Gastric Emptying of Elemental Liquid Diets Versus Semisolid Diets in Bedridden Gastrostomy-fed Patients
| Autor: | Ryosei Sakai, Masashi Kajiyama, Naoki Tanaka, Akio Morikawa, Akira Horiuchi, Michio Tamaki |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Liquid diet medicine.medical_treatment Aspiration pneumonia Pneumonia Aspiration Gastroenterology 03 medical and health sciences Bedridden Persons 0302 clinical medicine Enteral Nutrition Internal medicine Percutaneous endoscopic gastrostomy medicine Humans Aged 80 and over Gastrostomy Cross-Over Studies Gastric emptying business.industry Stomach medicine.disease Crossover study Diet medicine.anatomical_structure Gastric Emptying 030220 oncology & carcinogenesis Defecation 030211 gastroenterology & hepatology Female business |
| Zdroj: | Journal of clinical gastroenterology. 53(5) |
| ISSN: | 1539-2031 |
| Popis: | BACKGROUND Aspiration is a common problem in bedridden gastrostomy-fed patients. We compared gastric emptying of an elemental liquid diet and a commercial semisolid diet in bedridden gastrostomy-fed patients. METHODS Study 1: from January 2013 to December 2016, consecutive bedridden patients receiving percutaneous endoscopic gastrostomy (PEG) semisolid feeding hospitalized due to aspiration pneumonia were switched to elemental liquid diet feedings. The frequency of defecation, tube feed contents aspirated from the trachea, and aspiration pneumonia during hospitalization were retrospectively reviewed. Study 2 was a randomized, crossover trial comparing C sodium acetate gastric emptying of a commercial elemental liquid or a commercial semisolid diet in bedridden PEG patients and controls. RESULTS Study 1: 18 patients were enrolled. Elemental liquid diet was aspirated from the trachea in 1 (5.6%) (once in 24 observations); neither aspiration pneumonia nor diarrhea developed during elemental liquid diet feeding over 2 weeks observation. Study 2: 8 PEG patients and 8 healthy subjects were separately randomized to assess gastric emptying of the commercial elemental and semisolid diets. The elemental liquid diet was associated with a significant decrease of the 10%, 30%, or 50% emptying (excretion) time (P |
| Databáze: | OpenAIRE |
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