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Effects of percutaneous endoscopic gastrostomy tube placement on gastric antral motility and gastric emptying.
J Gastroenterol. 2003; 38(10):930-6.JG

Abstract

BACKGROUND

Percutaneous endoscopic gastrostomy (PEG) is the preferred method for providing enteral nutritional support in patients with dysphagia. We examined gastric antral myoelectrical activity and gastric emptying before and after PEG tube placement to evaluate the effects of PEG on gastric motility.

METHODS

PEG was performed in 41 patients; 21 fed by total parenteral nutrition (TPN) and 20 who received nasogastric tube feeding (NGF). Antral myoelectrical activity and gastric emptying were examined before and 4 weeks after PEG tube placement.

RESULTS

The percentage of normal-range electrogastrograms (EGGs) was significantly lower in the TPN group than in the NGF group in both the pre- and postprandial periods before PEG tube placement. Enteral feeding after PEG tube placement improved gastric motility in the patients with TPN. The percentage of normal-range EGGs increased significantly after PEG tube placement in both the pre- and postprandial periods, and plasma concentrations of paracetamol increased significantly after PEG tube placement in patients with TPN. A total of 7.3% of the patients developed the complication of gastroesophageal reflux (GER) after PEG tube placement. Gastric myoelectrical activity and gastric emptying were improved in these patients with GER after PEG tube placement. In contrast, the prevalence of esophageal hiatus hernia was significantly higher in patients with GER after PEG tube placement than in patients without GER after PEG tube placement.

CONCLUSIONS

Prolonged TPN with bowel rest induces physiological dysfunction of gastric motility. Enteral nutrition is the preferable physiological nutritional route. GER after PEG tube placement is not related to gastric motility. Esophageal hiatus hernia seems to be a major risk factor for GER complications after PEG tube placement. Percutaneous endoscopic gastrostomy (PEG) is the preferred method for providing enteral nutritional support in patients with dysphagia. We examined gastric antral myoelectrical activity and gastric emptying before and after PEG tube placement to evaluate the effects of PEG on gastric motility.

Authors+Show Affiliations

Division of Internal Medicine, Ohtaki Hospital, Fukui, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

14614599

Citation

Ono, Hiromi, et al. "Effects of Percutaneous Endoscopic Gastrostomy Tube Placement On Gastric Antral Motility and Gastric Emptying." Journal of Gastroenterology, vol. 38, no. 10, 2003, pp. 930-6.
Ono H, Azuma T, Miyaji H, et al. Effects of percutaneous endoscopic gastrostomy tube placement on gastric antral motility and gastric emptying. J Gastroenterol. 2003;38(10):930-6.
Ono, H., Azuma, T., Miyaji, H., Ito, S., Ohtaki, H., Ohtani, M., Dojo, M., Yamazaki, Y., & Kuriyama, M. (2003). Effects of percutaneous endoscopic gastrostomy tube placement on gastric antral motility and gastric emptying. Journal of Gastroenterology, 38(10), 930-6.
Ono H, et al. Effects of Percutaneous Endoscopic Gastrostomy Tube Placement On Gastric Antral Motility and Gastric Emptying. J Gastroenterol. 2003;38(10):930-6. PubMed PMID: 14614599.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of percutaneous endoscopic gastrostomy tube placement on gastric antral motility and gastric emptying. AU - Ono,Hiromi, AU - Azuma,Takeshi, AU - Miyaji,Hideki, AU - Ito,Shigeji, AU - Ohtaki,Hideho, AU - Ohtani,Masahiro, AU - Dojo,Manabu, AU - Yamazaki,Yukinao, AU - Kuriyama,Masaru, PY - 2002/11/28/received PY - 2003/04/04/accepted PY - 2003/11/14/pubmed PY - 2004/4/24/medline PY - 2003/11/14/entrez SP - 930 EP - 6 JF - Journal of gastroenterology JO - J Gastroenterol VL - 38 IS - 10 N2 - BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is the preferred method for providing enteral nutritional support in patients with dysphagia. We examined gastric antral myoelectrical activity and gastric emptying before and after PEG tube placement to evaluate the effects of PEG on gastric motility. METHODS: PEG was performed in 41 patients; 21 fed by total parenteral nutrition (TPN) and 20 who received nasogastric tube feeding (NGF). Antral myoelectrical activity and gastric emptying were examined before and 4 weeks after PEG tube placement. RESULTS: The percentage of normal-range electrogastrograms (EGGs) was significantly lower in the TPN group than in the NGF group in both the pre- and postprandial periods before PEG tube placement. Enteral feeding after PEG tube placement improved gastric motility in the patients with TPN. The percentage of normal-range EGGs increased significantly after PEG tube placement in both the pre- and postprandial periods, and plasma concentrations of paracetamol increased significantly after PEG tube placement in patients with TPN. A total of 7.3% of the patients developed the complication of gastroesophageal reflux (GER) after PEG tube placement. Gastric myoelectrical activity and gastric emptying were improved in these patients with GER after PEG tube placement. In contrast, the prevalence of esophageal hiatus hernia was significantly higher in patients with GER after PEG tube placement than in patients without GER after PEG tube placement. CONCLUSIONS: Prolonged TPN with bowel rest induces physiological dysfunction of gastric motility. Enteral nutrition is the preferable physiological nutritional route. GER after PEG tube placement is not related to gastric motility. Esophageal hiatus hernia seems to be a major risk factor for GER complications after PEG tube placement. Percutaneous endoscopic gastrostomy (PEG) is the preferred method for providing enteral nutritional support in patients with dysphagia. We examined gastric antral myoelectrical activity and gastric emptying before and after PEG tube placement to evaluate the effects of PEG on gastric motility. SN - 0944-1174 UR - https://www.unboundmedicine.com/medline/citation/14614599/Effects_of_percutaneous_endoscopic_gastrostomy_tube_placement_on_gastric_antral_motility_and_gastric_emptying_ L2 - https://dx.doi.org/10.1007/s00535-003-1174-z DB - PRIME DP - Unbound Medicine ER -