A randomized prospective trial of immediate vs. next-day feeding after percutaneous endoscopic gastrostomy in intensive care patients

Stein, Jürgen M.; Schulte-Bockholt, A.; Sabin, Marion; Keymling, Michael

doi:10.1007/s00134-002-1473-5

Cited by 48 publications

(29 citation statements)

References 16 publications

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“…In adults, early (3-6 hours) feeding is as safe as nextday feeding, is well tolerated, and decreases length of hospital stay (83)(84)(85)(86). Early refeeding starting after 6 hours and resumption of full feeding within 24 hours is also safe in children (87).…”

Section: Percutaneous Endoscopic Gastrostomy Placement: Preoperative mentioning

confidence: 94%

Practical Approach to Paediatric Enteral Nutrition: A Comment by the ESPGHAN Committee on Nutrition

Braegger

Décsi

Dias

et al. 2010

J. pediatr. gastroenterol. nutr.

249

254

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Enteral nutrition support (ENS) involves both the delivery of nutrients via feeding tubes and the provision of specialised oral nutritional supplements. ENS is indicated in a patient with at least a partially functioning digestive tract when oral intake is inadequate or intake of normal food is inappropriate to meet the patients' needs. The aim of this comment by the Committee on Nutrition of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition is to provide a clinical practice guide to ENS, based on the available evidence and the clinical expertise of the authors. Statements and recommendations are presented, and future research needs highlighted, with a particular emphasis placed on a practical approach to ENS.Among the wide array of enteral formulations, standard polymeric feeds based on cow's-milk protein with fibre and age adapted for energy and nutrient content are suitable for most paediatric patients. Whenever possible, intragastric is preferred to postpyloric delivery of nutrients, and intermittent feeding is preferred to continuous feeding because it is more physiological. An anticipated duration of enteral nutrition (EN) exceeding 4 to 6 weeks is an indication for gastrostomy or enterostomy. Among the various gastrostomy techniques available, percutaneous endoscopic gastrostomy is currently the first option. In general, both patients and caregivers express satisfaction with this procedure, although it is associated with a number of well-recognised complications. We strongly recommend the development and application of procedural protocols that include scrupulous attention to hygiene, as well as regular monitoring by a multidisciplinary nutrition support team to minimise the risk of EN-associated complications.

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Section: Percutaneous Endoscopic Gastrostomy Placement: Preoperative mentioning

confidence: 94%

Practical Approach to Paediatric Enteral Nutrition: A Comment by the ESPGHAN Committee on Nutrition

Braegger

Décsi

Dias

et al. 2010

J. pediatr. gastroenterol. nutr.

249

254

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“…The recommendation to delay feeding initiation until 12-24 h after PEG or transabdominal gastrostomy placement was based on a presumption that the GI system would return to normal function during this period of time, allowing a better seal of the enteral opening [46,67] . More recently, however, several prospective randomized studies have clearly demonstrated that, at least in the case of PEG placement, much earlier initiation of feeding after as little as 1-3 h is equally safe [68][69][70][71] . This was confirmed in a meta-analysis by Bechtold et al [72] .…”

Section: Initiation Of Feedingmentioning

confidence: 97%

Gastroenteric tube feeding: Techniques, problems and solutions

Blumenstein

Shastri

Stein

2014

WJG

337

288

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Gastroenteric tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, and patients who are critically ill. However, despite the benefits and widespread use of enteral tube feeding, some patients experience complications. This review aims to discuss and compare current knowledge regarding the clinical application of enteral tube feeding, together with associated complications and special aspects. We conducted an extensive literature search on PubMed, Embase and Medline using index terms relating to enteral access, enteral feeding/nutrition, tube feeding, percutaneous endoscopic gastrostomy/jejunostomy, endoscopic nasoenteric tube, nasogastric tube, and refeeding syndrome. The literature showed common routes of enteral access to include nasoenteral tube, gastrostomy and jejunostomy, while complications fall into four major categories: mechanical, e.g., tube blockage or removal; gastrointestinal, e.g., diarrhea; infectious e.g., aspiration pneumonia, tube site infection; and metabolic, e.g., refeeding syndrome, hyperglycemia. Although the type and frequency of complications arising from tube feeding vary considerably according to the chosen access route, gastrointestinal complications are without doubt the most common. Complications associated with enteral tube feeding can be reduced by careful observance of guidelines, including those related to food composition, administration rate, portion size, food temperature and patient supervision.

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“…In general, enteral feeding begins 12-24 hours postprocedure [4], given the clinical concern for leakage of gastric contents into the peritoneal cavity or aspiration after PEG placement. However, recent data support the safety of early gastric feeding without the need of intravenous fluids or caloric support [4,9,[11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Outpatient percutaneous endoscopic gastrostomy in selected head and neck cancer patients

et al. 2009

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A randomized prospective trial of immediate vs. next-day feeding after percutaneous endoscopic gastrostomy in intensive care patients

Abstract: In acutely ill intensive and intermediate care patients immediate enteral feeding via a percutaneous endoscopic gastrostomy tube is as safe as next-day feeding.

Cited by 48 publications

References 16 publications

Practical Approach to Paediatric Enteral Nutrition: A Comment by the ESPGHAN Committee on Nutrition

Practical Approach to Paediatric Enteral Nutrition: A Comment by the ESPGHAN Committee on Nutrition

Gastroenteric tube feeding: Techniques, problems and solutions

Outpatient percutaneous endoscopic gastrostomy in selected head and neck cancer patients

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