Skip to main content

Percutaneous endoscopic gastrostomy feeding in haemodialysis out‐patients

Buy Article:

$43.00 plus tax (Refund Policy)

Introduction Malnutrition is highly prevalent in haemodialysis (HD) patients and plays a major role in influencing outcome. Although use of home enteral feeding is expanding rapidly in the UK, it is a method of nutritional support which remains under‐utilized in HD out‐patients. We report our experience and outcomes in a series of eight cases.

Methods Home gastrostomy feeding was initiated in eight malnourished HD out‐patients, administered either continuously overnight or as daily bolus feeds. Nutritional parameters were monitored weekly by the renal dietitian and included dry weight, upper‐arm anthropometry and serum albumin. The number and duration of hospitalizations during the period of feeding were recorded.

Results After 3 months of feeding, median dry weight increased from 43.0 to 48.3 kg (P = 0.012), mid‐upper arm circumference increased from 20.2 to 24.8 cm (P = 0.018), triceps skinfold thickness increased from 7.3 to 11.3 mm (P = 0.046), mid‐upper arm muscle circumference increased from 17.7 to 19.8 cm (P = 0.027) and serum albumin increased from 29.5 to 36.5 g L−1 (P = 0.011). Few complications were encountered and hospital admission rates were low.

Conclusion Home gastrostomy feeding, with appropriate monitoring and support, is an effective method of improving and maintaining nutritional status in this vulnerable group.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Document Type: Research Article

Affiliations: 1: Departments of Nutrition and Dietetics, and 2: Renal Medicine, Derriford Hospital, Plymouth PL6 8DH, UK

Publication date: 2000-10-01

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more