Equal aspiration rates in gastrically and transpylorically fed critically ill patients

Abstract

There was no difference in aspiration rates between gastrically and transpylorically fed critically ill patients.

Gut access in critically ill and injured patients: Where have we gone thus far?

“…For any enteral access, the goals are ease of tube placement; cost-efficiency; timely fulfillment of calorie requirements; and minimal procedure-related complications. In terms of fulfilling calorie requirements sooner, some studies [13][14][15][16][17][18] favor the NJ tube, while others [19,20] favor the NG tube. But overall, the associated complications of aspiration, pneumonia, "of aspiration pneumonia" and death do not appear to significantly differ [13][14][15][16][17][18][19][20][21][22][23][24].…”

“…Numerous studies have compared nasogastric (NG) and nasojejunal (NJ) feeding tubes [13][14][15][16][17][18][19][20][21][22][23][24][25]. But, again, drawing firm conclusions is quite difficult because of small sample sizes, inconsistent and heterogeneous patient populations, and the lack of a scientific basis for associated complications (such as gastroesophageal reflux and pneumonia).…”

The Evolving Role of Post–Ligament of Trietz Nasojejunal Feeding in Enteral Nutrition and the Need for Improved Feeding Tube Design and Placement Methods

“…10 Notwithstanding our disappointing clinical experiences with the technique of nasoduodenal enteral feeding, including in critically ill ICU patients, 10 there has subsequently been considerable interest in the technique of postpyloric enteral feeding in the ICU patient, particularly in respect of reducing the incidence of aspiration pneumonia. [13][14][15][16][17][18][19][20][21][22] In attempting to assess and compare the results of the 10 controlled studies, [13][14][15][16][17][18][19][20][21][22] one is forced to conclude that the term postpyloric almost certainly refers to nasoduodenal tube placement and that some authors may have been somewhat optimistic in thinking that they had achieved intrajejunal tube placement. Overall, the results of the studies have been conflicting, and no clear consensus on the efficacy of postpyloric feeding in reducing the incidence of aspiration pneumonia has been documented.…”

“…8,9,23,24 One possible reason for this is that there is a need to aspirate gastric contents during postpyloric feeding. It is unlikely that this was performed in the above studies, [13][14][15][16][17][18][19][20][21][22] as the available feeding tubes did not incorporate a gastric aspiration port.…”

Homemade diet versus diet industrialized for patients using alternative feeding tube at home- an integrative review

“…Enteral nutrition therapy (ENT) is indicated for patients with functioning gastrointestinal tract whose oral feeding is not possible or does not provide the proper amount of calories and nutrients necessary for their homeostasis (1)(2)(3)(4).…”