Clinical Nutritional Therapy

Clinical Nutritional Therapy

Nutrition is an essential part in the treatment of many diseases. Our nutrition care team offers you the best possible support in the field of clinical nutrition.

Nutritional counselling

People with diseases must pay particular attention to what they eat. If you have nutritional problems, our dieticians will recommend a diet to accompany your therapy - tailored to your clinical picture. The spectrum ranges from food intolerances to swallowing disorders to nutrition after surgery, for example when part of the intestine has been removed.

Screening for malnutrition

An important goal of our clinical work is the early, targeted recording and consistent treatment of patients with malnutrition. In order to detect existing or imminent under- or malnutrition, we screen all in-patients according to a recognized method.

Artificial nutrition

Certain clinical pictures require artificial nutrition in the form of infusion therapy (parenteral) or tube feeding (enteral). These forms of therapy can lead to serious complications if they are not handled properly.
Our specially trained dieticians provide support in the practical implementation of clinical nutrition and ensure that care is provided in accordance with guidelines. We train patients and their relatives in the use of the various types of tube and infusion forms and are the central point of contact with regard to nutritional therapy, discharge management and complications.

Our team for nutrition

Our team for nutrition Prof. Thomas Frieling, Sigrid Kalde, Karin Schmitz, Britta Krummen and Dr. Jürgen Heise (from left to right).

Our team of experts consists of three dieticians and two doctors with advanced training in nutritional medicine under the direction of Prof. Frieling. It is available to all inpatients at the Helios hospital Krefeld with advice and support.
All nutrition therapies are coordinated and carried out together with doctors, nurses and therapists. In order to provide our patients with state-of-the-art care, our dieticians take part in regular advanced and further training courses at the German Association of Dieticians (VDD).

Here we support with our nutritional advice:

  • Malnutrition, especially in cancer patients
  • Artificial nutrition
  • Gastrointestinal surgery
  • Swallowing disorders
  • Liver Cirrhosis
  • Chronic inflammatory bowel diseases (Crohn's disease, ulcerative colitis)
  • Food intolerances, celiac disease and irritable bowel syndrome (including advice on FODMAP and 6-FOOD diets or gluten-free and low-lactose diets)
  • Chronic constipation/ diarrhoea
  • Obesity (ZAM)

More information

A distinction is made between two forms of artificial feeding:

Parenteral nutrition (infusion therapy), in which the various food components are administered directly into the bloodstream as an infusion solution, bypassing the gastrointestinal tract
Enteral nutrition (tube feeding), in which a balanced liquid diet is administered via a stomach tube (the digestive tract is included)

Our offer at a glance

  • Establishment of nutritional regimes for enteral and parenterally fed patients

  • Training of patients and their relatives with PEG, Jet-PEG, PEJ, Pexact probe, Gastrotube, Button or naso-intestinal probe

  • Tube dressing change

  • Interdisciplinary complication management

H2 breath test diagnostics to exclude lactose, fructose malabsorption, sorbitol malabsorption, incorrect bacterial colonisation of the small intestine, unspecific malabsorption, determination of the oro-caecal transit time or assessment of the integrity of the small intestinal mucosa: independent performance, assessment and preparation of a report.

Regular participation in certification courses in the field of enteral nutrition at the expert association for dieticians (VDD)

  • Performance of the certificate course enteral nutrition of the professional association, VDD e.V.

  • Theoretical and practical instruction of dietary students to independently carry out dietary consultations as well as subsequent reflection and preparation of consultation contents

  • Hospitation offer for dieticians, students and doctors

  • Instruction of trainees and interns in theoretical and practical aspects of enteral nutrition therapy

  • Teaching activity in the Nursing Education Centre, teaching institution for dieticians

  • Lecturing activities national/international (patient seminars, VHS, professional association, congresses, self-help groups)

  • Scientific work: Articles in medical journals, book author

  • Helios-wide implementation of a screening tool on malnutrition in 2007
  • Participation in a study on the effect of nutritional status on the prognosis in tumor patients: Study with tumor patients with and without supplementation of enteral nutrition
  • Participation in the DGEM study "Prevalence of malnutrition in German hospitals" in 2005: recording the nutritional status, carrying out anthropometric measurements such as bioimpedance analyses (BIA measurement), triceps skin fold thickness and upper arm circumference
  • Study to optimize the fructose load in the H2 breath test, study with healthy volunteers
  • Evaluation of FODMAP- poor nutrition in irritable bowel patients