Early versus delayed feeding after placement of a percutaneous endoscopic gastrostomy: a meta-analysis

The American Journal of Gastroenterology
Matthew L BechtoldPraveen K Roy

Abstract

Traditionally, tube feedings have been delayed after percutaneous endoscopic gastrostomy (PEG) placement to the next day and up to 24 h postprocedure. However, results from various randomized controlled trials (RCTs) indicate earlier feeding may be an option. We conducted a meta-analysis to analyze the effect of early feedings (< or = 4 h) after PEG placement. Multiple databases were searched (November 2007). Only RCTs on adult subjects that compared early (< or = 4 h) versus delayed or next-day feedings after PEG placement were included. Meta-analyses for the effect of early and delayed feedings were analyzed by calculating pooled estimates of complications, death < or = 72 h, and significant increases in postprocedural gastric residual volume during day 1. Six studies (N = 467) met the inclusion criteria. No statistically significant differences were noted between early (< or = 4 h) and delayed or next-day feedings for patient complications (OR 0.86, 95% CI 0.47-1.58, P = 0.63) or death in < or = 72 h (OR 0.56, 95% CI 0.18-1.74, P = 0.31). A statistically significant increase in gastric residual volumes during day 1 was noted (OR 1.80, 95% CI 1.02-3.19, P = 0.04). Early feeding < or = 4 h after PEG placement may represent a s...Continue Reading

Associated Clinical Trials

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Citations

Jul 17, 2016·Current Gastroenterology Reports·Adarsh M Thaker, Alireza Sedarat
Nov 7, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Joseph I BoullataUNKNOWN ASPEN Safe Practices for Enteral Nutrition Therapy Task Force, American Society for Parenteral and Enteral Nutrition
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Oct 16, 2012·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·James L StaynerJohn C Fang
Sep 24, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Matthew L BechtoldDouglas L Nguyen
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Jan 30, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Stephanie ZoellerUNKNOWN ASPEN Enteral Nutrition Task Force
Jun 25, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Cory Wyatt JonesMark R Corkins
Jun 27, 2013·Journal of Pediatric Gastroenterology and Nutrition·Ali IslekReha Artan
Oct 1, 2015·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Ana Belén Friginal-Ruiz, Alfredo J Lucendo
Dec 1, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Matthew L BechtoldDouglas L Nguyen

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