Nutritional response and clinical complications in patients with post-pyloric and gastric enteral tubes

Autores

  • Leandro Augusto Kuhl OPSFELDER Hospital São Francisco
  • Guilherme Welter WENDT Universidade Estadual do Oeste do Paraná
  • Danilo Rodrigues Pereira da SILVA Universidade Federal de Sergipe
  • Marina Daros MASSAROLLO Universidade Estadual do Oeste do Paraná
  • Lirane Elize Defante FERRETO Universidade Estadual do Oeste do Paraná
  • Ana Paula VIEIRA Universidade Estadual do Oeste do Paraná

Palavras-chave:

Clinical trial, Enteral nutrition, Feeding methods, Gastrointestinal intubation, Intensive care units. Nutritional

Resumo

Objective
The present study assessed the differences in nutritional markers (albumin, transferrin, total body fat, and body mass index) and clinical complications (diarrhea, vomiting, and diet interruptions) associated with enteral nutrition.
Methods
This is an open-label, randomized, two-arm parallel-group controlled clinical trial. Out of 105 patients assessed for eligibility, 35 adult patients were randomly divided into two groups and followed for 28 days. The sample comprised a heterogeneous group of severely ill individuals initially treated in the intensive care units. Neurological conditions (i.e.,strokes and brain tumours) were the most common reasons for hospitalization. Patients had one singularity: the clinicalneed for exclusive enteral nutrition therapy. One group received the diet via gastric tube and the other via a post-pyloric tube.
Results
The groups presented increases in the calories prescribed and administered, as well as reduced diet discontinuation. Although similar values were observed up to day 21, the post-pyloric group showed increased albumin levels compared to the gastric group on Day 28. Transferrin levels increased over time in both groups.
Conclusion
There were no differences in the complications recorded between groups, albeit serum albumin significantly increased in the post-pyloric group.

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Publicado

04-07-2022

Como Citar

Kuhl OPSFELDER, L. A. ., Welter WENDT, G. ., Rodrigues Pereira da SILVA, D. ., Daros MASSAROLLO, M. ., Defante FERRETO, L. E. ., & VIEIRA, A. P. . (2022). Nutritional response and clinical complications in patients with post-pyloric and gastric enteral tubes. Revista De Nutrição, 34, 1–11. Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/6140

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ARTIGOS ORIGINAIS