Glutamine-enriched

enteral nutrition decreases infectious complications in trauma patients Dear Sir: We read with special interest the article titled “Glutamine: com-mercially essential or conditionally essential? A critical appraisal of the human data ” in a recent issue of the Journal (1). In this arti-cle, Buchman attempted to analyze all the available human data on the effect of a glutamine-enriched diet on morbidity and length of hospital stay. Although his research seemed to be thorough at first glance, we were surprised to find that his conclusions were super-ficially and sometimes incorrectly drawn. In our comment, we confine ourselves first to the way glutamine is proposed to exert its effect on the mucosa and second to the way the study of Houdijk et al (2) was presented and discussed by Buchman. First, no data available in the literature provide evidence tha