[Half-solid enteral nutrient prevents chronic complications of percutaneous endoscopic gastrostomy tube feeding].
An 85-year-old woman was receiving enteral feeding via percutaneous endoscopic gastrostomy (PEG). The patient exhibited symptoms of gastro-esophageal reflux, leakage of nutrient from the PEG insertion point, vomiting, pyrexia, dyspnea when given nutrients and recurrent pneumonia. We therefore gave a half-solid nutrient, which was made by a mixture of agar powder and conventional liquid nutrient Immediately after starting the half-solid nutrient feeding via PEG, the patients no longer exhibited the above symptoms apart from mild pyrexia, which also vanished two weeks later. This case suggested that simply changing the fluidity of nutrients can contribute to a reduction of complications expected to occur in patients on PEG tube feeding.
Section of Internal Medicine, Fukiage Clinic for Gastroenterology.
Jiro
J
Kanie
Chizuko
C
Kaganu
Takayuki
T
Yamamoto
Hiroyuki
H
Akatsu
Yusuke
Y
Suzuki
Masafumi
M
Kuzuya
Akihisa
A
Igucgi
D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications / Q000628:therapy*; D005773:Gastroscopy; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans