Kanie Jiro, Kaganu Chizuko, Yamamoto Takayuki, Akatsu Hiroyuki, Suzuki Yusuke, Kuzuya Masafumi, Igucgi Akihisa
Section of Internal Medicine, Fukiage Clinic for Gastroenterology.
Nihon Ronen Igakkai Zasshi. 2002 Jul;39(4):448-51. doi: 10.3143/geriatrics.39.448.
An 85-year-old woman was receiving enteral feeding via percutaneous endoscopic gastrostomy (PEG). The patient exhibited symptoms of gastro-esophageal reflux, leakage of nutrient from the PEG insertion point, vomiting, pyrexia, dyspnea when given nutrients and recurrent pneumonia. We therefore gave a half-solid nutrient, which was made by a mixture of agar powder and conventional liquid nutrient Immediately after starting the half-solid nutrient feeding via PEG, the patients no longer exhibited the above symptoms apart from mild pyrexia, which also vanished two weeks later. This case suggested that simply changing the fluidity of nutrients can contribute to a reduction of complications expected to occur in patients on PEG tube feeding.
一位85岁的女性通过经皮内镜下胃造口术(PEG)接受肠内营养。患者出现胃食管反流症状、PEG插入点营养物质渗漏、呕吐、发热、给予营养时呼吸困难及反复肺炎。因此,我们给予了一种半固体营养物,它由琼脂粉和传统液体营养物混合制成。通过PEG开始给予半固体营养物喂养后,患者除了轻度发热外不再出现上述症状,轻度发热在两周后也消失了。该病例表明,简单改变营养物的流动性有助于减少PEG管喂养患者预期发生的并发症。