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Abstract

A review of 253 patients treated with enteral nutrition support via tube feedings is presented for the purpose of evaluating the incidence of complications. Thirty patients, (11.7%) experienced either gastrointestinal, (6.2%) mechanical (3.5%), or metabolic (2.0%) complications. The recognition and treatment of such complications are discussed and it is concluded that tube feedings are safely tolerated by most patients; however, constant attention must be exerted to either avoid or recognize such complications. (Journal of Parenteral and Enteral Nutrition 7:546-552, 1983)

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References

Stephens RV , Randall HT : Use of a concentrated balanced liquid elemental diet for nutritional management of catabolic states. Ann Surg 170:642-668, 1969

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

Shils ME : Enteral nutrition by tube. Cancer Res 37:2432-2439, 1977

Bethel RA , Jansen RD , Heymsfield SB , et al: Nasogastric hyperalimentation through a polyethylene catheter: an alternative to central venous hyperalimentation. Am J Clin Nutr 32:1112-1120, 1979

Chernoff R. : Nutritional support: formulas and delivery of enteral feeding. J Am Diet Assoc 79:426-429, 1981

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

Woolfson AM , Ricketts CR , Hardy SM , et al: Prolonged nasogastric tube feeding in critically ill surgical patients. Postgrad Med J 52:678-682, 1976

Vanlandingham S. , Simpson S. , Daniel P. , et al: Metabolic abnormalities in patients supported with enteral tube feeding. JPEN 5:322-324, 1981

Rombeau JL , Barot LR : Enteral nutritional therapy. Surg Clin North Am 61:605-620, 1981

10.

Seltzer MH , Slocum BA , Cataldi-Betcher EL , et al: Nutrition support: team approach. Am J Intravenous Therapy Clin Nutr 8:13-46, 1981

11.

Wilmore DW , McDougall WS , Peterson JP : Newer products and formulas for alimentation. Am J Clin Nutr 30:1498-1505, 1977

12.

Tredger J. , Bazin C. , Dickerson JW : Nasogastric tube feeding: a survey to investigate current practices and attitudes of dietitians. J Human Nutr 35:118-122, 1981

13.

Sheeney T. , Anderson P. : Dissaccharide activity in normal and diseased small bowel. Lancet 2:1-4, 1965

14.

Gormican A. , Liddy E. : Nasogastric tube feedings: practical considerations in prescription and evaluation . Postgrad Med 53:71-76, 1973

15.

Dobbie RP , Butterick OD : Continuous pump/tube enteric hyperalimentation: use in esophageal disease . JPEN 1:100-104, 1977

16.

Heibert JM , Brown A. , Anderson RG , et al: Comparison of continuous vs. intermittent tube feedings in adult burn patients. JPEN 5:73-75, 1981

17.

Casewell MN , Cooper JE , Webster M. : Enteral feeds contaminated with enterobacter cloacae as a cause of septicaemia. Br Med J 282:973, 1981

18.

Gill KJ : Contaminated enteral feeds. Br J Med 282:1971, 1981

19.

White WT , Acuff TE , Sykes TR , et al: Bacterial contamination of enteral nutrient solution: a preliminary report. JPEN 3:459-461, 1979

20.

Frank HA , Green LC : Successful use of a bulk laxative to control the diarrhea of tube feeding . Scand J Plast Reconstr Surg 13:193-194, 1979

21.

Steffee WP , Krey SH : Enteral hyperalimentation for patients with head and neck cancer. Otolaryngol Clin North Am 13:437-448, 1980

22.

Bury KD : Elemental diets. IN Total Parenteral Nutrition. Fischer JE (ed). Little, Brown and Co , Boston, 1976, pp 395-411

23.

Spiro HM : Reflux esophagitis and stenosis. IN Clinical Gastroenterology, 2nd ed. Macmillan Publishing Co, New York, 1977, pp 108-121

24.

Hayhust E. , Wyman M. : Morbidity associated with prolonged use of polyvinyl feeding tube . Am J Dis Child 129:72-74, 1975

25.

James RH : An unusual complication of passing a narrow bore nasogastric tube . Anesthesia 33:716-718, 1978

26.

Roth JLA : Reflux esophagitis and esophageal ulcer. IN Gastroenterology, 3rd ed, Bockus HL (ed). WB Saunders Co, Philadelphia , 1974, pp 247-288

27.

Sundaram R. , Megna D. , Sibley J. : Long-term tube feeding in the aged. NY State J Med 79:1226, 1979

28.

Mitty WF , Nealson TF , Grossi C. : Use of elemental diets in surgical cases. Am J Gastroenterol 65:297-304, 1976

29.

Copeland EM , Dudrick SJ : Nutritional aspects of cancer . Curr Probl Cancer 1:1-51, 1976

30.

Newmark SR , Simpson MS , Beskitt MP , et al: Home tube feeding for long-term nutritional support. JPEN 5:76-79, 1981

31.

Goodman LR , Wittenberg J. , Messer R. : Duodenal obstruction: an unusual complication of a gastrostomy feeding catheter . Br J Radiol 44:883-884, 1971

32.

