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Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review

Nutritional management of patients under palliative care can lead to ethical issues, especially when Enteral Nutrition (EN) is prescribed by nasogastric tube (NGT). The aim of this review is to know the current status in the management of EN by NG tube in patients under palliative care, and its effe...

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Autores principales: Sánchez-Sánchez, Eduardo, Ruano-Álvarez, María Araceli, Díaz-Jiménez, Jara, Díaz, Antonio Jesús, Ordonez, Francisco Javier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8148195/
https://www.ncbi.nlm.nih.gov/pubmed/34066386
http://dx.doi.org/10.3390/nu13051562
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author Sánchez-Sánchez, Eduardo
Ruano-Álvarez, María Araceli
Díaz-Jiménez, Jara
Díaz, Antonio Jesús
Ordonez, Francisco Javier
author_facet Sánchez-Sánchez, Eduardo
Ruano-Álvarez, María Araceli
Díaz-Jiménez, Jara
Díaz, Antonio Jesús
Ordonez, Francisco Javier
author_sort Sánchez-Sánchez, Eduardo
collection PubMed
description Nutritional management of patients under palliative care can lead to ethical issues, especially when Enteral Nutrition (EN) is prescribed by nasogastric tube (NGT). The aim of this review is to know the current status in the management of EN by NG tube in patients under palliative care, and its effect in their wellbeing and quality of life. The following databases were used: PubMed, Web of Science (WOS), Scopus, Scielo, Embase and Medline. After inclusion and exclusion criteria were applied, as well as different qualities screening, a total of three entries were used, published between 2015 and 2020. In total, 403 articles were identified initially, from which three were selected for this review. The use of NGT caused fewer diarrhea episodes and more restrictions than the group that did not use NG tubes. Furthermore, the use of tubes increased attendances to the emergency department, although there was no contrast between NGT and PEG devices. No statistical difference was found between use of tubes (NGT and PEG) or no use, with respect to the treatment of symptoms, level of comfort, and satisfaction at the end of life. Nevertheless, it improved hospital survival compared with other procedures, and differences were found in hospital stays in relation to the use of other probes or devices. Finally, there are not enough quality studies to provide evidence on improving the health status and quality of life of the use of EN through NGT in patients receiving palliative care. For this reason, decision making in this field must be carried out individually, weighing the benefits and damages that they can cause in the quality of life of the patients.
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spelling pubmed-81481952021-05-26 Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review Sánchez-Sánchez, Eduardo Ruano-Álvarez, María Araceli Díaz-Jiménez, Jara Díaz, Antonio Jesús Ordonez, Francisco Javier Nutrients Communication Nutritional management of patients under palliative care can lead to ethical issues, especially when Enteral Nutrition (EN) is prescribed by nasogastric tube (NGT). The aim of this review is to know the current status in the management of EN by NG tube in patients under palliative care, and its effect in their wellbeing and quality of life. The following databases were used: PubMed, Web of Science (WOS), Scopus, Scielo, Embase and Medline. After inclusion and exclusion criteria were applied, as well as different qualities screening, a total of three entries were used, published between 2015 and 2020. In total, 403 articles were identified initially, from which three were selected for this review. The use of NGT caused fewer diarrhea episodes and more restrictions than the group that did not use NG tubes. Furthermore, the use of tubes increased attendances to the emergency department, although there was no contrast between NGT and PEG devices. No statistical difference was found between use of tubes (NGT and PEG) or no use, with respect to the treatment of symptoms, level of comfort, and satisfaction at the end of life. Nevertheless, it improved hospital survival compared with other procedures, and differences were found in hospital stays in relation to the use of other probes or devices. Finally, there are not enough quality studies to provide evidence on improving the health status and quality of life of the use of EN through NGT in patients receiving palliative care. For this reason, decision making in this field must be carried out individually, weighing the benefits and damages that they can cause in the quality of life of the patients. MDPI 2021-05-06 /pmc/articles/PMC8148195/ /pubmed/34066386 http://dx.doi.org/10.3390/nu13051562 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Sánchez-Sánchez, Eduardo
Ruano-Álvarez, María Araceli
Díaz-Jiménez, Jara
Díaz, Antonio Jesús
Ordonez, Francisco Javier
Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review
title Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review
title_full Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review
title_fullStr Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review
title_full_unstemmed Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review
title_short Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review
title_sort enteral nutrition by nasogastric tube in adult patients under palliative care: a systematic review
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8148195/
https://www.ncbi.nlm.nih.gov/pubmed/34066386
http://dx.doi.org/10.3390/nu13051562
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