Jiro Kanie1, Yusuke Suzuki, Hiroyasu Akatsu, Masafumi Kuzuya, Akihisa Iguchi. 1. Department of Geriatrics, Medicine in Growth and Aging, Program in Health and Community Medicine, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, 466-8550 Nagoya, Aichi, Japan. yus@med.nagoya-u.ac.jp
Abstract
BACKGROUND: Percutaneous endoscopic gastrostomy feeding is accompanied by unique complications, which are not easily controlled. OBJECTIVE: In an attempt to decrease complications, we used half-solid nutrients for percutaneous endoscopic gastrostomy feeding in an 85-year-old woman. The patient had been receiving enteral nutrients via percutaneous endoscopic gastrostomy, and we examined whether this approach can reduce complications. She presented with regurgitation of enteral nutrients and recurrent respiratory infections. METHODS: Half-solid enteral nutrients, prepared by mixing liquid enteral nutrients with agar powder, were administered via percutaneous endoscopic gastrostomy. RESULTS: Symptoms of gastroesophageal reflux disappeared immediately after the start of half-solid enteral nutrient feeding. CONCLUSION: Gastroesophageal reflux and leakage, two intractable late complications of percutaneous endoscopic gastrostomy tube feeding, can be alleviated by the solidification of enteral nutrients. Since this method allows quick administration of nutrients, it is also expected to help prevent the occurrence of decubitus ulcers and reduce the burden to the caregiver. Copyright 2004 S. Karger AG, Basel.
BACKGROUND: Percutaneous endoscopic gastrostomy feeding is accompanied by unique complications, which are not easily controlled. OBJECTIVE: In an attempt to decrease complications, we used half-solid nutrients for percutaneous endoscopic gastrostomy feeding in an 85-year-old woman. The patient had been receiving enteral nutrients via percutaneous endoscopic gastrostomy, and we examined whether this approach can reduce complications. She presented with regurgitation of enteral nutrients and recurrent respiratory infections. METHODS: Half-solid enteral nutrients, prepared by mixing liquid enteral nutrients with agar powder, were administered via percutaneous endoscopic gastrostomy. RESULTS: Symptoms of gastroesophageal reflux disappeared immediately after the start of half-solid enteral nutrient feeding. CONCLUSION:Gastroesophageal reflux and leakage, two intractable late complications of percutaneous endoscopic gastrostomy tube feeding, can be alleviated by the solidification of enteral nutrients. Since this method allows quick administration of nutrients, it is also expected to help prevent the occurrence of decubitus ulcers and reduce the burden to the caregiver. Copyright 2004 S. Karger AG, Basel.