Post-PEG feeding time: A web based national survey amongst gastroenterologists

Ali, Tauseef; Le, Vu; Sharma, Tushar; Vega, Kenneth J.; Srinivasan, Nandakumar; Tierney, William M.; Rizvi, Syed A.

doi:10.1016/j.dld.2011.04.003

Cited by 12 publications

(12 citation statements)

References 18 publications

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“…Those aware of the current literature were more likely to initiate early feeding. Eight percent of the respondents initiated feedings in general ward patients within the first 3 hours, and 32.5% initiated feedings 4–6 hours post‐PEG in the same patient population 82 . Bechtold and colleagues 83 pooled the results of 6 randomized controlled trials that compared early (range, 1–4 hours) vs delayed feeding after PEG placement and found no statistically significant differences in complications or death in the first 72 hours after PEG placement.…”

Section: Section 4 Enteral Accessmentioning

confidence: 99%

See 1 more Smart Citation

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

352

531

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Enteral nutrition (EN) is a valuable clinical intervention for patients of all ages in a variety of care settings. Along with its many outcome benefits come the potential for adverse effects. These safety issues are the result of clinical complications and of process-related errors. The latter can occur at any step from patient assessment, prescribing, and order review, to product selection, labeling, and administration. To maximize the benefits of EN while minimizing adverse events requires that a systematic approach of care be in place. This includes open communication, standardization, and incorporation of best practices into the EN process. This document provides recommendations based on the available evidence and expert consensus for safe practices, across each step of the process, for all those involved in caring for patients receiving EN.

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Section: Section 4 Enteral Accessmentioning

confidence: 99%

“…No consensus exists regarding feeding initiation after placement. In 2011, a national survey of practicing gastroenterologists found variation in the timing of feeding 82 . The response rate for the questionnaire was 28% (n = 1474), and 41% of the respondents were aware of the current literature on post‐PEG feeding times.…”

Section: Section 4 Enteral Accessmentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

352

531

View full text Add to dashboard Cite

show abstract

“…We believe that the late initiation of feeding may have led to the low rate of peristomal infections experienced. Current literature implies that the early initiation of the feeding does not necessarily increase the rate of complications when compared to a late initiation, and furthermore, nutritional guidelines do not include a recommendation on this subject [23,24].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy: Technical Problems, Complications, and Management

et al. 2015

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Percutaneous endoscopic gastrostomy (PEG) is an important technique for the provision of nutrition. The present study presents data from our analysis of the PEG procedure. Patients administered with PEG at the endoscopy unit of the 19 Mayıs University General Surgery Department between 2007 and 2013 were analyzed retrospectively, and technical problems, indications, and complications related to the PEG procedure in 221 patients were evaluated. Of the patients, 60 % were male and the median age was 61 years (18-92 years). The most frequent indication was admittance to the intensive care unit, accounting for 46 % of the total, followed by neurological disease, with 41 %. The success rate of the procedure was 98 %, and the overall rate of complications was 22 %. No mortalities were reported as resulting from the procedure. The most common complication was the development of granulomas around the tube (8 %). PEG is a safe method of longterm feeding but is associated with a high rate of morbidity that can be treated easily using conservative treatment methods.

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“…Conventionally, it is initiated 24 hours after the procedure based on limited surgical gastrostomy data. In some studies, feeding was initiated after 1 hour, 24 hours or within the first 12 hours [5,6,7]. In our routine practice, the first feeding is initiated 24 hours after the procedure upon evaluation of the patient by the surgical team and inspection of the wound.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous endoscopic gastrostomy in neurology intensive care unit

İnanç¹,

Gokce²,

Tuncel³

et al. 2018

Int J Surg Med

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Purpose: To evaluate the demographical characteristics of patients who underwent percutaneous endoscopic gastrostomy procedure in the neurology intensive care clinics. Material and Methods: Patients who underwent percutaneous endoscopic gastrostomy procedure in neurology intensive care clinics between 2015-2017 were included in this study. Demographical characteristics of the cases were retrospectively evaluated. Findings: In total, 50 patients (21 women, 29 men) were evaluated as the study group. Mean duration of follow-up was 40.12±30.19 days. All patients who underwent percutaneous endoscopic gastrostomy procedure had neurological disorders. Mean age of the patient group was 73±15.8 years. Mean Glasgow coma score (GCS) as evaluated on the day of PEG decision was 9.18±3.6. Five patients developed a skin infection on the site of PEG entry and one patient experienced peristomal bleeding. Conclusion: Enteral route must be the first option to be preferred for feeding patients who receive long-term inpatient treatment for neurological disorders in intensive care units. In patients who do not tolerate oral intake, percutaneous endoscopic gastrostomy applications provide a route to give pre-prepared nutritional solutions. Long-term nutritional support can be given through this route with minimal complications.

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Post-PEG feeding time: A web based national survey amongst gastroenterologists

Cited by 12 publications

References 18 publications

ASPEN Safe Practices for Enteral Nutrition Therapy

ASPEN Safe Practices for Enteral Nutrition Therapy

Percutaneous Endoscopic Gastrostomy: Technical Problems, Complications, and Management

Percutaneous endoscopic gastrostomy in neurology intensive care unit

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