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- Title
The Improvement of Nutritional Support with Percutaneous Endoscopic Gastrostomy.
- Authors
Yoon Jong Seo; Jae Myung Cha; Joung Il Lee; Kwang Ro Joo; Hyun Phil Shin; Jae Jun Park; Jung Won Jeon; Jun Uk Lim; Seung Jung Jun; Soo Young Moon; Chi Hoon Lee; Mi Ran Cho; Jung Sook Lee
- Abstract
Background/Aims: Percutaneous endoscopic gastrostomy (PEG) is the most common method of enteral nutrition for pa tients who require long term artificial nutrition. PEG has been used as a method of nutritional support; however, improvemen of nutritional support via PEG has not yet been reported. In this study, we analyzed the efficacy of nutritional support via PEG Methods: We conducted a retrospective analysis of 196 consecutive patients who underwent PEG at Kyung Hee Universit Hospital in Gang Dong from 2006 to 2012. We analyzed clinical characteristics, the method of nutritional support, and the pro portion of intake to establish recommendations for nutritional requirements and the duration needed to reach the level of ap propriate nutrition. Results: A total of 196 patients included 130 men and 66 women, and their mean age (standard deviation was 69.1±14.0 years. Compared with caloric and protein supplementation before PEG, 113 kcal (13.8% of baseline) and 4.8 g o protein (17.5% of baseline) could be additionally supplied with PEG (P=0.001, respectively). The number of patients who coul take more than 90% of the recommended requirements of caloric and protein supplementation after PEG showed increased caloric and protein intake by 25.4% and 20.2%, respectively, in comparison with those before PEG (P=0.001 and P=0.001, respectively). The mean duration of catch-up for more than 90% of the recommended caloric and protein intake was approximately 11 days. Procedure related complications and early mortality were reported in 8.1% and 0% of patients, respectively Conclusions: PEG is an effective and safe nutritional support method for patients who require long term artificial nutrition.
- Subjects
PERCUTANEOUS endoscopic gastrostomy; ARTIFICIAL feeding; PATIENT nutrition; ENTERAL feeding; NUTRITIONAL requirements
- Publication
Intestinal Research, 2013, Vol 11, Issue 2, p120
- ISSN
1598-9100
- Publication type
Article
- DOI
10.5217/ir.2013.11.2.120