Metabolic Abnormalities in Patients Supported with Enteral Tube Feeding

Abstract

One hundred patients supported with enteral tube feeding were evaluated for biochemical abnormalities. The following metabolic complications were observed: hyperglycemia (29%), hypoglycermia (2%) hypernatremia (10%), hyponatremia (31%), hyperkalemia (40%) hypokalemia (8%), hyperphosphatemia (14%) hypophosphatemia (30%) hypomagnesemia (3%), hypozincemia (11%), and hypocupremia (3%). Because of the extensive range of biochemical problems, it is recommended that subjects on tube feeding be evaluated periodically for metabolic abnormalities.

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References

Heymsfield SB , Bethel RA , Ansley JD , et al: Enteral alimentation: an alternative to central venous hyperalimentation. Ann Intern Med 90:63-71, 1979

Kaminski MV : Enteral hyperalimentation. Surg Gynecol Obstet 143:12-16, 1976

Newmark SR : The role of nutritional support in the treatment of gastrointestinal disease . Surg Clin North Am 59:762-779, 1979

Primrose JM , Carr K. , Sim AJW , et al: Hyperkalemia in patients on enteral feeding. JPEN 4:423, 1980 (Abstr)

Beisel WR , Pekarek RS : Acute stres and trace element metabolism. Int Rev Neurobiol (Suppl) 1:53-83, 1972