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Self-Insertion of a Nasogastric Tube for Home Enteral Nutrition

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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https://hal.univ-lorraine.fr/hal-01707381
Contributor : Ngere Ul <>
Submitted on : Monday, February 12, 2018 - 5:28:59 PM
Last modification on : Tuesday, October 13, 2020 - 10:46:30 AM

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Didier Quilliot, Camille Zallot, Aurélie Malgras, Adeline Germain, Laurent Bresler, et al.. Self-Insertion of a Nasogastric Tube for Home Enteral Nutrition. Journal of Parenteral and Enteral Nutrition, SAGE Publications (UK and US), 2014, 38 (7), pp.895 - 900. ⟨10.1177/0148607113502544⟩. ⟨hal-01707381⟩

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