Engel S. : Gastrostomy. Surg Clin North Am 49:1289-1295, 1969

33.

Torosian MH , Rombeau JL : Feeding by tube enterostomy. Surg Gynecol Obstet 150:918-927, 1980

34.

Connar RG , Sealy WC : Gastrostomy and its complications. Ann Surg 143:245-250, 1956

35.

Smith GK , Farris JM : Re-evaluation of temporary gastrostomy as a substitute for nasogastric suction . Am J Surg 102:168-175, 1961

36.

Parrish RA , Cohen J. : Temporary tube gastrostomy. Am Surg 38:168-171, 1972

37.

Meguid MM , Williams LF : The use of gastrostomy to correct malnutrition. Surg Gynecol Obstet 149:27-32, 1979

38.

Pecora DV : Aspiration pneumonia following gavage feeding. Chest 76:6, 1979

39.

Liffman KE , Randall HT : A modified technique for creating a jejunostomy. Surg Gynecol Obstet 134:663-664, 1972

40.

Boles T. , Zollinger RM : Critical evaluation of jejunostomy. Arch Surg 65:358-366, 1952

41.

Delany HM , Carnevalle NJ , Garvey JW : Jejunostomy by a needle catheter technique. Surgery 73:786-790, 1973

42.

Vaughan ED : Hazards associated with narrow bore nasogastric tube feeding. Br J Oral Surg 19:151-154, 1981

43.

Kassner E. , Baumstack A. , Balsam D. , et al: Passage of feeding catheters into the pleural space: a radiographic sign of trauma to the pharynx and esophagus in the newborn. Am J Roentgenol 128:19-22, 1977

44.

Crocker KS , Krey SH , Steffee WP : Performance evaluation of a new nasogastric feeding tube. JPEN 5:80-82, 1981

45.

Jones BJ , Payne S. , Silk DB : Indications for pump-assisted enteral feeding. Lancet 1:1057-1058, 1980

46.

Chernoff R. : Enteral feedings. Am J Hosp Pharm 37:65-74, 1980

47.

Boedeker EC , Dauber JH (eds). Manual of Medical Therapeutics, 21st ed. Little, Brown and Co, Boston, 1974

48.

Winterbauer RH , Durning RB , Barron E. , et al: Aspirated nasogastric feeding solution detected by glucose strips. Ann Intern Med 95:67-68, 1981

49.

Dudrick SJ , Long JM : Applications and hazards of intravenous feedings. Ann Rev Med 28:517-528, 1977

50.

Sheldon GF , Baker C. : Complications of nutritional support. Crit Care Med 8:35-37, 1980

51.

Feldtman RW , Andrassy RJ : Meeting exceptional nutritional needs: elemental enteral alimentation. Postgrad Med 64:65-74, 1978

52.

Primrose JN , Carr KW , Sim AJ , et al: Hyperkalemia in patients on enteral feeding. JPEN 5:130-131, 1981

53.

Kaminski MV : A review of hyperosmolar hyperglycemic nonketotic dehydration (HHND): etiology, pathophysiology and prevention during intravenous hyperalimentation. JPEN 2:690-698, 1978

54.

Kubo W. , Grant M. , Walike B. , et al: Fluid and electrolyte problems of tube-fed patients. Am J Nurs 76:912-916, 1976

55.

Telfer N. , Persoff M. : The effect of tube feeding on the hydration of elderly patients. J Gerontol 20:536, 1966

56.

Walike JW : Tube feeding syndrome in head and neck surgery. Arch Otolaryngol 89:533-536, 1969

57.

Kindley AD , Harris F. : Heart rate change during gavage feeding of neonates. Early Hum Dev 4:387-392, 1980

58.

Heymsfield SB , Bethel RA , Ansley JD , et al: Cardiac abnormalities in cachectic patients before and during nutritional repletion. Am Heart J 95:584-594, 1978

59.

O'Neill JA , Caldwell MD , Meng HC : Essential fatty acid deficiency in surgical patients. Ann Surg 185:535-542, 1977

60.

Hirono H. , Suzuki H. , Igarashi Y. , et al: Essential fatty acid deficiency induced by total parenteral nutrition and by medium chain triglyceride feeding. Am J Clin Nutr 30:1670-1676, 1977

61.

Larkin JM , Moylan JA : Complete enteral support of thermally injured patients. Am J Surg 131:722-724, 1976

62.

Freund HR , Yoshimura N. , Fischer JE : Chronic hepatic encephalopathy: long-term therapy with a branched chain amino acid enriched elemental diet. JAMA 242:347-349, 1979

63.

Fischer JE , Rosen HM , Ebeid AM , et al: The effect of normalization of plasma amino acids on hepatic encephalopathy in man. Surgery 80:77-91, 1976

64.

Smith J. , Horowitz J. , Henderson JM , et al: Enteral hyperalimentation in undernourished patients with cirrhosis and ascites. Am J Clin Nutr 35:56-72, 1982

65.

Freed BA , Hsia B. , Smith JP , et al: Enteral nutrition: frequency of formula modification. JPEN 5:40-45, 1981

Complications Occurring during Enteral Nutrition Support: A Prospective Study

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