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Early Tube Feeding after Percutaneous Endoscopic Gastrostomy (PEG): An Observational Study
Rachel Strahm1,2, Manuel Weber2, Reiner Wiest3
1Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital Inselspital and University of Bern, 3010 Bern, Switzerland.
Nutrients
|March 11, 2023
Summary
Early enteral nutrition via tube feeding, following ESPEN guidelines, did not increase patient complaints or complications. This approach significantly reduced hospitalization duration, supporting its recommendation.
Area of Science:
- Clinical Nutrition
- Gastroenterology
- Patient Outcomes
Background:
- Enteral nutrition is crucial for patient recovery.
- Percutaneous endoscopic gastrostomy (PEG) tube feeding is a common method.
- Recent guidelines suggest earlier initiation of enteral nutrition.
Purpose of the Study:
- To evaluate the impact of early tube feeding (4 hours post-insertion) versus delayed feeding (24 hours post-insertion).
- To assess changes in patient complaints, complications, and hospitalization duration.
- To compare outcomes with previous practices and current ESPEN guidelines.
Main Methods:
- Observational cohort study design.
- Analysis of clinical records from 98 patients (47 delayed, 51 early feeding).
- Comparison of patient complaints, complications, and length of hospital stay.
Main Results:
- No significant difference in patient complaints or complications between early and delayed feeding groups (p > 0.05).
- Significantly shorter hospitalization duration observed in the early feeding group (p = 0.030).
- Early tube feeding demonstrated no adverse effects.
Conclusions:
- Initiating enteral nutrition 4 hours after PEG insertion is safe and effective.
- Early tube feeding reduces length of hospital stay without increasing adverse events.
- Supports and recommends the early initiation of tube feeding as per ESPEN guidelines.
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