Abstract
This study reports the cases of six patients with severe chronic neurological disability and swallowing difficulties due to traumatic brain injury (TBI), anoxia and multiple sclerosis (MS). The patients required nutritional supplement through percutaneous endoscopic gastrostomy (PEG). Their clinical follow-up showed a decrease of intercurrent medical complications, especially pressure sores. In addition, an improvement of oropharyngeal function was observed in some patients, also accompanied by slightly better basic psychomotor functions such as vigilance, sustained attention and tone or motor control. However, not every patient did improve with this procedure. The two MS patients benefited most, while the improvement was less homogenous in the three TBI patients. The advantages of PEG over nasogastric tube on oropharyngeal function can be related to the absence of pharyngeal irritation and its role in overall recovery could be due to an increase in social activities, a control of infections, a better rehabilitation schedule and a long-term effect on brain function due to better nutritional support.
References
Jan 1, 1979·Neuroscience and Biobehavioral Reviews·O ResnickP J Morgane
Mar 1, 1979·JPEN. Journal of Parenteral and Enteral Nutrition·G V PadillaW R Kubo
Jan 1, 1979·International Rehabilitation Medicine·D N Brooks, M E Aughton
Jun 1, 1976·Developmental Medicine and Child Neurology·J Hoorweg, J P Stanfield
Apr 1, 1989·Neurology·J K TsuiD B Calne
Jan 1, 1989·The Journal of Diabetic Complications·C M PetersonK Williams
Apr 1, 1989·The American Journal of Clinical Nutrition·D T Simeon, S Grantham-McGregor
Sep 1, 1987·JPEN. Journal of Parenteral and Enteral Nutrition
Feb 1, 1988·Archives of Internal Medicine·J O CioconC J Foley
Feb 1, 1986·Journal of Clinical Gastroenterology·P G Foutch, M V Sivak
Feb 1, 1986·Journal of Clinical Gastroenterology·P G FoutchR A Sanowski
Feb 1, 1985·Annals of Surgery·P C Shellito, R A Malt
May 1, 1985·Neurosurgery·W W Turner
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Oct 1, 1974·Seminars in Roentgenology·M W Donner
Jan 1, 1972·Brain : a Journal of Neurology·B G Cragg
Sep 1, 1971·Experimental Neurology·J DobbingA Lynch
Oct 1, 1965·Archives of Disease in Childhood·V Cabak, R Najdanvic
Feb 1, 1984·Journal of Neurosurgery·P GadisseuxD P Becker
Jul 1, 1984·American Journal of Surgery·T R RussellF Norris
Nov 1, 1983·Neurology·J F Kurtzke
Mar 1, 1984·Journal of Neurology, Neurosurgery, and Psychiatry·I V Thomsen
Dec 1, 1980·Journal of Pediatric Surgery·M W GaudererR J Izant
Oct 1, 1995·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·G Har-El, A N Balwally
May 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T IbukiY Tanaka
Mar 1, 1994·JPEN. Journal of Parenteral and Enteral Nutrition·H TamuraK Isoda
Mar 1, 1996·Critical Care Medicine·M J PopovichJ B Zivot
Citations
Dec 15, 2005·Neuropsychological Rehabilitation·Keith Andrews
May 22, 2002·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·H MuramatsuA Teramoto
Jun 15, 2013·Multiple Sclerosis International·Sanober NusratKlaus Bielefeldt
Sep 17, 2004·Disability and Rehabilitation·Zoltán Dénes
May 2, 2017·Journal of Neurosurgical Anesthesiology·Rabail ChaudhryGeorge W Williams