2009
DOI: 10.1016/j.clnu.2009.05.006
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Half-solidification of nutrient does not decrease gastro-esophageal reflux events in patients fed via percutaneous endoscopic gastrostomy

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Cited by 21 publications
(16 citation statements)
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“…In PEG patients, the efficacy of semi-solid feed in decreasing or inhibiting GER is not conclusive, with conflicting results being reported 17 18 19. That may be due to differences in the dynamic viscosity of semi-solid feed used in various studies.…”
Section: Discussionmentioning
confidence: 99%
“…In PEG patients, the efficacy of semi-solid feed in decreasing or inhibiting GER is not conclusive, with conflicting results being reported 17 18 19. That may be due to differences in the dynamic viscosity of semi-solid feed used in various studies.…”
Section: Discussionmentioning
confidence: 99%
“…Recently, we demonstrated that half-solidification of nutrients could not decrease the number of GER events and half-solidification tends to increase acidic GER in patients with PEG feeding using the esophageal MII-pH monitoring method. (10) However, the results of this prospective multi-centre study showed that the usage of half-solid nutrients significantly decreases the percentage of days with fever in elderly patients with PEG feeding. Since fever in patients with PEG feeding is mainly caused by aspiration of refluxed gastric contents, the result of this study seems not to fit with the results of our previous MII-pH monitoring study, which could not demonstrate the reduction of GER events during half-solid nutrient feeding.…”
Section: Discussionmentioning
confidence: 82%
“…(10) However, the volume of GER of gastric contents, which the MII-pH monitoring system couldn’t measure, is considered to affect the occurrence of aspiration pneumonitis. We, therefore, performed this prospective multi-centre study to test the efficacy of half-solidification of nutrients for preventing aspiration pneumonitis in elderly patients with tube feeding via PEG.…”
Section: Introductionmentioning
confidence: 99%
“…Indeed, we have previously demonstrated that the number of acid reflux events after half-solid nutrient feeding tended to be higher than that after liquid nutrient feeding. (21) In contrast to the delivery of half-solid nutrient with high viscosity, pectin solution can be easily infused into the stomach via the PEG tube and increase the viscosity of intragastric liquid nutrient. It is also considered to reduce the width of the acid pocket, since the solution can also easily mix with the gastric acidic liquid contents.…”
Section: Discussionmentioning
confidence: 99%