Yahya ATAYAN, Ayşegül ERTINMAZ ÖZKAN, Gökhan AKSAKAL, Ali Ramazan BENLİ, NURHAYAT ÖZKAN SEVENCAN, MEHMET ALİ ERDOĞAN

Comparison of alternative nutrition practices in intensive care patients in terms of mortality and malnutrition

It is important to ensure proper nutrition to prevent malnutrition, mortality and the development of metabolic disorders in followed up patients in the intensive care unit. In case the patients gastrointestinal tract starts functioning, enteral feeding should be started in the early period. Patients should be given parenteral support when the gastrointestinal tract does not work. In this study, we compared the mortality, malnutrition and metabolic parameters of patients who received nutritional support via nasogastric catheter, percutaneous endoscopic gastrostomy and total parenteral nutrition. We retrospectively analyzed 117 patients’ data with no oral intake in the intensive care unit. Patients were divided into 3 groups according to nutritional practices. Group 1included 62 patients with PEG, group 2 included 28 patients with NG and group 3 had 27 patients with TPN support. In the comparison of mortality between groups, there was a significant decrease in PEG fed patients (p

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Beaver ME, Myers JN, Griffenberg L. et al. Percutaneous fluoroscopic gastrostomy tube placement in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg. 1998;124:1141-4.

Gauderer M. Twentyyears of percutaneous endoscopic gastrostomy: origin and evolution of a concept and its expanded applications. Gastrointest Endosc. 1999;50:879-83.

Schrag SP, Sharma R, Jaik NP, et al. Complications related to percutaneous endoskopic gastrostomy (PEG) tubes. A comprehensive clinical review. J Gastrointestin Liver Dis. 2007;16:407-18.

Martínez Olmos MA, Martínez Vázquez MJ, Martínez-PugaLópez E, et al. Nutritional status study of inpatients in hospitals of Galicia. Eur J Clin Nutr. 2005 59:938-46.

Kudsk KA, Croce MA, Fabian TC, et al. Enteral versus parenteral feeding: Effects on septic morbidity after blunt and penetrating abdominal trauma. Ann Surg. 1992;215:503-11.

McClave SA, Lukan JK, Slefater JA. Poorvalidity of residual volumes as a marker for risk of aspiration in critically ill patients. Crit Care Med. 2005;33:324-30.

Norton B, HomerWard M, Donelly MT, et al. A randomized comparison of percutaneous gastrostomy and nasogastric feding after acute dysphagic stroke. BMJ. 1996;312:13-6.

Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980;15:872-5.

Ponsky JL, Gauderer MW. Percutaneous endoscopic gastrostomy: a non-operative technique for feding gastrostomy, Gastrointest Endosc.1981;27:9-11.

Hiki N, Maetani I, Suzuki Y, et al. Reduced risk of periostomal infection of direct percutaneous endoscopic gastrostomy in cancer patients: comparison with the pull percutaneous endoscopic gastrostomy procedure. J Am Coll Surg. 2008;4:737-44.

Nicholson FB, Korman MG, Richardson MA. Percutaneous endoscopic gastrostomy: A review of indications, complications and outcome. J Gastroenterol Hepatol. 2000;15:21-5.

Chaer RA, RekkasD, Trevino J, et al. Intrahepatic placement of a PEG tube. Gastrointest Endosc. 2003;57:763-5.

Gauderer MW. Percutaneous endoscopic gastrostomy: a 10-year experience with 220 children. J Pediatr Surg. 1991;26:288-94.

Mc Carter TL, Condon SC, Aguilar RC, et al. Randomized prospective trial of early versus delayed feding after percutaneous gastrostomy placement. Am J Gastroenterol. 1999;94:1107-8.

Stockeld D, Faberberg J, Granstrom L. et al.Percutaneous endoscopic gastrostomy for nutrition in patients with oesophageal cancer. Eur J Surg. 2001;167:839-44.

Şit M, Kahramansoy N, Tekelioğlu ÜY, Perkütan Endoskopik Gastrostomi Uygulamalarındaki Deneyimlerimiz. J Academic Res Med. 2013:3.

Erdil A, Saka M, Ateş Y. ve ark. Enteral nutrition via percutaneous endoscopic gastrostomy and nutritional status of patients: five-year prospective study. Gastroenterol Hepatol. 2005;20:1002–7.

Hamidon BB, Abdullah SA, Zawawi MF. et al. A prospective comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with acute dysphagic stroke. Med J Malaysia. 2006;61:59–66. doi