Audit of the Treatment of Malnutrition Due to Chronic Intestinal Pseudo-Obstruction With Enteral Nutrition

Autor: Michael Camilleri, Jody A. Weckwerth, James S. Scolapio, Michelle M. Romano
Rok vydání: 1999
Předmět:
Zdroj: Nutrition in Clinical Practice. 14:29-32
ISSN: 1941-2452
0884-5336
DOI: 10.1177/088453369901400106
Popis: Purpose: Chronic intestinal pseudo-obstruction (CIP) can result in significant malnutrition and weight loss. Although parenteral nutrition can be a useful adjunct in the management of CIP, it is expensive and not without complications. Aim: To determine the outcome of enteral nutrition with nonelemental isotonic formulas in patients with CIP in a tertiary referral center, over the time period 1980 to 1998. Methods: A retrospective medical record review of patients with CIP receiving enteral nutrition. Median follow-up was 3 years (range, 1 to 8 years) Results: 30 patients (20 women, 10 men; mean age at diagnosis, 49 years) with scleroderma (n = 10), amyloidosis (n = 10), and idiopathic CIP (n = 10) were studied. All had failed oral feeding and had a feeding tube placed. Jejunal tubes were placed in 19 patients and gastric tubes in 11 patients. Continuous feedings were used in 24 patients, and 6 patients received intermittent gravity feedings. Initially, the goal rate of delivery using a standard isotonic ...
Databáze: OpenAIRE