Document Detail

Feeding gastrostomy. Assistant or assassin?
MedLine Citation:
PMID:  3920939     Owner:  NLM     Status:  MEDLINE    
Following several deaths from pulmonary aspiration in severely ill or chronically debilitated patients receiving nasogastric tube feedings, a study was undertaken to determine the incidence of aspiration pneumonitis in patients with feeding gastrostomies. During a 15-month interval, 22 feeding gastrostomies and nine feeding jejunostomies were performed. In the former group, eight patients experienced aspiration pneumonitis, with two deaths. Six patients with Stamm gastrostomies and two patients with permanent mucosal-lined gastrostomies experienced pulmonary aspiration. In contrast, aspiration pneumonia did not occur in our small series of patients with feeding jejunostomies. The high incidence of pulmonary aspiration in patients with feeding gastrostomies strongly suggests that, for chronic enteral nutrition in patients who are unable to protect their airway, a feeding jejunostomy is preferable to a feeding gastrostomy.
G D Burtch; C H Shatney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  51     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1985 Apr 
Date Detail:
Created Date:  1985-05-07     Completed Date:  1985-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  204-7     Citation Subset:  IM    
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MeSH Terms
Enteral Nutrition / adverse effects*,  methods
Gastrostomy* / methods
Head and Neck Neoplasms / therapy
Jejunum / surgery
Middle Aged
Pneumonia, Aspiration / etiology
Stomach / surgery*

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