Prospective randomized evaluation of two regimens for converting from continuous to intermittent feedings in patients with feeding gastrostomies.
Forty enterally fed male patients were randomized to one of two regimens designed to determine the better means of converting them from continuous to intermittent enteral feedings. All patients received a nutritionally complete iso-osmolal 1 kcal/cc formula containing 6 g of nitrogen/L beginning on the second postgastrostomy day. Half of the patients (20) were randomized to a discontinuous regimen abruptly changing from continuous to gradually increasing intermittent feedings until reaching their nutritional goals. Intravenous fluids were given to maintain normal fluid balance. The other 20 patients were randomized to an overlapping regimen, receiving continuous feedings at a decreasing rate while intermittent feedings were progressively increased. Intravenous fluids were used during the first three stages only. There were no significant differences (p less than 0.05) in major diagnosis, type of gastrostomy, age, weight, height, admission or discharge serum albumin concentration, calculated basal energy expenditure (BEE), or nutrient goals (1.5 X BEE, 1.5 g of protein/kg per day).(ABSTRACT TRUNCATED AT 250 WORDS)
Powers
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Veterans Administration Medical Center, Memphis, Tennessee 38104.
Cowan
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Deckard
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Stark
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D003967:Diarrhea / Q000209:etiology; D004750:Enteral Nutrition / Q000379:methods*; D005526:Food, Formulated; D005774:Gastrostomy; D006801:Humans; D008297:Male; D011446:Prospective Studies; D014839:Vomiting / Q000209:etiology