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Possibility of oral feeding after induction of percutaneous endoscopic gastrostomy.
J Gastroenterol Hepatol. 2010 Jul; 25(7):1227-31.JG

Abstract

BACKGROUND AND AIM

Although percutaneous endoscopic gastrostomy (PEG) has become established as a useful enteral nutrition technique, the associated risks must always be kept in mind. Recently, we experienced several patients who could orally ingest after PEG. To avoid unnecessary PEG, we investigated patients who could orally ingest after PEG, and analyzed predictive factors of postoperative oral feeding.

METHODS

We retrospectively analyzed data of 302 patients who underwent PEG at our hospital. After all patients were divided according to postoperative oral feeding status, we assessed factors of patients' backgrounds. In patients who could orally ingest after PEG, we investigated the course of oral feeding status. We attempted to identify predictive factors for postoperative oral feeding using logistic regression analysis.

RESULTS

Mean age was high in both groups, and overall condition was markedly poor. Forty-four patients (15%) were able to ingest orally after PEG. Enteral nutrition could be avoided during our observation period in 15 cases, because sufficient oral intake was achieved. Conversely, oral feeding was reduced or discontinued in 14 cases. Multivariate analysis identified the following independent predictive factors for postoperative oral feeding: (i) absence of dysphagia or aphagia; (ii) younger age; (iii) favorable performance status; (iv) presence of post-traumatic encephalopathy; and (v) preoperative swallowing training.

CONCLUSIONS

A total of 15% of PEG cases were able to ingest orally after PEG. In patients showing positive predictive factors, indications for PEG should be carefully considered.

Authors+Show Affiliations

Department of Gastroenterology, Asahikawa Rehabilitation Hospital, Asahikawa, Japan. s44yokohama11@reha.or.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20594248

Citation

Yokohama, Shiro, et al. "Possibility of Oral Feeding After Induction of Percutaneous Endoscopic Gastrostomy." Journal of Gastroenterology and Hepatology, vol. 25, no. 7, 2010, pp. 1227-31.
Yokohama S, Aoshima M, Koyama S, et al. Possibility of oral feeding after induction of percutaneous endoscopic gastrostomy. J Gastroenterol Hepatol. 2010;25(7):1227-31.
Yokohama, S., Aoshima, M., Koyama, S., Hayashi, K., Shindo, J., & Maruyama, J. (2010). Possibility of oral feeding after induction of percutaneous endoscopic gastrostomy. Journal of Gastroenterology and Hepatology, 25(7), 1227-31. https://doi.org/10.1111/j.1440-1746.2009.06190.x
Yokohama S, et al. Possibility of Oral Feeding After Induction of Percutaneous Endoscopic Gastrostomy. J Gastroenterol Hepatol. 2010;25(7):1227-31. PubMed PMID: 20594248.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Possibility of oral feeding after induction of percutaneous endoscopic gastrostomy. AU - Yokohama,Shiro, AU - Aoshima,Masaru, AU - Koyama,Satoshi, AU - Hayashi,Keisuke, AU - Shindo,Junya, AU - Maruyama,Junichi, PY - 2010/7/3/entrez PY - 2010/7/3/pubmed PY - 2010/10/19/medline SP - 1227 EP - 31 JF - Journal of gastroenterology and hepatology JO - J Gastroenterol Hepatol VL - 25 IS - 7 N2 - BACKGROUND AND AIM: Although percutaneous endoscopic gastrostomy (PEG) has become established as a useful enteral nutrition technique, the associated risks must always be kept in mind. Recently, we experienced several patients who could orally ingest after PEG. To avoid unnecessary PEG, we investigated patients who could orally ingest after PEG, and analyzed predictive factors of postoperative oral feeding. METHODS: We retrospectively analyzed data of 302 patients who underwent PEG at our hospital. After all patients were divided according to postoperative oral feeding status, we assessed factors of patients' backgrounds. In patients who could orally ingest after PEG, we investigated the course of oral feeding status. We attempted to identify predictive factors for postoperative oral feeding using logistic regression analysis. RESULTS: Mean age was high in both groups, and overall condition was markedly poor. Forty-four patients (15%) were able to ingest orally after PEG. Enteral nutrition could be avoided during our observation period in 15 cases, because sufficient oral intake was achieved. Conversely, oral feeding was reduced or discontinued in 14 cases. Multivariate analysis identified the following independent predictive factors for postoperative oral feeding: (i) absence of dysphagia or aphagia; (ii) younger age; (iii) favorable performance status; (iv) presence of post-traumatic encephalopathy; and (v) preoperative swallowing training. CONCLUSIONS: A total of 15% of PEG cases were able to ingest orally after PEG. In patients showing positive predictive factors, indications for PEG should be carefully considered. SN - 1440-1746 UR - https://www.unboundmedicine.com/medline/citation/20594248/Possibility_of_oral_feeding_after_induction_of_percutaneous_endoscopic_gastrostomy_ L2 - https://doi.org/10.1111/j.1440-1746.2009.06190.x DB - PRIME DP - Unbound Medicine ER -