Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: its indications and limitations

Pearce, Callum B.; Duncan, Hamish D.

doi:10.1136/pmj.78.918.198

Cited by 195 publications

(172 citation statements)

References 51 publications

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“…Reasons for enteral nutrition can range from planned surgery or an unforeseen circumstance. However, consideration of placement of a feeding tube should be a multidisciplinary decision including the physician, clinical dietitian and nursing (Stroud, Duncan, & Nightingale, 2003 benefit from enteral nutrition (Pearce & Duncan, 2002). Other indications for enteral nutrition are decreased appetite, inability to eat due to surgery (ASPEN, 2014) or malnutrition (Holmes, 2012).…”

Section: Nutritional Supportmentioning

confidence: 99%

“…Most patients require one month or less of enteral nutrition, and nasogastric tube feedings are the most common route of administration (Pearce & Duncan, 2002).…”

Section: Enteral Feeding: Modes Of Deliverymentioning

confidence: 99%

“…Contraindications for use of enteral nutrition include intestinal obstruction, ileus, high output small bowel fistula, and patients on high doses of positive inotropic agents (Pearce & Duncan, 2002). If the gastrointestinal tract is working, feeding via the enteral route is the preferred method of feeding a critically ill patient (Kreymann et al, 2006).…”

Section: Contraindicationsmentioning

confidence: 99%

“…However, these complications are seen less today due to the fine bore nasogastric tubes that are currently in use (Pearce & Duncan, 2002). Other complications that can occur with enteral tubes include mechanical issues such as inability to insert the tube, blockage of the tube, hoarseness, diarrhea or constipation, bloating, abdominal distention, nausea, cramps, and unexpected removal of the tube (Charney & Malone, 2013).…”

Section: Contraindicationsmentioning

confidence: 99%

See 3 more Smart Citations

Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?

Schaefer

2015

Preprint

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When a patient is unable to eat or eat enough nutrients due to an illness or surgery, nutrition from another source may be required. Supplemental nutrition may be given in the form of enteral nutrition. The current practice is delivering enteral feedings on a rate based protocol to deliver calculated required calories over a specific length of time.Patients who receive enteral nutrition may have feedings interrupted due to a variety of reasons such as a procedure or diagnostic exam. Interruptions reduce the total daily calories delivered. If a patient does not achieve their total daily calories, it can be detrimental to the patient's health and may increase length of stay and costs of hospitalization. The purpose of this study was to determine if patients receive their recommended total daily calories of enteral nutrition using a rate based protocol. A retrospective research design was used to obtain data from patients who received enteral feedings while in the Intensive Care Unit. Data were collected on patients who were admitted to the unit between June 1, 2014 and August 31, 2014. 41 patients who received enteral feedings were included in this study. 80% of patients had their enteral feedings interrupted; most frequent reasons included diagnostic testing, residual volumes and procedures. Interruptions of the enteral feedings lasted between one hour and 24 hours in duration with a mean of 2.9 hours. The most frequent duration of interruption was one hour. Patients received a mean of 56.4% of their daily prescribed goal calories and 56.7% of their daily prescribed volume of enteral feedings. This study suggests that patients do not receive their daily prescribed calories using a rate based protocol.Recommendations for further research and advanced nursing practice are discussed.

show abstract

Section: Nutritional Supportmentioning

confidence: 99%

“…Most patients require one month or less of enteral nutrition, and nasogastric tube feedings are the most common route of administration (Pearce & Duncan, 2002).…”

Section: Enteral Feeding: Modes Of Deliverymentioning

confidence: 99%

Section: Contraindicationsmentioning

confidence: 99%

Section: Contraindicationsmentioning

confidence: 99%

See 2 more Smart Citations

Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?

Schaefer

2015

Preprint

View full text Add to dashboard Cite

show abstract

“…The access for tube feeding may vary from nasogastric tube to a gastrostomy tube to a jejunostomy. Several of these tube placements can now be done by percutaneous techniques by endoscopists [14][15][16]. However surgeons must bear in mind the need for a possible nutritional support and must be liberal in inserting a feeding jejunostomy tube at laparotomy when major resections are undertaken.…”

Section: Principles Of Enteral Nutritionmentioning

confidence: 99%

Nutritional support in gastrointestinal surgery: an overview

Lakshman

2008

Indian J Surg

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Nutritional status is important in determining the outcome of surgical patients. This is particularly so in patients undergoing gastrointestinal (GI) surgical procedures. It is important for the GI surgeon to be always aware that he has to assess the nutritional status of his patient, provide supplementation when required and have the means to get enteral and/or parenteral access when required. He must have the knowledge to choose the right route and formula for nutritional support. This evidence-based review gives an overview of the subject with the purpose of increasing awareness about the science of surgical nutrition.

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Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances

Gomes¹,

Lustosa²,

Matos³

et al. 2009

Cochrane Database of Systematic Reviews

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show abstract

Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: its indications and limitations

Abstract: The following article is intended to provide a review of the current state of enteral feeding; a rapidly changing and developing field. It covers the type of feed, the routes of access, and the problems that can occur with enteral feeding.

Cited by 195 publications

References 51 publications

Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?

Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?

Nutritional support in gastrointestinal surgery: an overview

Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances

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