Fiber-Containing Formula and Needle Catheter Jejunostomies

A Clinical Evaluation

Paige Collier, Kenneth A. Kudsk, Jeffrey Glezer, Rex O. Brown

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Despite the high frequency of diarrhea, chemically defined diets have traditionally been used with needle catheter jejunostomies, a common form of postpyloric enteral access, to avoid tube occlusion. We reviewed our experience with 57 patients fed a fiber-containing diet to determine the incidence of catheter occlusion and diarrhea. Eight catheters temporarily occluded but were reopened and remained patent for an additional 6.3 ± 3.1 days for an overall success rate of 91% (52 of 57). The five remaining occluded catheters were removed after 6.2 ± 1.8 days. Four of the five patients with occluded catheters tolerated gastric feedings, but one required a permanent jejunostomy. Diarrhea occurred in six (10.5%) of the 57 patients given the fiber-containing formula. We concluded that a fiber-containing formula can be administered through needle catheter jejunostomies if the catheter is irrigated daily and if no medications are given via the catheter. A fiber-containing formula may reduce the incidence of diarrhea in jejunostomy-fed patients compared with patients fed chemically defined diets.

Original languageEnglish (US)
Pages (from-to)101-103
Number of pages3
JournalNutrition in Clinical Practice
Volume9
Issue number3
DOIs
StatePublished - Jan 1 1994
Externally publishedYes

Fingerprint

Jejunostomy
catheters
Needles
dietary fiber
Catheters
Diarrhea
diarrhea
Formulated Food
diet
Myelinated Nerve Fibers
incidence
medicated feeds
Incidence
patents
Small Intestine
Stomach
stomach
Diet

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Food Science

Cite this

Fiber-Containing Formula and Needle Catheter Jejunostomies : A Clinical Evaluation. / Collier, Paige; Kudsk, Kenneth A.; Glezer, Jeffrey; Brown, Rex O.

In: Nutrition in Clinical Practice, Vol. 9, No. 3, 01.01.1994, p. 101-103.

Research output: Contribution to journalArticle

Collier, Paige ; Kudsk, Kenneth A. ; Glezer, Jeffrey ; Brown, Rex O. / Fiber-Containing Formula and Needle Catheter Jejunostomies : A Clinical Evaluation. In: Nutrition in Clinical Practice. 1994 ; Vol. 9, No. 3. pp. 101-103.
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