Monday, March 1, 2010

Delayed Feedings After PEG Placement

In this meta-analysis (6 studies, N=467), early feeding (<4 hrs) after a PEG tube placement appeared to be safe and well-tolerated. Usual protocol delays feedings until the day after PEG placement or a wait of 24 hours before feeding is initiated. This analysis indicates that a higher residual may occur with earlier feeding but no complications were noted because of greater residual volumes.

Implication for Practice: Earlier feedings may decrease hospital stays and reduce health care costs.

Source:Bechtold et al.(2008). Early versus delayed feeding after placement of a percutaneous endoscopic gastrostomy: A meta-analysis. American Journal of Gastroenterology

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