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[Tube feeding in malnutrition]
A Jordan1, W F Caspary, J Stein
1Medizinische Klinik II Zentrum der Inneren Medizin, Frankfurt.
Zeitschrift Fur Gerontologie Und Geriatrie
|August 12, 1999
Summary
Malnutrition affects 30-60% of geriatric patients, often requiring nutritional support. Percutaneous endoscopic gastrostomy (PEG) is preferred for enteral feeding due to its benefits and low complication rates when guidelines are followed.
Area of Science:
- Geriatric Medicine
- Clinical Nutrition
- Gastroenterology
Context:
- High prevalence of malnutrition in elderly patients (30-60%).
- Frequent need for nutritional support through enteral feeding tubes.
- Established guidelines for enteral tube feeding exist.
Purpose:
- To highlight the commonality of malnutrition in geriatric patients.
- To discuss the indications and benefits of enteral tube feeding.
- To emphasize the advantages of percutaneous endoscopic gastrostomy (PEG) over nasogastric tubes.
Summary:
- Malnutrition is highly prevalent in geriatric patients, necessitating nutritional support.
- Percutaneous endoscopic gastrostomy (PEG) is the preferred method for enteral feeding due to advantages like reduced displacement, blockage, and better patient acceptance.
- Adherence to feeding guidelines ensures low complication rates.
Impact:
- PEG feeding improves patient quality of life through early home enteral nutrition.
- Optimized nutritional support can mitigate the negative effects of malnutrition in the elderly.
- Standardized feeding practices enhance patient safety and outcomes.