title: [Tube feeding at home in anorexia nervosa patients].
abstract: BACKGROUND
  In the aim to explore the efficacy of tube feeding (TF) in ambulatory anorexia nervosa (AN) patients, we prospectively treated 60 AN patients by tube feeding (TF) at home, using a nasogastric tube.
  
  
  METHODS
  Nutritional (clinical, biological) and psychological (Hamilton and Beck scores) markers were assessed before and after 2 months of NEAD.
  
  
  RESULTS
  While the patient's body weight was decreasing during the previous 2 months, it significantly increased (P<0.001) during the 2-month TF, both in the restrictive and the binge/purging form: +3,42 +/- 2,39 kg in the restrictive ones and +2,82 +/- 2,17 kg in the binge/purging ones. Patients were rapidly (48 h) and frequently abstinent from binge/purging during TF: 90% had no more binge/purging episodes (P<0.0001). TF did not worse the eating behavior, and did increase neither anxiety nor depressive levels (Hamilton and Beck scores). Biological nutritional markers were normal before TF and remained so (2nd month), except haptoglobin which was low before and reached normal range during TF (P<0,01).
  
  
  CONCLUSIONS
  Ambulatory TF seems to be useful in AN patients at home. This could permit to avoid hospitalization, but needs to be confirmed by a randomized trial.
authors: CHU Le Bocage, service d'Endocrinologie-Nutrition F-21000 Dijon, France. daniel.rigaud@chu-dijon.fr
authors: Daniel
authors: D
authors: Rigaud
authors: Hélène
authors: H
authors: Pennacchio
authors: Anne
authors: A
authors: Roblot
authors: Marie
authors: M
authors: Jacquet
authors: Isabelle
authors: I
authors: Tallonneau
authors: Bruno
authors: B
authors: Verges
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D015992:Body Mass Index; D002032:Bulimia / Q000523:psychology; D003131:Combined Modality Therapy; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D002149:Energy Intake; D004750:Enteral Nutrition; D005260:Female; D005500:Follow-Up Studies; D006699:Home Care Services; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011613:Psychotherapy; D016896:Treatment Outcome; D015430:Weight Gain; D055815:Young Adult