Journal of vascular and interventional radiology : JVIR · 2026
Safety and Feasibility of an Early Feeding Protocol after Percutaneous Fluoroscopy-Guided Gastrostomy Tube Placement.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Smith Hubert E, Good Molly S, Sunna Salam F, Zhou Angela, Stoltzfus Luke, Frenk Nathan E, Field David H
Аннотация
PURPOSE: To retrospectively compare the safety and feasibility of early and delayed feeding protocols after uncomplicated percutaneous fluoroscopic gastrostomy placement.
MATERIALS AND METHODS: This retrospective, single-center study included 196 inpatients who underwent percutaneous image-guided balloon-retained gastrostomy tube placement between June 2020 and July 2024. The early feeding group (n = 96) received enteral nutrition within 4.3 hours (SD ± 2.3) following the procedure, whereas the delayed feeding group (n = 100) initiated feeding at 28.6 hours (SD ± 18.2). Data were collected on patient demographics, adverse events (AEs), time of feeding initiation, and time to discharge.
RESULTS: There was no statistically significant difference in AE rates between the early and delayed feeding groups (0% vs 2%, P = .498). No patients in the early feeding group exhibited signs of peritonitis, tube dislodgement, or hemorrhage. In the delayed feeding group, 1 patient experienced postprocedural hemorrhage requiring embolization, and another developed postprocedural atrial fibrillation with rapid ventricular response requiring transfer to the intensive care unit. The mean times from gastrostomy tube placement to discharge were 10.0 days (SD ± 13.6) in the early feeding group and 10.8 days (SD ± 12.0) in the standard group (P = .413).
CONCLUSIONS: Early feeding following uncomplicated, balloon-retained percutaneous image-guided gastrostomy tube placement is safe and effective, with no increased risk of AEs compared with delayed feeding. In addition, early feeding decreases fasting time, which may mitigate cumulative nutrition deficit.
MATERIALS AND METHODS: This retrospective, single-center study included 196 inpatients who underwent percutaneous image-guided balloon-retained gastrostomy tube placement between June 2020 and July 2024. The early feeding group (n = 96) received enteral nutrition within 4.3 hours (SD ± 2.3) following the procedure, whereas the delayed feeding group (n = 100) initiated feeding at 28.6 hours (SD ± 18.2). Data were collected on patient demographics, adverse events (AEs), time of feeding initiation, and time to discharge.
RESULTS: There was no statistically significant difference in AE rates between the early and delayed feeding groups (0% vs 2%, P = .498). No patients in the early feeding group exhibited signs of peritonitis, tube dislodgement, or hemorrhage. In the delayed feeding group, 1 patient experienced postprocedural hemorrhage requiring embolization, and another developed postprocedural atrial fibrillation with rapid ventricular response requiring transfer to the intensive care unit. The mean times from gastrostomy tube placement to discharge were 10.0 days (SD ± 13.6) in the early feeding group and 10.8 days (SD ± 12.0) in the standard group (P = .413).
CONCLUSIONS: Early feeding following uncomplicated, balloon-retained percutaneous image-guided gastrostomy tube placement is safe and effective, with no increased risk of AEs compared with delayed feeding. In addition, early feeding decreases fasting time, which may mitigate cumulative nutrition deficit.