Document Detail


Enteral feeding in patients with major burn injury: the use of nasojejunal feeding after the failure of nasogastric feeding.
MedLine Citation:
PMID:  12052379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with major burn injury have increased protein and energy requirements and early feeding is an established part of their management. The optimal method of feeding is unknown. Nasogastric feeding is often unsuccessful and total parenteral nutrition has a number of potential disadvantages. Post pyloric feeding is an alternative means of providing enteral nutrition. We report our experience of enteral feeding of patients with significant burn injury. Nasogastric feeding was successful in only 7 of 17 patients (41%). The commonest reason that nasogastric feeding failed was gastric stasis. All patients who failed nasogastric feeding were commenced on nasojejunal feeding and a further two patients were fed by this route initially. Ten of these 12 patients (83%) were successfully fed nasojejunally. No major adverse events attributable to nasojejunal feeding were identified, a nasojejunal tube was successfully placed in all but 1 patient and the tubes were well tolerated. We conclude that nasojejunal tube feeding should be considered in all patients with significant burn injury who cannot tolerate nasogastric tube feeding.
Authors:
E J Sefton; J R Boulton-Jones; D Anderton; K Teahon; D T Knights
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  28     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-07     Completed Date:  2002-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  England    
Other Details:
Languages:  eng     Pagination:  386-90     Citation Subset:  IM    
Affiliation:
Institution, Burns Unit, Nottingham City Hospital, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Burns / therapy*
Child
Enteral Nutrition / methods*
Female
Humans
Intubation, Gastrointestinal
Jejunum
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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