Semi-solid feeds may reduce the risk of aspiration pneumonia and shorten postoperative length of stay after percutaneous endoscopic gastrostomy (PEG)
Background and study aims: Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia may result in prolonged hospitalization and postoperative mortality. This study evaluated the efficacy of...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2016-11-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-117218 |
| _version_ | 1818962247207092224 |
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| author | Ezekiel Wong Toh Yoon Kaori Yoneda Kazuki Nishihara |
| author_facet | Ezekiel Wong Toh Yoon Kaori Yoneda Kazuki Nishihara |
| author_sort | Ezekiel Wong Toh Yoon |
| collection | DOAJ |
| description | Background and study aims: Feeding-related adverse events after
percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia may
result in prolonged hospitalization and postoperative mortality. This study
evaluated the efficacy of using semi-solid feeds to reduce feeding-related
adverse events and improve clinical outcomes.
Patients and methods: Patients who received PEG for enteral nutrition at
our hospital between January 2014 and December 2015 were allocated to a
postoperative feeding protocol that used either liquid feed or semi-solid feed.
Baseline characteristics, postoperative feeding-related adverse events and
clinical outcomes in the 2 groups were prospectively analysed and compared.
Results: One hundred and seventeen PEG patients (age range: 59 – 97 years,
male: 53) were enrolled with 72 patients given liquid feed and 45 patients
receiving semi-solid feed. Baseline characteristics were similar in both groups.
The semi-solid feed group experienced fewer incidence of feeding-related
aspiration pneumonia (2.2 % vs. 22.2 %, P < 0.005) and shorter
postoperative hospital length of stay (12.7 days vs. 18.8 days,
P < 0.01). Significant differences were not observed in the frequency
of peristomal infection (11.1 % vs. 12.5 %, P = 0.82), feeding-related
diarrhea (2.2 % vs. 12.5 %, P = 0.09) and 30-day mortality rates (2.2 %
vs. 8.3 %, P = 0.25).
Conclusions: Semi-solid feeding may reduce the risk of aspiration
pneumonia and shorten postoperative hospital length of stay after PEG.
Semi-solid feeds are safe to use and can be employed either as a first line
feeding protocol or an alternative when liquid feeding is
unsuccessful. |
| first_indexed | 2024-12-20T12:26:17Z |
| format | Article |
| id | doaj.art-cac17e77376746b58b818c24320c4afe |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-20T12:26:17Z |
| publishDate | 2016-11-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-cac17e77376746b58b818c24320c4afe2022-12-21T19:40:52ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362016-11-010412E1247E125110.1055/s-0042-117218Semi-solid feeds may reduce the risk of aspiration pneumonia and shorten postoperative length of stay after percutaneous endoscopic gastrostomy (PEG)Ezekiel Wong Toh Yoon0Kaori Yoneda1Kazuki Nishihara2Department of Internal Medicine (Gastroenterology), Hiroshima Kyoritsu Hospital, Hiroshima City, JapanEndoscopy Center, Hiroshima Kyoritsu Hospital, Hiroshima City, JapanDepartment of Internal Medicine (Gastroenterology), Hiroshima Kyoritsu Hospital, Hiroshima City, JapanBackground and study aims: Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia may result in prolonged hospitalization and postoperative mortality. This study evaluated the efficacy of using semi-solid feeds to reduce feeding-related adverse events and improve clinical outcomes. Patients and methods: Patients who received PEG for enteral nutrition at our hospital between January 2014 and December 2015 were allocated to a postoperative feeding protocol that used either liquid feed or semi-solid feed. Baseline characteristics, postoperative feeding-related adverse events and clinical outcomes in the 2 groups were prospectively analysed and compared. Results: One hundred and seventeen PEG patients (age range: 59 – 97 years, male: 53) were enrolled with 72 patients given liquid feed and 45 patients receiving semi-solid feed. Baseline characteristics were similar in both groups. The semi-solid feed group experienced fewer incidence of feeding-related aspiration pneumonia (2.2 % vs. 22.2 %, P < 0.005) and shorter postoperative hospital length of stay (12.7 days vs. 18.8 days, P < 0.01). Significant differences were not observed in the frequency of peristomal infection (11.1 % vs. 12.5 %, P = 0.82), feeding-related diarrhea (2.2 % vs. 12.5 %, P = 0.09) and 30-day mortality rates (2.2 % vs. 8.3 %, P = 0.25). Conclusions: Semi-solid feeding may reduce the risk of aspiration pneumonia and shorten postoperative hospital length of stay after PEG. Semi-solid feeds are safe to use and can be employed either as a first line feeding protocol or an alternative when liquid feeding is unsuccessful.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-117218 |
| spellingShingle | Ezekiel Wong Toh Yoon Kaori Yoneda Kazuki Nishihara Semi-solid feeds may reduce the risk of aspiration pneumonia and shorten postoperative length of stay after percutaneous endoscopic gastrostomy (PEG) Endoscopy International Open |
| title | Semi-solid
feeds may reduce the risk of aspiration pneumonia and shorten postoperative
length of stay after percutaneous endoscopic gastrostomy
(PEG) |
| title_full | Semi-solid
feeds may reduce the risk of aspiration pneumonia and shorten postoperative
length of stay after percutaneous endoscopic gastrostomy
(PEG) |
| title_fullStr | Semi-solid
feeds may reduce the risk of aspiration pneumonia and shorten postoperative
length of stay after percutaneous endoscopic gastrostomy
(PEG) |
| title_full_unstemmed | Semi-solid
feeds may reduce the risk of aspiration pneumonia and shorten postoperative
length of stay after percutaneous endoscopic gastrostomy
(PEG) |
| title_short | Semi-solid
feeds may reduce the risk of aspiration pneumonia and shorten postoperative
length of stay after percutaneous endoscopic gastrostomy
(PEG) |
| title_sort | semi solid feeds may reduce the risk of aspiration pneumonia and shorten postoperative length of stay after percutaneous endoscopic gastrostomy peg |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-117218 |
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