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Clinical Outcomes of Enteral Feeding Protocol Via Percutaneous Endoscopic Gastrostomy: A Single-Center, Retrospective

Jin Hee Noh1, Hee Kyong Na1,2, Ji Yong Ahn1

  • 1Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|July 26, 2020
PubMed

Insights

Increasing enteral feeding volume after percutaneous endoscopic gastrostomy (PEG) insertion rapidly achieves calorie targets. A high-volume feeding strategy is safe and reduces hospitalization duration and supplemental parenteral nutrition needs.

Area of Science:

  • Gastroenterology
  • Clinical Nutrition
  • Endoscopic Procedures

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is increasingly common.
  • Established protocols for escalating enteral feeding volumes post-PEG are lacking.
  • This study compares outcomes of low- versus high-volume feeding increases.

Purpose of the Study:

  • To evaluate the clinical outcomes of different enteral feeding volume escalation strategies after PEG insertion.
  • To determine if a higher volume increase in feeding formula leads to better patient outcomes.
  • To establish safe and effective feeding protocols for PEG patients.

Main Methods:

  • Retrospective review of 215 patients undergoing PEG insertion (January 2016 - March 2019).
  • Patients divided into low-volume (≤150 mL/d, n=135) and high-volume (≥300 mL/d, n=80) feeding groups.
  • Comparison of patient characteristics and feeding-related clinical outcomes.

Main Results:

  • No significant difference in adverse feeding protocol events between groups.
  • High-volume group achieved calorie targets significantly faster (2.4 vs 5.4 days).
  • High-volume group showed significantly shorter supplemental parenteral nutrition duration and hospitalization length.

Conclusions:

  • Rapidly attaining calorie targets is feasible with a high-volume feeding increase in selected PEG patients.
  • High-volume enteral feeding is associated with favorable clinical outcomes.
  • A high-volume increase in daily feeding can be safely recommended post-PEG.
Abstract

Keywords:
adverse eventsenteral nutritionfeeding protocolgastrostomyoutcomes

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