Review: early feeding and delayed feeding after PEG placement do not differ for complications or death within 72 hours.

摘要

PEG feeding tubes are increasingly used for long-term enteral feeding in patients who cannot maintain adequate nutrition with oral intake. Disabling neurological conditions are the most common indication for PEG; patients having extensive head and neck surgery and those in intensive care units (ICUs) often require PEG placement as well. PEG is an easy and safe technique, and insertion can be done as an outpatient procedure lasting about 20 minutes. PEGs are better tolerated and easier to care for than nasogastric tubes.1 Patients have improved nutritional status, a lower incidence of complications, and reduced risk of aspiration pneumonia.2 As well, PEGs are cost-effective when long survival is expected.3 Evidence from underpowerecUjut positive RCTs included in the review by Bechtoid ef al shows that early feeding after PEG placement may improve patient outcomes. Nurses sometimes fear infection or complications from raised gastric residual volume because it increases risk of aspiration pneumonia. Because of this, it is common to delay feedings until 8-12 hours after placement.