Enteral feeding using nasogastric tube versus percutaneous endoscopic gastrostomy in critically ill patients

Abstract: Background: Enteral feeding is one component of nutritional support. It is the preferred method for nutritional support for patients that cannot receive adequate oral nutrition and have a functioning gastrointestinal tract (GIT). This method of nutritional support has undergone progression over recent times. The method of placement of enteral feeding tubes has evolved due to development of new feeding tubes and endoscopic technology. Aim of the work: - The aim of this work is to evaluate the nutritional value of nasogastric tube (NGT) versus percutaneous endoscopic gastrostomy (PEG) for feeding critically ill patients. Patients and methods: Out of 165 patients presented to ICU, 27 patients (5 females and 22 males) with their age ranged from 52 to 75 years had completed the study, they were divided into 15 patients with NGT feeding and 12 patients with PEG feeding, the other patients met the exclusion criteria. The effectiveness of NGT feeding was compared to PEG feeding according to certain parameters including; measuring mid-arm circumference (MAC), serum albumin, hemoglobin (HB), blood urea nitrogen (BUN) and creatinine at week 0, week 4 and week 8. Results: Our study revealed that; there was a significant increase in albumin at the 4th week and increase in MAC and albumin at the 8th week in PEG group more than NGT group. Considering NGT group; there was a significant decrease in MAC, albumin, BUN and creatinine with an increase in HB between week 0 and 8. While PEG group showed a highly significant increase in MAC, albumin, HB with a decrease in BUN and creatinine between week 0 and 8. Conclusion: Our study concluded that PEG feeding is more effective than NGT feeding as enteral feeding method at follow up in improving the nutritional state (including MAC and albumin), HB, BUN and creatinine of critically ill patients.

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[Waseem M. Seleem, Khadeja M. El Hossieny and Heba M. Fathi (2014); Enteral feeding using nasogastric tube versus percutaneous endoscopic gastrostomy in critically ill patients Int. J. of Adv. Res. 2 (8). 0] (ISSN 2320-5407). www.journalijar.com

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