid diet in a university hospital setting?
    Glen A Franklin
    Departments of Surgery and Medicine, University of Louisville, Louisville, Kentucky 40202, USA
    JPEN J Parenter Enteral Nutr 35:337-42. 2011
    ..Traditional practices of placing patients nil per os (NPO) or on clear liquid diet (CLD) deter delivery of optimal nutrition care and are not always supported by sound physiologic principles...
  20. ncbi request reprint Appropriate use of parenteral nutrition through the perioperative period
    Stephen A McClave
    Department of Medicine, University of Louisville, Louisville, KY
    JPEN J Parenter Enteral Nutr 37:73S-82S. 2013
    ..Whether alternative sources for lipid emulsion and availability of parenteral immune-modulating agents in the future can improve the risk/benefit ratio of PN and expand its use through the perioperative period awaits further study. ..
  21. ncbi request reprint An evidence-based approach to perioperative nutrition support in the elective surgery patient
    Keith R Miller
    Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky
    JPEN J Parenter Enteral Nutr 37:39S-50S. 2013
    ..Through the implementation of perioperative nutrition therapy plans in the elective surgery setting, outcomes can be improved. ..
  22. ncbi request reprint When to feed the patient with gastrointestinal bleeding
    Stephen A McClave
    Division of Gastroenterology Hepatology, 550 S Jackson St, Louisville, Kentucky 40202, USA
    Nutr Clin Pract 20:544-50. 2005
    ....
  23. ncbi request reprint Issues of nutritional support for the patient with acute pancreatitis
    Stephen 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...
  24. ncbi request reprint Obesity, inflammation, and the potential application of pharmaconutrition
    Matt 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...
  25. ncbi request reprint Spectrum of morbidity related to bolster placement at time of percutaneous endoscopic gastrostomy: buried bumper syndrome to leakage and peritonitis
    Stephen 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...
  26. doi request reprint Creating structure for continuation of initiatives
    Stephen 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...
  27. ncbi request reprint The role of endoscopically placed feeding or decompression tubes
    Stephen 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...
  28. ncbi request reprint North American Summit on Aspiration in the Critically Ill Patient: consensus statement
    Stephen 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...
  29. ncbi request reprint A tutorial on enteral access in adult patients in the hospitalized setting
    Keith R Miller
    University of Louisville, Louisville, Kentucky
    JPEN J Parenter Enteral Nutr 38:282-95. 2014
    ..This tutorial reviews available options for enteral access in addition to commonly encountered complications and their management. ..
  30. ncbi request reprint Part II. Common nutritional issues in older adults
    Christine S Ritchie
    Department of Medicine, University of Louisville School of Medicine, Kentucky, USA
    Dis Mon 48:713-24. 2002
  31. doi request reprint The optimal lipid formulation in enteral feeding in critical illness: clinical update and review of the literature
    Craig Munroe
    Department of Medicine, Stanford University, Palo Alto, CA, USA
    Curr Gastroenterol Rep 13:368-75. 2011
    ..The use of omega-3 fatty acids has become common in critical care formulations, and their clinical efficacy is outlined separately. Available evidence is reviewed, and future directions are discussed...
  32. ncbi request reprint Pre-pyloric versus post-pyloric feeding
    Abdul 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
    ....
  33. ncbi request reprint Preface. The benefit of enteral nutrition (EN) on patient outcome in critical care is profound
    Stephen A McClave
    Division of Gastroenterology Hepatology, University of Louisville School of Medicine, KY 40202, USA
    Gastrointest Endosc Clin N Am 17:xiii-xv. 2007
  34. ncbi request reprint Nutrition support in acute pancreatitis
    Stephen 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...
  35. ncbi request reprint Care and long-term maintenance of percutaneous endoscopic gastrostomy tubes
    Stephen 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...
  36. ncbi request reprint Indirect calorimetry: relevance to patient outcome
    Stephen 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...
  37. ncbi request reprint Achievement of steady state optimizes results when performing indirect calorimetry
    Stephen 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...
  38. doi request reprint The Intersociety Professional Nutrition Education Consortium and American Board of Physician Nutrition Specialists: what have we learned?
    Douglas C Heimburger
    Department of Medicine, Vanderbilt University, Vanderbilt Institute for Global Health, 2525 West End Boulevard, Nashville, TN 37203 1738, USA
    JPEN J Parenter Enteral Nutr 34:21S-9S. 2010
    ..We discuss achievements, opportunities, and challenges facing the maintenance of a consensus-based certification body in order to inform future initiatives designed to expand the number of physician nutrition specialists...
  39. ncbi request reprint Bugs or drugs: are probiotics safe for use in the critically ill?
    Lindsay M Urben
    Department of Pharmacy, University of Louisville Hospital, Louisville, KY, USA
    Curr Gastroenterol Rep 16:388. 2014
    ..This article focuses on uses for probiotics in prevention and treatment, addresses current concerns regarding their use as well as proposing a protocol for safe use of probiotics in the critically ill patient. ..
  40. ncbi request reprint The Optical Dilator: a clear, over-the-scope bougie with sequential dilating segments
    Michael P Jones
    Division of Gastroenterology, Feinberg School of Medicine, Northwestern University Chicago, Illinois 60611 2908, USA
    Gastrointest Endosc 63:840-5. 2006
    ..We report our experience with this device in treating benign esophageal strictures...
  41. doi request reprint 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...
  42. ncbi request reprint Enteral access for nutritional support: rationale for utilization
    Stephen 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...
  43. ncbi request reprint 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
    ..We designed this prospective study to determine whether EUS is ordered in the evaluation of esophageal cancer and whether staging information obtained would change management...
  44. ncbi request reprint Clinical use of gastric residual volumes as a monitor for patients on enteral tube feeding
    Stephen 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...
  45. ncbi request reprint Monitoring bolus nasogastric tube feeding by the Brix value determination and residual volume measurement of gastric contents
    Wei 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...
  46. ncbi request reprint Gastric residual volume (GRV) and gastric contents measurement by refractometry
    Wei 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...
  47. ncbi request reprint Endoscopic approaches to enteral nutritional support
    James A Disario
    University of Utah Health Sciences Center, Salt Lake City 84132, USA
    Gastrointest Endosc 55:901-8. 2002
  48. ncbi request reprint Feeding the injured pancreas
    Stephen J D O'Keefe
    Gastroenterology 129:1129-30. 2005
  49. ncbi request reprint 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
  50. ncbi request reprint Simplify the technique of nasoenteric feeding tube placement with a modified suture tie
    Wei 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...