Clinical Research
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 28, 2005; 11(24): 3714-3718
Published online Jun 28, 2005. doi: 10.3748/wjg.v11.i24.3714
Clinical application of clip-assisted endoscopic method for nasoenteric feeding in patients with gastroparesis and gastroesophageal wounds
Chung-Jen Wu, Ping-I Hsu, Gin-Ho Lo, Chang-Bih Shie, Ching-Chu Lo, E-Ming Wang, Chiun-Ku Lin, Wen-Chi Chen, Lung-Chih Cheng, Hsien-Chung Yu, Yi-Chun Chan, Kwok-Hung Lai
Chung-Jen Wu, Ping-I Hsu, Gin-Ho Lo, Chang-Bih Shie, Ching-Chu Lo, E-Ming Wang, Chiun-Ku Lin, Wen-Chi Chen, Lung-Chih Cheng, Hsien-Chung Yu, Yi-Chun Chan, Kwok-Hung Lai, Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, National Yang-Ming University, Kaohsiung, Taiwan, China
Author contributions: All authors contributed equally to the work.
Supported by the Grants from the Kaohsiung Veterans General Hospital (VGHSU-93-26)
Correspondence to: Dr. Ping-I Hsu, Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung, 813, Taiwan, China. williamhsup@yahoo.com.tw
Telephone: +886-7-3422121-2075 Fax: +886-7-3468237
Received: October 11, 2004
Revised: October 12, 2004
Accepted: December 23, 2004
Published online: June 28, 2005
Abstract

AIM: To report the clinical experiences in the application of clip-assisted endoscopic method for nasoenteric feeding in patients with gastroparesis and patients with gastroesophageal wounds, and to compare the efficacy of nasoenteric feeding in these two indications.

METHODS: From April 2002 to January 2004, 21 consecutive patients with gastroparesis or gastroesophageal wounds were enrolled and received nasoenteric feeding for nutritional support. A clip-assisted method was used to place the nasoenteric tubes. Outcomes in the two groups were compared with respect to the successful rate of enteral feeding, percentage of recommended energy intake (REI), and complication rates.

RESULTS: The gastroparesis group included 13 patients with major burns (n = 7), trauma (n = 2), congestive heart failure (n = 2) and post-surgery gastric stasis syndrome (n = 2). The esophageogastric wound group included eight patients with tracheoesophageal fistula (n = 2) and wound leakage following gastric surgery (n = 6). Two study groups were similar in feeding successful rates (84.6% vs 75.0%). There were also no differences in the percentage of REI between groups (79.4% vs 78.6%). Additionally, no complications occurred in any of the study groups.

CONCLUSION: Nasoenteric feeding is a useful method to provide nutritional support to most of the patients with gastroparesis who cannot tolerate nasogastric tube feeding and to the cases who need bypass feeding for esophageogastric wounds.

Keywords: Enteral feeding; Nasoenteric tube; Endoscopic; Hemoclip