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DPEJ tube placement prevents aspiration pneumonia in high-risk patients.
Nutr Clin Pract. 2008 Apr-May; 23(2):172-5.NC

Abstract

Percutaneous endoscopic gastrostomy (PEG) or PEG tube with transgastric jejunostomy tube (PEG-J) feeding has not been shown to decrease aspiration pneumonia. The aim of this study was to determine if direct percutaneous endoscopic jejunostomy (DPEJ) tube placement results in a decreased incidence of aspiration pneumonia in high-risk patients. The design was a retrospective review of all patients receiving DPEJ tube for aspiration pneumonia from 1999 to 2005. Demographics, incidence of aspiration pneumonia, and outcomes were collected and compared before and after the DPEJ placement. Eleven patients (4 women, 7 men) were identified; their mean age was 44.9 years (range, 18-94 years). The etiologies for recurrent aspiration pneumonia were neurologic disease (9), esophageal surgery (1), and severe debilitation (1). The mean follow-up was 20.9 months (range, 6-48 months). The patients' mean weight increased from 43.8 kg (range, 19-55 kg) to 48.3 kg (range, 30-65 kg) after placement (P < .001). The total number of documented aspiration pneumonia episodes for all patients decreased from 29 (mean, 3.64; range, 1-6) before DPEJ placement to 3 (mean, 0.27; range, 0-2) after DPEJ placement (P < .001). The mean number of aspiration pneumonia events per month prior to the DPEJ placement was 3.39 and postplacement was 0.42 (P < .001). DPEJ placement appears to decrease recurrent aspiration pneumonia in patients with history of aspiration pneumonia.

Authors+Show Affiliations

Division of Gastroenterology and Hepatology, University of Utah, 4R118 School of Medicine, Salt Lake City, UT 84132, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18390785

Citation

Panagiotakis, Panagiotis H., et al. "DPEJ Tube Placement Prevents Aspiration Pneumonia in High-risk Patients." Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, vol. 23, no. 2, 2008, pp. 172-5.
Panagiotakis PH, DiSario JA, Hilden K, et al. DPEJ tube placement prevents aspiration pneumonia in high-risk patients. Nutr Clin Pract. 2008;23(2):172-5.
Panagiotakis, P. H., DiSario, J. A., Hilden, K., Ogara, M., & Fang, J. C. (2008). DPEJ tube placement prevents aspiration pneumonia in high-risk patients. Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition, 23(2), 172-5. https://doi.org/10.1177/0884533608314537
Panagiotakis PH, et al. DPEJ Tube Placement Prevents Aspiration Pneumonia in High-risk Patients. Nutr Clin Pract. 2008 Apr-May;23(2):172-5. PubMed PMID: 18390785.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - DPEJ tube placement prevents aspiration pneumonia in high-risk patients. AU - Panagiotakis,Panagiotis H, AU - DiSario,James A, AU - Hilden,Kristen, AU - Ogara,Maydeen, AU - Fang,John C, PY - 2008/4/9/pubmed PY - 2008/8/12/medline PY - 2008/4/9/entrez SP - 172 EP - 5 JF - Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition JO - Nutr Clin Pract VL - 23 IS - 2 N2 - Percutaneous endoscopic gastrostomy (PEG) or PEG tube with transgastric jejunostomy tube (PEG-J) feeding has not been shown to decrease aspiration pneumonia. The aim of this study was to determine if direct percutaneous endoscopic jejunostomy (DPEJ) tube placement results in a decreased incidence of aspiration pneumonia in high-risk patients. The design was a retrospective review of all patients receiving DPEJ tube for aspiration pneumonia from 1999 to 2005. Demographics, incidence of aspiration pneumonia, and outcomes were collected and compared before and after the DPEJ placement. Eleven patients (4 women, 7 men) were identified; their mean age was 44.9 years (range, 18-94 years). The etiologies for recurrent aspiration pneumonia were neurologic disease (9), esophageal surgery (1), and severe debilitation (1). The mean follow-up was 20.9 months (range, 6-48 months). The patients' mean weight increased from 43.8 kg (range, 19-55 kg) to 48.3 kg (range, 30-65 kg) after placement (P < .001). The total number of documented aspiration pneumonia episodes for all patients decreased from 29 (mean, 3.64; range, 1-6) before DPEJ placement to 3 (mean, 0.27; range, 0-2) after DPEJ placement (P < .001). The mean number of aspiration pneumonia events per month prior to the DPEJ placement was 3.39 and postplacement was 0.42 (P < .001). DPEJ placement appears to decrease recurrent aspiration pneumonia in patients with history of aspiration pneumonia. SN - 0884-5336 UR - https://www.unboundmedicine.com/medline/citation/18390785/DPEJ_tube_placement_prevents_aspiration_pneumonia_in_high_risk_patients_ L2 - https://doi.org/10.1177/0884533608314537 DB - PRIME DP - Unbound Medicine ER -