Outcome of home enteral nutrition in patients with malignant dysphagia Journal Article

Authors: Schattner, M.; Barrera, R.; Nygard, S.; Scott, F.; Quesada, O.; Brown, P.; Shike, M.
Article Title: Outcome of home enteral nutrition in patients with malignant dysphagia
Abstract: Neoplastic diseases account for approximately one-half of all patients receiving home enteral nutrition, most of them with dysphagia due to the underlying cancer or antineoplastic therapies (malignant dysphagia). A review of the records of all patients with malignant dysphagia receiving home enteral nutrition for greater than 1 year was undertaken. The following factors were identified: age, primary cancer, type of enteral access, calories received, duration of therapy, complications, and need for tube replacement. Eighty-two patients were studied. On average, patients received 1978 cal/day (range: 500 to 3000) and were maintained on home enteral nutrition for 976 days (range: 367 to 3026). Complications at the tube site were infection in 4 patients (4.8%) and significant leakage in 2 patients (2.4%). Average durability of the enteral access devices was percutaneous endoscopic gastrostomies (PEG) = 690 days, low profile gastrostomy = 1701 days, percutaneous endoscopic jejunostomies (PEJ) = 591 days, low-profile jejunostomy = 902 days, and surgical jejunostomy = 1114 days. Home enteral nutrition is a safe and effective means of long-term nutritional support in patients with severe malignant dysphagia. Copyright © 2001 American Society for Parenteral and Enteral Nutrition.
Journal Title: Nutrition in Clinical Practice
Volume: 16
Issue: 5
ISSN: 0884-5336
Publisher: Sage Publications  
Date Published: 2001-10-01
Start Page: 292
End Page: 295
Language: English
PROVIDER: scopus
Notes: Export Date: 21 May 2015 -- Source: Scopus