Assessment of the percutaneous endoscopic gastrostomy feeding tube as part of an integrated approach to enteral feeding.

作者: C Wicks , A Gimson , P Vlavianos , M Lombard , M Panos

DOI: 10.1136/GUT.33.5.613

关键词:

摘要: The insertion of percutaneous endoscopic gastrostomy has been well documented. possible benefits for patient nutrition and nursing practice have, however, not assessed. We report a study enteral feeding by in 30 patients, the majority with persistent vegetative state. All patients had previously fed through nasogastric tube using manual administration dietitian assessed protein calorie intake. Based upon body mass index (weight/height2), midarm circumference triceps skinfold thickness, 20 (67%) were malnourished, 10 having less than 17 (severe malnutrition); attributed to high rates both displacement feed regurgitation. Patients observed over six 12 months after combined overnight continuous pump feeding. attained greater 17, (56%) total number achieved normal range no change protein-calorie intake (pre: 2110 kcal, post: 1880 kcal). Complications group included peritonitis (one), site infection (two) (two); all without serious sequelae. As part an integrated approach proved safe efficient method justifies wider consideration United Kingdom.

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