@article{10.11648/j.sjcm.20150403.12,
  author = {Muneerah Albugami and Yasmin Al Twaijri and Abeer Ibrahim and Habib Bassil and Ulrike Laudon and Mohamed El Karouri and Abdulaziz Al Rashed and Abdelazeim Elamin and Ahmed Sabry and Rania Abdelreheem and Abdulwahab Motieb and Ali Al Araj and Reem Hawary and Sawsan Al Balawi},
  title = {Comparison between Four Types of Long Term Tube Feeding Regarding Nutritional Effects, Complications and Outcomes},
  journal = {Science Journal of Clinical Medicine},
  volume = {4},
  number = {3},
  pages = {60-66},
  doi = {10.11648/j.sjcm.20150403.12},
  url = {https://doi.org/10.11648/j.sjcm.20150403.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20150403.12},
  abstract = {Objective: to compare four types of long term tube feeding regarding nutritional effects, tube-related complications and outcome. Methods: retrospective study. Results: Mean BMI at time of tube insertion is 23.3, two years later 20.3 (P= 0.0312). Patients have follow up with HHC their mean BMI at base line is 23.5, after two years 21.53 (p =0.547). No difference regarding albumin, urea, sodium, potassium, hemoglobin over 6, 12, 24 months either patient has followed up with HHC or not. High creatinine level in 12 months with jejunostomy tube (p= 0.0270). There are no major complications among the patients. No minor complications within 48 h of tube insertion in 42.18%, No complications after 48 h of tube insertion in 36.05%.The mortality rate is 56.59%. Old age is associated with a higher mortality (p 0.0018) and survival is better for patients who have HHC follow up (p <0.0001).The commonest cause of death is aspiration pneumonia with septic shock and respiratory failure 37.68 % and PFG has the highest mortality rate. Conclusion: 1) Patients on long-term feeding tubes don’t gain weight. There is an urgent need to improve method of nutritional assessment and to have regular follow up to calculate their calories requirement and adjust their formula accordingly; 2) The nutritional status in four feeding tubes is similar except in12 months there is significant difference in creatinine in jejunostomy tube; 3) Rate of complications is low among our patients with reference to the long period of follow-up. Almost all complications have been mild and could be managed throughout adequately; 4) Tube related infection and leakage reported more in PFG. It could be because it is the commonest tube used among our patients.},
 year = {2015}
}

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TY  - JOUR
T1  - Comparison between Four Types of Long Term Tube Feeding Regarding Nutritional Effects, Complications and Outcomes
AU  - Muneerah Albugami
AU  - Yasmin Al Twaijri
AU  - Abeer Ibrahim
AU  - Habib Bassil
AU  - Ulrike Laudon
AU  - Mohamed El Karouri
AU  - Abdulaziz Al Rashed
AU  - Abdelazeim Elamin
AU  - Ahmed Sabry
AU  - Rania Abdelreheem
AU  - Abdulwahab Motieb
AU  - Ali Al Araj
AU  - Reem Hawary
AU  - Sawsan Al Balawi
Y1  - 2015/06/06
PY  - 2015
N1  - https://doi.org/10.11648/j.sjcm.20150403.12
DO  - 10.11648/j.sjcm.20150403.12
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 60
EP  - 66
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20150403.12
AB  - Objective: to compare four types of long term tube feeding regarding nutritional effects, tube-related complications and outcome. Methods: retrospective study. Results: Mean BMI at time of tube insertion is 23.3, two years later 20.3 (P= 0.0312). Patients have follow up with HHC their mean BMI at base line is 23.5, after two years 21.53 (p =0.547). No difference regarding albumin, urea, sodium, potassium, hemoglobin over 6, 12, 24 months either patient has followed up with HHC or not. High creatinine level in 12 months with jejunostomy tube (p= 0.0270). There are no major complications among the patients. No minor complications within 48 h of tube insertion in 42.18%, No complications after 48 h of tube insertion in 36.05%.The mortality rate is 56.59%. Old age is associated with a higher mortality (p 0.0018) and survival is better for patients who have HHC follow up (p <0.0001).The commonest cause of death is aspiration pneumonia with septic shock and respiratory failure 37.68 % and PFG has the highest mortality rate. Conclusion: 1) Patients on long-term feeding tubes don’t gain weight. There is an urgent need to improve method of nutritional assessment and to have regular follow up to calculate their calories requirement and adjust their formula accordingly; 2) The nutritional status in four feeding tubes is similar except in12 months there is significant difference in creatinine in jejunostomy tube; 3) Rate of complications is low among our patients with reference to the long period of follow-up. Almost all complications have been mild and could be managed throughout adequately; 4) Tube related infection and leakage reported more in PFG. It could be because it is the commonest tube used among our patients.
VL  - 4
IS  - 3
ER  - 

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