Premium
Self‐Administered Bolus Jejunostomy Feeding and Gastric Fluid Reinfusion in Patients with Gastric Atony
Author(s) -
Rumley Thomas O.,
Lineaweaver William,
Goff Karen,
Vogel Stephen
Publication year - 1985
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607185009005626
Subject(s) - medicine , jejunostomy , bolus (digestion) , enteral administration , atony , parenteral nutrition , gastric fluid , gastrostomy , stomach , gastric emptying , uterine atony , feeding tube , surgery , anesthesia , gastroenterology , hysterectomy , chemistry , chromatography
Twelve patients with profound gastric atony were taught to administer their own tube jejunostomy bolus feedings and, when necessary, to manage their gastric secretions by connecting their gastrostomy and jejunostomy tubes. These techniques allowed 11 of 12 patients to obtain reasonable nutrient intake and eight of the 12 to successfully reinfuse retained gastric secretions; alleviating the need for intravenous fluid replacement and expediting hospital discharge. Seven patients were able to resume some oral intake at home after resolution of their gastric atony. In the sufficiently motivated patient with gastric atony from multiple causes, these techniques provide alternatives to indefinite hospitalization with cumbersome and expensive intravenous hyperalimentation or constant infusion enteral alimentation. ( Journal of Parenteral and Enteral Nutrition 9 :626–629, 1985)