What is the risk of nocturnal supine enteral nutrition?
Clin Nutr
; 24(6): 1014-8, 2005 Dec.
Article
em En
| MEDLINE
| ID: mdl-16165255
ABSTRACT
UNLABELLED One complication of enteral nutrition (EN) is gastro-esophageal reflux disease. Semi-recumbent position is advised because posture influence reflux in critically ill patients. No data is available in stable patients. AIM:
To study influence of position on reflux during nocturnal nutrition by percutaneous endoscopic gastrostomy in stable patients.METHODS:
Prospective cross-over study. Reflux was measured by 48 h-pH-metry, in supine and semi-recumbent position. The end point was % time spent under pH 4. For analysis, 2 subgroups were identified (refluxers and non-refluxers). A total of 16 patients (65 year+/-13) were included, most had neurological diseases.RESULTS:
There was no increase of reflux probability in any position in all patients (% time spent under pH 4 supine vs. semi-recumbent 4.4+/-7.7 vs. 3.5+/-7.0 NS). In non-refluxers, supine position did not increase % time under pH 4 (0.1+/-0.12 vs. 0.3+/-0.6, NS), and did not modify other parameters (number of reflux 0 +/-0.9 vs. 7 +/-19 NS, duration of the longest reflux (min) 1.1+/-1.7 vs. 1+/-1.7 NS). In refluxers, supine position did not worsen pre-existent reflux (% time under pH 4 11.7+/-8.7 vs. 8.9+/-9.7 NS, number of reflux 119+/-88 vs. 91+/-89 NS, duration of the longest reflux (min) 19+/-19 vs. 24+/-21 NS).CONCLUSION:
Our data suggest that position does not influence reflux in stable patients with EN.
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Base de dados:
MEDLINE
Assunto principal:
Refluxo Gastroesofágico
/
Decúbito Dorsal
/
Nutrição Enteral
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article