Transient and long-term feeding by means of percutaneous endoscopic gastrostomy in neurological rehabilitation.
In 28 patients of a neurological rehabilitation unit of a hospital the use of enteral nutrition via percutaneous endoscopic gastrostomy (PEG) tubes was reviewed. During a total observation period of 5,172 days no life-threatening complications occurred. Minor complications were observed in 12 patients (43%) in the first 2 weeks after the insertion and in 5 patients (18%) afterwards. The nutritional status stabilized in all subjects. Transient PEG feeding was performed in 11 patients (39%) with a mean duration of 150 days. We conclude that hesitation in the application of PEG feeding in neurological rehabilitation should be abandoned. The timing and monitoring of PEG feeding in patients undergoing neurological rehabilitation for acute remitting neurological disorders is discussed.
Department of Neurological Rehabilitation, University Clinic, Vienna, Austria.
E
E
Fertl
N
N
Steinhoff
R
R
Schöfl
R
R
Pötzi
A
A
Doppelbauer
C
C
Müller
E
E
Auff
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001927:Brain Diseases / Q000534:rehabilitation*; D001930:Brain Injuries / Q000534:rehabilitation; D002561:Cerebrovascular Disorders / Q000534:rehabilitation; D004660:Encephalitis / Q000534:rehabilitation; D004724:Endoscopy / Q000009:adverse effects; D004750:Enteral Nutrition / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D012189:Retrospective Studies