[Is jejunal feeding efficient in critically ill patients?].
BACKGROUND
The aim of this study is to compare the results of jejunal and gastric nutrition in the ICU.


METHODS
Caloric intake and nutritional complications were recorded for ten days period in patients receiving gastric (n = 21) and jejunal (n = 22) feeding.


RESULTS
Caloric requirements were reached on the 3rd day of nutrition in 86% of jejunal and 28% of gastric feeding patients (p 0.001). In jejunal group, delivered calorie/goal calorie ratio was found 15-20% higher than the gastric group. Serum albumin, triglyceride, cholesterol levels and nitrogen balance did not show significant differences between groups. Vomiting (p 0.01) and colouring of tracheal aspirates (p 0.05) were more frequent in gastric group, however positive tracheal culture frequency did not differ between the groups.


CONCLUSIONS
It is concluded that higher caloric intakes could be tolerated earlier in patients receiving jejunal feeding.
Tuğrul
Simru
S
I.U. Istanbul Tip Fakültesi Anesteziyoloji AD Cerrahi Monoblok, Capa 34390, Fatih, Istanbul. mtugrul@isbank.net.tr
Selçukoğlu
Ekrem
E
Ozcan
Perihan Ergin
PE
Akinci
Ozkan
O
Esen
Figen
F
Telci
Lütfi
L
Akpir
Kutay
K
Cakar
Nahit
N
D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D002784:Cholesterol / Q000097:blood; D003422:Critical Care; D016638:Critical Illness / Q000628:therapy*; D002149:Energy Intake; D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D007583:Jejunum; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration; D012709:Serum Albumin; D013270:Stomach; D014280:Triglycerides / Q000097:blood; D014839:Vomiting
D012709:Serum Albumin; D014280:Triglycerides; D002784:Cholesterol