Long-term enteral feeding: A retrospective comparison of delivery via percutaneous endoscopic gastrostomy and nasoenteric tubes

D. E. Fay, M. Poplausky, M. Gruber, Michael P Lance

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Abstract

The use of percutaneous endoscopic gastrostomy (PEG) tubes for enteral feeding is widespread, although their superiority to other feeding devices, such as nasoenteric tubes (NET), has not been substantiated. We retrospectively compared clinical outcomes in patients who received enteral feeding via PEG (n = 80) or NET (n = 29) from 1984 to 1988. Mean follow-up was 192 days in the PEG group and 141 days in the NET group. Changes in nutritional and performance status were similar in both groups. Aspiration pneumonia occurred within 14 days of tube placement in 6% and 24% (p = 0.01) of the PEG and NET patients, respectively. With the exception of tube replacement, cumulative rates of minor and major complications (including aspiration pneumonia) were similar in both groups during followup. None of the clinical variables that were assessed correlated with the development of aspiration pneumonia. Mortality was similar in both groups. These results suggest that, for long-term enteral feeding, PEG offers no substantial advantages over NET with respect to patient nutrition, performance, or survival. The reasons for the observed difference in short-term aspiration pneumonia rates are unknown, and must be investigated prospectively.

Original languageEnglish (US)
Pages (from-to)1604-1609
Number of pages6
JournalAmerican Journal of Gastroenterology
Volume86
Issue number11
StatePublished - 1991
Externally publishedYes

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Gastrostomy
Enteral Nutrition
Aspiration Pneumonia
Nutritional Status
Equipment and Supplies
Survival
Mortality

ASJC Scopus subject areas

  • Gastroenterology

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Long-term enteral feeding : A retrospective comparison of delivery via percutaneous endoscopic gastrostomy and nasoenteric tubes. / Fay, D. E.; Poplausky, M.; Gruber, M.; Lance, Michael P.

In: American Journal of Gastroenterology, Vol. 86, No. 11, 1991, p. 1604-1609.

Research output: Contribution to journalArticle

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