| Comparison of Esophageal Acidity between Nasogastric Tube Feeding and Percutaneous Endoscopic Gastrostomy Tube Feeding in Brain Injured Patients. |
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An, Hyunmee , Park, Insun , Sul, Sangyoung , Kim, Hyundong , Lee, Sanghyo |
1Department of Rehabilitation Medicine, College of Medicine, Inje University, Korea. gusal6133@hanmail.net
2Department of Internal Medicine, College of Medicine, Inje University, Korea.
3Rehab Park-Ko Clinic, Korea. |
| 뇌손상 환자에서 코위영양관과 경피적 위조루관 급식 시의 식도 산도 비교 |
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안현미, 박인선2, 설상영1, 김현동, 이상효 |
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인제대학교 부산백병원 재활의학과, 1내과, 2박인선 재활의학과의원 |
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| Abstract |
Objective
The aim of this study is to evaluate the change of esophageal acidity when feeding via nasogastric tube is replaced by via percutaneous endoscopic gastrostomy (PEG) tube.
Method
Fourteen patients with brain injury participated in the study. 24-hour pH monitoring was performed during nasogastric tubal feeding. After PEG tube insertion, 24-hour pH monitoring was followed up. There was no difference in medication affecting to esophageal acidity in same patient at both pH monitorings. The results of pH monitorings analyzed with Wilcoxon signed rank test.
Results
The total time below pH 4.00 was 135.43⁑190.69 minutes for the patients with nasogastric tube and 25⁑42.74 minutes for PEG tube (p=0.013). The numbers of acid reflux was 42.07⁑47.03 and 21.93⁑22.77 respectively (p＝0.074). Of the 14 patients, 9 had acid reflux in nasogastric tubal feeding, which was improved in all 9 patients after PEG. Of the 14 patients, 5 had no acid reflux in nasogastric tubal feeding but 3 of the 5 developed new acid reflux in PEG tubal feeding.
Conclusion
Percutaneous endoscopic gastrostmy tube feeding was better for acid reflex control. But careful observation is needed after PEG because PEG can develop new acid reflux. (J Korean Acad Rehab Med 2004; 28: 204-207) |
| Key Words:
Esophageal acidity, Nasogastric tube, Percutaneous endoscopic gastrostomy tube, 24-hours pH monitoring |
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