Half-solid Enteral Nutrient Prevents Chronic Complications of Percutaneous Endoscopic Gastrostomy Tube Feeding.

Prevention of Gastroesophageal Reflux Using an Application of Half‐Solid Nutrients in Patients with Percutaneous Endoscopic Gastrostomy Feeding

“…Of the complications, vomiting can be a cause of fatal aspiration due to a reflux of the administered nutrients 3 . The tubing used for PEG feeding has made it possible to apply half‐solidified nutrients, which we hypothesized would cause less reflux from the stomach 4 . As expected, less evidence of GER was observed when using half‐solid nutrients than when using liquid nutrients.…”

Inhibition of Gastroesophageal Reflux by Semi‐solid Nutrients in Patients With Percutaneous Endoscopic Gastrostomy

“…Recently in Japan, semi-solid nutrients instead of liquid nutrients were reported to be effective in preventing aspiration pneumonia in several cases after PEG. 11,12 The inhibitory effects of semi-solid nutrients for GER were also demonstrated by computed tomography by the administration of liquid and semi-solid nutrients containing contrast material. 28 Detection of GER is usually estimated by 24-hour pH monitoring of the esophagus.…”

“…9,10 Semi-solid nutrients with higher viscosity than liquid nutrients have recently been reported to be effective in reducing gastroesophageal reflux in post-PEG patients with repeated aspiration episodes after PEG. 11,12 However, the mechanisms of the inhibition of GER by semi-solid nutrients have not yet been studied. In the present study, we report the different distribution in the stomach of semi-solid nutrients from liquid nutrients after infusion through PEG.…”