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Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy

Percutaneous endoscopic gastrostomy tube feeding is widely used for patients with swallowing dysfunction and a history of repeated aspiration pneumonitis. However, liquid nutrient feeding via percutaneous endoscopic gastrostomy is not effective enough to prevent aspiration pneumonitis and related in...

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Autores principales: Shizuku, Toshitsugu, Adachi, Kyoichi, Furuta, Kenji, Niigaki, Misa, Miyaoka, Yuko, Katoh, Setsushi, Kobayashi, Kyoko, Otani, Mitsuru, Kawashima, Kohsaku, Otani, Jun, Kinoshita, Yoshikazu
Formato: Texto
Lenguaje:English
Publicado: the Society for Free Radical Research Japan 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3082078/
https://www.ncbi.nlm.nih.gov/pubmed/21562643
http://dx.doi.org/10.3164/jcbn.10-108
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author Shizuku, Toshitsugu
Adachi, Kyoichi
Furuta, Kenji
Niigaki, Misa
Miyaoka, Yuko
Katoh, Setsushi
Kobayashi, Kyoko
Otani, Mitsuru
Kawashima, Kohsaku
Otani, Jun
Kinoshita, Yoshikazu
author_facet Shizuku, Toshitsugu
Adachi, Kyoichi
Furuta, Kenji
Niigaki, Misa
Miyaoka, Yuko
Katoh, Setsushi
Kobayashi, Kyoko
Otani, Mitsuru
Kawashima, Kohsaku
Otani, Jun
Kinoshita, Yoshikazu
author_sort Shizuku, Toshitsugu
collection PubMed
description Percutaneous endoscopic gastrostomy tube feeding is widely used for patients with swallowing dysfunction and a history of repeated aspiration pneumonitis. However, liquid nutrient feeding via percutaneous endoscopic gastrostomy is not effective enough to prevent aspiration pneumonitis and related inflammatory responses. We performed this prospective multi-centre study to clarify the efficacy of half-solidification of nutrients to prevent fever possibly caused by aspiration pneumonitis in elderly patients with percutaneous endoscopic gastrostomy. The study subjects were 42 elderly patients undergoing percutaneous endoscopic gastrostomy feeding (mean age 85.8 years). All subjects were fed half-solid as well as liquid nutrients for 8 weeks respectively in a cross over design. We counted the number of days with fever caused by pneumonitis and unidentified origin. Thirty-two of 42 patients were successfully observed in both nutrient periods. Fever was frequently observed in both nutrient periods, however, the percentage of observational days with fever during half-solid nutrient feeding was significantly lower than that during liquid nutrient feeding (15.3 ± 0.3 vs 19.8 ± 0.4%, p = 0.030). The percentage of observational days when patients had diarrhea was not significantly different (10.1 ± 3.8 vs 7.2 ± 3.2%, p = 0.357). In conclusion, half-solid nutrient feeding was determined to be effective for reducing fever in patients with percutaneous endoscopic gastrostomy feeding.
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spelling pubmed-30820782011-05-11 Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy Shizuku, Toshitsugu Adachi, Kyoichi Furuta, Kenji Niigaki, Misa Miyaoka, Yuko Katoh, Setsushi Kobayashi, Kyoko Otani, Mitsuru Kawashima, Kohsaku Otani, Jun Kinoshita, Yoshikazu J Clin Biochem Nutr Original Article Percutaneous endoscopic gastrostomy tube feeding is widely used for patients with swallowing dysfunction and a history of repeated aspiration pneumonitis. However, liquid nutrient feeding via percutaneous endoscopic gastrostomy is not effective enough to prevent aspiration pneumonitis and related inflammatory responses. We performed this prospective multi-centre study to clarify the efficacy of half-solidification of nutrients to prevent fever possibly caused by aspiration pneumonitis in elderly patients with percutaneous endoscopic gastrostomy. The study subjects were 42 elderly patients undergoing percutaneous endoscopic gastrostomy feeding (mean age 85.8 years). All subjects were fed half-solid as well as liquid nutrients for 8 weeks respectively in a cross over design. We counted the number of days with fever caused by pneumonitis and unidentified origin. Thirty-two of 42 patients were successfully observed in both nutrient periods. Fever was frequently observed in both nutrient periods, however, the percentage of observational days with fever during half-solid nutrient feeding was significantly lower than that during liquid nutrient feeding (15.3 ± 0.3 vs 19.8 ± 0.4%, p = 0.030). The percentage of observational days when patients had diarrhea was not significantly different (10.1 ± 3.8 vs 7.2 ± 3.2%, p = 0.357). In conclusion, half-solid nutrient feeding was determined to be effective for reducing fever in patients with percutaneous endoscopic gastrostomy feeding. the Society for Free Radical Research Japan 2011-05 2011-04-13 /pmc/articles/PMC3082078/ /pubmed/21562643 http://dx.doi.org/10.3164/jcbn.10-108 Text en Copyright © 2011 JCBN This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Shizuku, Toshitsugu
Adachi, Kyoichi
Furuta, Kenji
Niigaki, Misa
Miyaoka, Yuko
Katoh, Setsushi
Kobayashi, Kyoko
Otani, Mitsuru
Kawashima, Kohsaku
Otani, Jun
Kinoshita, Yoshikazu
Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy
title Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy
title_full Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy
title_fullStr Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy
title_full_unstemmed Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy
title_short Efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy
title_sort efficacy of half-solid nutrient for the elderly patients with percutaneous endoscopic gastrostomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3082078/
https://www.ncbi.nlm.nih.gov/pubmed/21562643
http://dx.doi.org/10.3164/jcbn.10-108
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