Clinical application of clip-assisted endoscopic method for nasoenteric feeding in patients with gastroparesis and gastroesophageal wounds.
OBJECTIVE
To report the clinical experiences in the application of clip-assisted endoscopic method for nasoenteric feeding in patients with gastroparesis and patients with gastroesophageal wounds, and to compare the efficacy of nasoenteric feeding in these two indications.


METHODS
From April 2002 to January 2004, 21 consecutive patients with gastroparesis or gastroesophageal wounds were enrolled and received nasoenteric feeding for nutritional support. A clip-assisted method was used to place the nasoenteric tubes. Outcomes in the two groups were compared with respect to the successful rate of enteral feeding, percentage of recommended energy intake (REI), and complication rates.


RESULTS
The gastroparesis group included 13 patients with major burns (n = 7), trauma (n = 2), congestive heart failure (n = 2) and post-surgery gastric stasis syndrome (n = 2). The esophageogastric wound group included eight patients with tracheoesophageal fistula (n = 2) and wound leakage following gastric surgery (n = 6). Two study groups were similar in feeding successful rates (84.6% vs 75.0%). There were also no differences in the percentage of REI between groups (79.4% vs 78.6%). Additionally, no complications occurred in any of the study groups.


CONCLUSIONS
Nasoenteric feeding is a useful method to provide nutritional support to most of the patients with gastroparesis who cannot tolerate nasogastric tube feeding and to the cases who need bypass feeding for esophageogastric wounds.
Wu
Chung-Jen
CJ
Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan, China.
Hsu
Ping-I
PI
Lo
Gin-Ho
GH
Shie
Chang-Bih
CB
Lo
Ching-Chu
CC
Wang
E-Ming
EM
Lin
Chiun-Ku
CK
Chen
Wen-Chi
WC
Cheng
Lung-Chih
LC
Yu
Hsien-Chung
HC
Chan
Yi-Chun
YC
Lai
Kwok-Hung
KH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016145:Endoscopy, Digestive System; D004750:Enteral Nutrition / Q000295:instrumentation* / Q000379:methods*; D004947:Esophagus / Q000601:surgery; D005260:Female; D018589:Gastroparesis / Q000178:diet therapy* / Q000209:etiology; D006801:Humans; D007441:Intubation, Gastrointestinal; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000178:diet therapy*; D013270:Stomach / Q000601:surgery; D013525:Surgical Instruments