Abstract

Objective: The effects of semi-solid enteral formula were investigated in tube feeding patients with aspiration pneumonia and/or diarrhea caused by liquid enteral formula. Methods: In 25 cases of aspiration pneumonia and 10 cases of diarrhea (5 cases had both aspiration pneumonia and diarrhea) caused by liquid enteral formula, the rate of improvement by changing the liquid enteral formula to semi-solid enteral formula was studied. The semi-solid enteral formula (PG Soft® EJ) was infused via the nasogastric tube (16Fr) or percutaneous endoscopic gastrostomy (PEG) tube (20Fr). Results: The semi-solid enteral formula was effective in 72% of aspiration pneumonia cases and in 80% of diarrhea cases. Constipation was observed in one case but was controlled with magnesium oxide. Conclusion: In cases of aspiration pneumonia and/or diarrhea, changing liquid enteral formula to semi-solid enteral formula frequently shows improvement.

Highlights

  • Gastroenteric tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, and patients who are critically ill [1]

  • The effects of semi-solid enteral formula were investigated in tube feeding patients with aspiration pneumonia and/or diarrhea caused by liquid enteral formula

  • We investigated the effects of changing liquid enteral formula to semi-solid enteral formula in patients with aspiration pneumonia and/or diarrhea in whom liquid enteral formula had been infused via the nasogastric tube or percutaneous endoscopic gastrostomy (PEG) tube

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Summary

Introduction

Gastroenteric tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, and patients who are critically ill [1]. Tube feeding is a risk indicator of aspiration pneumonia [2] and diarrhea is a common and problematic complication of enteral nutrition [3]. Semi-solid enteral formula has been demonstrated to reduce the incidence of aspiration pneumonia but is difficult to administer via the nasogastric tube [8]. We investigated the effects of changing liquid enteral formula to semi-solid enteral formula in patients with aspiration pneumonia and/or diarrhea in whom liquid enteral formula had been infused via the nasogastric tube or PEG tube

Materials and Methods
Results
Discussion

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