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

Kanie, Jiro; Suzuki, Yusuke; Iguchi, Akihisa; Akatsu, Hiroyasu; Yamamoto, Takayuki; Shimokata, Hiroshi

doi:10.1111/j.1532-5415.2004.52125_1.x

Cited by 40 publications

(39 citation statements)

References 4 publications

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“…The antireflux effects of solidifying enteral nutrients have been investigated in patients with PEG or healthy adult volunteers [4,7,8], but in these studies only a small number of subjects is included, and the influence of pre-existing GERD is not examined. The usefulness of fiberoptic spectrophotometer Bilitec to qualify GER has been demonstrated [9,10].…”

Section: Introductionmentioning

confidence: 99%

“…Percutaneous endoscopic gastrostomy (PEG), which was first described by Ponsky and coworkers in 1980 [3], has become the modality of choice for providing enteral access to patients who require long-term enteral nutrition. In patients with PEG, GER was documented in 58.8% of the subjects [4] by computed tomography of the esophagus following administration of liquid nutrients containing a watersoluble contrast material. In a large study including a total of 160,983 Japanese who underwent a gastric check up, the prevalence of symptoms strongly suggestive of GERD was rather high, at about 20% of this population [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of Half-Solid Nutrients on Gastroesophageal Reflux in Beagle Dogs With or Without Cardioplasty and Intrathoracic Cardiopexy

Tanishima

Fujita

Suzuki

et al. 2010

Journal of Surgical Research

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of Half-Solid Nutrients on Gastroesophageal Reflux in Beagle Dogs With or Without Cardioplasty and Intrathoracic Cardiopexy

Tanishima

Fujita

Suzuki

et al. 2010

Journal of Surgical Research

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“…These complications have been reported to be improved with semi-solid formulas compared with liquid formulas [11][12][13][14]. Most semi-solid formulas have been administrated as a bolus using a syringe by hands through the current connectors.…”

Section: Discussionmentioning

confidence: 99%

“…Aspiration pneumonia is a serious adverse event in enteral tube feeding [9,10]. Semi-solid enteral formulas prepared by the addition of pectin or agar to the liquid formula had been reported to reduce the risk of gastroesophageal reflux (GER) relative to that of the liquid formula in the patients fed via PEG tubes [11][12][13]. Semi-solid formulas are becoming widely used in Japan to reduce the risk of GER and aspiration pneumonia in such patients.…”

Section: Doi: 101159/000492674mentioning

confidence: 99%

Feasibility of International Proposed Standardized Enteral Connector for Semi-Solid Formula Feeding

Maruyama¹,

Iijima²,

Ishibashi³

et al. 2018

Ann Nutr Metab

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Background/Aims: The current study was undertaken to assess if the semi-solid formulas could be used with a new ENFit connector with similar force to current percutaneous endoscopic gastrostomy (PEG) tubes. Methods: Experiment 1: We measured the applied pressure (force) needed to compress the syringe containing 7 viscous semi-solid formulas with a 20 Fr PEG tube and low-profile tube through the ENFit connector or the current connector. Experiment 2: This experiment was conducted to evaluate the compression force through 2 connectors in 3 infusion velocity, 7 PEG tube types with 2 semi-solid formulas. Results: Experiment 1: The force needed to compress the syringe through the ENFit connector was higher in 3 semi-solid formulas with a 20 Fr low-profile tube; otherwise, there were no significant differences. Experiment 2: Each formula required a higher force in the ENFit connector in 6 settings out of 21. Conclusions: The ENFit connector will likely not show any remarkable change in the force to administer the semi-solid formula. However, a higher force was required under some conditions in the prototype ENFit connector. Further investigation of sensory test is needed to confirm the feasibility of the ENFit connector for using the semi-solid formulas.

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“…The patients with scores ^ 2 appear to be at very low risk for aspiration pneumonia, and those with scores 6 3 should be carefully followed up. It should be considered that a semi-recumbent position [10] , jejunal tube feeding via the PEG tube [11] and conversion to half-solid nutrients [12] could prevent GER and aspiration pneumonia in patients with PEG.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Aspiration Pneumonia after Percutaneous Endoscopic Gastrostomy

Kitamura¹,

Nakase²,

Iizuka³

2007

Gerontology

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Background: Percutaneous endoscopic gastrostomy (PEG) is generally used for long-term enteral nutrition. Patients who require PEG placement are often very sick, and postoperative complications, especially aspiration pneumonia, can be fatal. Objective: In this study we investigated the risk factors for aspiration pneumonia after PEG using a simple two-step swallowing provocation test (S-SPT), as reported in 1999 by Teramoto et al. Methods: The study included 29 patients (10 men, 19 women; mean age 84.6 years) who underwent S-SPT before PEG. We evaluated the presence of reflux esophagitis (RE) and esophageal hiatal hernia (EHH) with PEG. According to the S-SPT results, a normal response to the 1st step S-SPT was given a score of 0, a normal response to the 2nd step S-SPT was given a score of 1, and an abnormal response to the 2nd step S-SPT was given a score of 3. In addition to S-SPT, the presence of RE was given a score of 3, the absence of RE was given a score of 0, the presence of EHH was given a score of 2, and the absence of EHH was given a score of 0. We evaluated the association between the presence of aspiration pneumonia, as an early and critical complication, up to 1 month after PEG and determined the total risk score (score of S-SPT+ score of RE+ score of EHH). Results: The group with an abnormal response to the 2nd step S-SPT and the group with RE both exhibited aspiration pneumonia. The patients with aspiration pneumonia all achieved total scores ≧3, and 8 of 13 patients without aspiration pneumonia achieved scores ≤2. Conclusions: S-SPT is particularly useful in PEG patients. The scores provided by S-SPT and endoscopic examination can be very useful for aspiration pneumonia after PEG. The patients with scores ≤2 appear to be at very low risk for aspiration pneumonia, and patients with the scores ≧3 should be carefully followed up.

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

Cited by 40 publications

References 4 publications

Effects of Half-Solid Nutrients on Gastroesophageal Reflux in Beagle Dogs With or Without Cardioplasty and Intrathoracic Cardiopexy

Effects of Half-Solid Nutrients on Gastroesophageal Reflux in Beagle Dogs With or Without Cardioplasty and Intrathoracic Cardiopexy

Feasibility of International Proposed Standardized Enteral Connector for Semi-Solid Formula Feeding

Risk Factors for Aspiration Pneumonia after Percutaneous Endoscopic Gastrostomy

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