PMID: 107789May 1, 1979

Nasogastric hyperalimentation through a polyethylene catheter: an alternative to central venous hyperalimentation

The American Journal of Clinical Nutrition
R A BethelD Rudman

Abstract

We performed nasogastric hyperalimentation with polyethylene catheters and appropriate feeding solutions in 12 cachectic patients who had been referred as candidates for central venous hyperalimentation. Most patients had primary gastrointestinal disease. The duration of hyperalimentation averaged 31 days. Seven patients obtained rapid weight gain (average 0.3 kg/day) with the nasogastric hyperalimentation alone. An additional two were successfully repleted with the addition of parenteral fluids via peripheral veins. In the nine repleted patients, serum albumin rose by average 19%, 24-hr urine creatinine by average 21%, and triceps skinfold by average 46%. The nature of the weight gain in the nine successful cases was analyzed by the metabolic balance study technique. Average composition of the increment in weight was: 50% protoplasm, 48% extracellular fluid, 19% adipose tissue, and less than 1% bone. We conclude that nasogastric hyperalimentation can replace central venous hyperalimentation in a substantial proportion of patients now receiving the latter type of treatment.

Citations

Mar 1, 1992·JPEN. Journal of Parenteral and Enteral Nutrition·G ChapmanM M Meguid
Jan 1, 1987·Image--the Journal of Nursing Scholarship·K T FlynnR L Fisher
Dec 1, 1988·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·C L Breach, L G Saldanha
Jan 1, 1980·JPEN. Journal of Parenteral and Enteral Nutrition·J L Rombeau, D L Ziegler
Nov 1, 1981·JPEN. Journal of Parenteral and Enteral Nutrition·E A YoungV Balderas
Jan 1, 1981·JPEN. Journal of Parenteral and Enteral Nutrition·S R NewmarkD Sublett
Jan 6, 2005·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·M L Ellett
Jan 1, 1980·JPEN. Journal of Parenteral and Enteral Nutrition·P P Tomaiolo, V Kraus
Nov 1, 1983·JPEN. Journal of Parenteral and Enteral Nutrition·E L Cataldi-BetcherK W Jones
Jul 20, 1999·Journal of the Society of Pediatric Nurses : JSPN·M L Ellett, J Beckstrand
Nov 1, 1984·JPEN. Journal of Parenteral and Enteral Nutrition·K R AndersonC E Butterworth
May 1, 1990·JPEN. Journal of Parenteral and Enteral Nutrition·C ViallW P Steffee

Related Concepts

Anthropometry
Cachexia
Krebiozen
Force Feeding
Food, Formulated
Cholera Infantum
Intubation, Nasogastric
Minerals
Parenteral Nutrition, Total
Polyethylenes

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