Does nasoenteral feeding afford adequate gastroduodenal stress prophylaxis? Crit Care Med 1986 Jul;14(7):599-601
Date
07/01/1986Pubmed ID
3087699DOI
10.1097/00003246-198607000-00001Scopus ID
2-s2.0-0022448083 (requires institutional sign-in at Scopus site) 56 CitationsAbstract
Serial pH measurements were performed on 366 gastric aspirates from 20 critically ill patients receiving nasoenteral feeding with Osmolite or Isocal HCN, with no other means of gastric acid buffering. Ten patients (group A) received continuous intraduodenal feeding, and ten patients (group B) received continuous intragastric feeding. Gastric pH was at least 5.0 in 33 (23%) aspirates from group A, compared to 120 (54%) from group B (p less than .001). Only two (20%) group A patients had gastric pH values of 5.0 or greater for at least half of the measurements, compared to six (60%) group B patients. These data indicate that continuous intragastric feeding with Osmolite or Isocal HCN controlled gastric pH better than did intraduodenal feeding. However, neither technique adequately neutralized gastric acidity in these critically ill patients.
Author List
Valentine RJ, Turner WW Jr, Borman KR, Weigelt JAMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Critical Care
Enteral Nutrition
Female
Gastric Acid
Humans
Hydrogen-Ion Concentration
Male
Middle Aged
Peptic Ulcer
Prospective Studies
Stress, Physiological
