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Quilliot D, Zallot C, Malgras A, Germain A, Bresler L, Ayav A, Bigard MA, Peyrin-Biroulet L, Ziegler O. Self-insertion of a nasogastric tube for home enteral nutrition: a pilot study. JPEN J Parenter Enteral Nutr 2013; 38:895-900. [PMID: 24142673 DOI: 10.1177/0148607113502544] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND Enteral tube feeding can be a source of discomfort and reluctance from patients. We evaluated for the first time the tolerability of self-insertion of a nasogastric (NG) tube for home enteral nutrition (EN). MATERIALS AND METHODS All patients requiring enteral tube feeding for chronic diseases were enrolled in a therapeutic patient education (TPE) program at Nancy University Hospital. RESULTS In our department, between November 2008 and August 2012, 66 patients received EN with an NG tube. Twenty-nine of 66 had self-insertion of the NG tube (median age, 44 years), 17 had an anatomical contraindication, and 20 were excluded because of cognitive disability or language barrier or refusal. Twenty-eight of 29 patients completed the TPE program. One patient died of pancreatic cancer in palliative care during the study. Median follow-up was 20 months (interquartile range [IQR], 4-31). Median gain weight was 3.1 kg (IQR, 1.8-6.0) (P = .0002). Median duration of self-insertion of the NG tube was 3 months (IQR, 2-5), and it was well tolerated by all 29 patients. Two patients described minor adverse events: abdominal pain and nausea for 1 patient and epistaxis leading to temporary discontinuation of EN for another patient. A group of 10 consecutive patients previously had a long-term NG tube for EN. If they had the choice between a self-inserted NG tube and a long-term NG tube, all 10 patients reported they would prefer to start again with the self-inserted NG tube. CONCLUSION This pilot study suggests that self-insertion of an NG tube may be efficacious and well tolerated in patients receiving EN for chronic conditions.
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Affiliation(s)
- Didier Quilliot
- Department of Nutrition, Nancy University Hospital, Vandoeuvre-les-Nancy, France INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France
| | - Camille Zallot
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Gastroenterology, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Aurélie Malgras
- Department of Nutrition, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Adeline Germain
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Hepatobiliary, Digestive and Endocrine Surgery, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Laurent Bresler
- Department of Hepatobiliary, Digestive and Endocrine Surgery, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Ahmet Ayav
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Hepatobiliary, Digestive and Endocrine Surgery, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Marc-André Bigard
- Department of Gastroenterology, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Laurent Peyrin-Biroulet
- INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France Department of Gastroenterology, Nancy University Hospital, Vandoeuvre-les-Nancy, France
| | - Olivier Ziegler
- Department of Nutrition, Nancy University Hospital, Vandoeuvre-les-Nancy, France INSERM U954, Medical Faculty and CHU of Nancy, Vandoeuvre-les-Nancy, France
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