title: Comparative evaluation of nasoenteral feeding and jejunostomy feeding in acute corrosive injury: a retrospective analysis.
abstract: BACKGROUND
  Nutritional support in corrosive injury patients is traditionally achieved through total parenteral nutrition (TPN) or jejunostomy feeding (JF). There are no reports of nasoenteral tube feeding in patients with corrosive ingestion.
  
  
  OBJECTIVE
  We report our experience with nasoenteral tube feeding (NETF) and compare the outcome of these patients with those undergoing JF.
  
  
  METHODS
  Tertiary medical center in North India.
  
  
  METHODS
  The records of 53 and 43 patients with severe acute corrosive injury who underwent NETF and JF, respectively, were reviewed. All had received a 50-kcal/kg, 2-g/kg protein homogenized liquid diet for 8 weeks. A contrast study was performed at 8 weeks, and body weight and serum albumin levels were recorded at hospitalization and at 8 weeks.
  
  
  METHODS
  Change in weight and serum albumin at 8 weeks and stricture development rate.
  
  
  RESULTS
  Strictures developed in 41 (80.39%) and 36 (83.72%) patients in the NETF and JF groups, respectively. Development of esophageal stricture (P = .71) and gastric stenosis (P = .89) was comparable in the 2 groups. No significant changes in serum albumin and weight were noted at 8 weeks in either group. The complication rate was lower in the NETF group compared with the JF group. Although all of the patients in the NETF group had a patent lumen, 5 in the JF group had total obstruction precluding endoscopic intervention.
  
  
  CONCLUSIONS
  Retrospective study design.
  
  
  CONCLUSIONS
  NETF is as effective as JF in maintaining nutrition in patients with severe corrosive injury. The stricture development rate is similar, but nasoenteral tube placement provides a lumen for dilatation should a tight stricture develop.
authors: Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. dr_kochhar@hotmail.com
authors: Rakesh
authors: R
authors: Kochhar
authors: Kuchhangi Sureshchandra
authors: KS
authors: Poornachandra
authors: Pankaj
authors: P
authors: Puri
authors: Usha
authors: U
authors: Dutta
authors: Saroj K
authors: SK
authors: Sinha
authors: Pradeepta K
authors: PK
authors: Sethy
authors: Jai D
authors: JD
authors: Wig
authors: Birinder
authors: B
authors: Nagi
authors: Kartar
authors: K
authors: Singh
mesh_terms: D000208:Acute Disease; D000328:Adult; D002057:Burns, Chemical / Q000175:diagnosis / Q000628:therapy*; D002424:Caustics / Q000633:toxicity*; D004750:Enteral Nutrition / Q000379:methods*; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D017219:Gastric Outlet Obstruction / Q000139:chemically induced / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D002424:Caustics