Aspiration pneumonia following surgically placed feeding tubes

Kenneth A. Fox, Richard A. Mularski, Mark R. Sarfati, Maureen E. Brooks, James A Warneke, Glenn C. Hunter, William - Adamas-Rappaport

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Background: The enteral route is preferred in surgical patients requiring nutritional support; however, controversy surrounds the choice of location of feeding tube placement. Although jejunostomy has been commonly accepted as superior to gastrostomy for long-term nutritional support because of an assumed lower risk of aspiration pneumonia, recent studies suggest that reevaluation of common practices of surgical tube placement is warranted. Patients and methods: We conducted a retrospective chart review of gastrostomy and jejunostomy procedures from 1986 to 1993. Demographic information and complications related to the procedure were reviewed. Aspiration pneumonia was defined as respiratory symptoms, leukocytosis, and infiltrate on chest radiograph. Results: Sixty-nine gastrostomies and 86 jejunostomies were performed during the study period. Six patients were diagnosed with aspiration pneumonia; 2 cases of which occurred with jejunostomy and 4 cases occurred with gastrostomy (P = not significant). Conclusions: There was no difference in rates of pulmonary aspiration or other complications between gastrostomy and jejunostomy. We suggest that when a surgically placed feeding tube is required, the determination of appropriate procedure be based on clinical factors such as the technical difficulty of the operation or long-term feeding goals.

Original languageEnglish (US)
Pages (from-to)564-567
Number of pages4
JournalAmerican Journal of Surgery
Volume170
Issue number6
DOIs
StatePublished - 1995

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Jejunostomy
Aspiration Pneumonia
Gastrostomy
Enteral Nutrition
Nutritional Support
Leukocytosis
Small Intestine
Thorax
Demography
Lung

ASJC Scopus subject areas

  • Surgery

Cite this

Aspiration pneumonia following surgically placed feeding tubes. / Fox, Kenneth A.; Mularski, Richard A.; Sarfati, Mark R.; Brooks, Maureen E.; Warneke, James A; Hunter, Glenn C.; Adamas-Rappaport, William -.

In: American Journal of Surgery, Vol. 170, No. 6, 1995, p. 564-567.

Research output: Contribution to journalArticle

Fox, Kenneth A. ; Mularski, Richard A. ; Sarfati, Mark R. ; Brooks, Maureen E. ; Warneke, James A ; Hunter, Glenn C. ; Adamas-Rappaport, William -. / Aspiration pneumonia following surgically placed feeding tubes. In: American Journal of Surgery. 1995 ; Vol. 170, No. 6. pp. 564-567.
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