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Percutaneous Endoscopic Gastrostomy for Nutrition Support in Pregnancy Associated With Hyperemesis Gravidarum and Anorexia Nervosa
Author(s) -
Godil Aslam,
Chen Yang K.
Publication year - 1998
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 - 10.1177/0148607198022004238
Subject(s) - medicine , hyperemesis gravidarum , parenteral nutrition , percutaneous endoscopic gastrostomy , anorexia nervosa , enteral administration , pregnancy , malnutrition , anorexia , vomiting , pediatrics , gastrostomy , obstetrics , intensive care medicine , surgery , peg ratio , eating disorders , psychiatry , biology , economics , genetics , finance
Background: Pregnant women with hyperemesis gravidarum (HEG) or anorexia nervosa are at high risk of developing malnutrition and adverse fetal outcome. Providing adequate nutrition support is the mainstay of therapy in these patients. Because of potential complications associated with total parenteral nutrition (TPN), enteral nutrition support is the preferred route. Methods: We describe the first two reported cases of percutaneous endoscopic gastrostomy (PEG) placement in two conscious pregnant women who could not tolerate oral feedings because of severe anorexia nervosa and HEG, respectively. Results: PEG was placed safely and provided adequate enteral nutrition in both patients, resulting in favorable maternal and fetal outcomes. Conclusions: Our observation is the first demonstration that PEG may be a safe and effective alternative to TPN in selected pregnant women with HEG or anorexia nervosa who have failed conventional treatment. ( Journal of Parenteral and Enteral Nutrition 22 :238–241, 1998)