Effect of Feeding Route and Stroke Type on Gastric Myoelectric Activity in Stroke Survivor Patients: A Preliminary Study.

Background/

Objectives

Stroke survivors with dysphagia are usually fed with different feeding routes ranging from oral to percutaneous endoscopic gastrostomy (PEG). However, the impact of the feeding route on the gastric myoelectric activity (GMA) is little-studied. This work examined the effect of feeding route on GMA changes in stroke survivors with dysphagia.

Methods

This study included 50 patients (20% women) who were divided into three groups based on their feeding route: an oral group (n = 20), a nasogastric group (NGT) (n = 20), and a PEG group (n = 10). For all participants, a nutritional assessment was conducted, and the GMA was measured using a transcutaneous multichannel electrogastrogram (EGG) with a water load satiety test before and after water loading. The EGG-related parameters used in the analysis included the average power distribution by frequency region and the average dominant frequency (ADF).

Results

The study sample experienced ischemic stroke (66%) or hemorrhagic stroke (34%). At the baseline phase, the PEG group exhibited significantly longer periods of normogastria compared to the NGT and oral groups. Moreover, protein intake was significantly higher in the PEG tube feeding group compared to the other groups. Based on the type of stroke, the ischemic stroke group showed significantly higher tachygastria periods during postprandial EGG recording (p = 0.022). The energy and protein consumptions were significantly higher in the hemorrhagic stroke group (p = 0.001, p = 0.028, respectively).

Conclusions

The GMA pattern is distinctive for the type of stroke. The PEG feeding route showed more periods with normogastria and the best protein intake.