Home enteral nutrition in patients with Acquired Immunodeficiency Syndrome
| Autor: | M. Gebel, Manfred J. Müller, A. Schlesinger, Michael P. Manns, Helmuth Deicher, U. Süttmann, Oliver Selberg |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
medicine.medical_specialty
Resuscitation Nutrition and Dietetics biology business.industry Swallowing Disorders Serum albumin Critical Care and Intensive Care Medicine medicine.disease Enteral administration Gastroenterology Surgery Parenteral nutrition Internal medicine PEG ratio medicine biology.protein business Body mass index Immunodeficiency |
| Zdroj: | Clinical nutrition (Edinburgh, Scotland). 12(5) |
| ISSN: | 0261-5614 |
| Popis: | 14 patients in advanced stages of HIV infection (1 ARC, 13 AIDS; sex: 1 female, 13 male; age 37.8 ± 6.3 years; body mass index (BMI): 17.4 ± 2.4 kg/m2) were followed prospectively while receiving home enteral nutrition (observation period: 62 ± 75 days). Artificial nutrition was indicated because of severe weight loss (9–38 kg within 6–48 months, n = 7) or cerebral toxoplasmosis with eating and swallowing disorders (n = 7). In all patients a defined formula diet (175 ± 17.7 kJ/kg body weight) was administered through an endoscopically placed gastrostomy tube (PEG). Home enteral nutrition was well tolerated by all patients and no significant PEG-related complications occurred. Enteral nutrition resulted in significant increases in body weight (p < 0.005), body cell mass (BCM, p < 0.05), total body fat (TBF, p < 0.005), serum albumin concentration (p < 0.05), and serum total iron-binding capacity (transferrin, p < 0.01). Conclusion: Home enteral nutrition via PEG is safe and well tolerated in patients with advanced HIV-related immunodeficiency and is capable of improving nutritional state including BCM. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|