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Related Experiment Videos

Feeding gastrostomy. Assistant or assassin?

G D Burtch, C H Shatney

    The American Surgeon
    |April 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    For patients unable to protect their airway, feeding jejunostomy is safer than feeding gastrostomy. This study found a high incidence of aspiration pneumonitis with gastrostomies, but none with jejunostomies.

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    Area of Science:

    • Gastroenterology
    • Pulmonology
    • Surgical Nutrition

    Background:

    • Pulmonary aspiration and pneumonitis are serious risks for debilitated patients requiring enteral nutrition.
    • Nasogastric tube feeding has been associated with fatal aspiration events.

    Purpose of the Study:

    • To determine the incidence of aspiration pneumonitis in patients with feeding gastrostomies.
    • To compare the safety of feeding gastrostomies versus feeding jejunostomies for chronic enteral nutrition.

    Main Methods:

    • A retrospective study over 15 months analyzing patients who underwent feeding gastrostomy or jejunostomy.
    • Documenting occurrences of pulmonary aspiration and aspiration pneumonitis in each group.

    Main Results:

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  • Eight of 22 feeding gastrostomies resulted in aspiration pneumonitis, including two deaths.
  • Pulmonary aspiration occurred in all gastrostomy types (Stamm and mucosal-lined).
  • No cases of aspiration pneumonia were observed in the nine patients with feeding jejunostomies.

    • Conclusions:

    • Feeding gastrostomy is associated with a high risk of aspiration pneumonitis in patients with compromised airway protection.
    • Feeding jejunostomy appears to be a safer alternative for long-term enteral nutrition in this vulnerable patient population.