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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(5):870-876.
Effect on Diarrhea of Dietary Soluble Fiber Added to Nasogastric Tube-Fed Formulas in Stroke or Traumatic Brain Injury Patients.
Chon, Joong Son , Chun, Sae Il , Kim, Dong A , Ohn, Suk Hoon , Cho, Sung Rae , Seo, Jeong Hoon , Yoon, Tae Jun , You, Seong , Kim, Jung Nam , Yoon, Jee Young
1Department of Rehabilitation Medicine, Yonsei University College of Medicine.
2Institute of Traditional Medicine, Yonsei University College of Medicine.
3Department of Rehabilitation Medicine, Joongmoon College of Medicine.
4Department of Dietetic, Shinchon Severence Hospital, Yonsei University.
뇌졸중 및 뇌손상 환자의 경관 유동식이에 섬유소 첨가시 설사에 대한 효과
전중선1, 전세일, 김동아, 온석훈, 조성래, 서정훈, 윤태준, 유성, 김정남2, 윤지영2
연세대학교 의과대학 재활의학교실 및 연세의대 동서의학 연구소, 1중문의대 분당차병원 재활의학과 및 2연세대학교 신촌세브란스병원 영양과

The purpose of this study was to investigate the effect of dietary soluble fibers added to nasogastric tube-fed formulas and to compare the difference of the degree of diarrhea according to the amount of dietary soluble fibers in stroke or traumatic brain injury patients for comprehensive rehabilitative management.

Fifty-two stroke or traumatic brain injury patients fed by nasogastric tube due to dysphagia were included. They received fiber-free formulas for the first 30 days and then they were randomly assigned to three groups, including the control (fiber-free) group, moderate fiber (3.5 gm fiber/L) group and high fiber (7 gm fiber/L) group. Each group received their respective formulas for the next 30 days. We compared diarrhea score and frequency.

In the control group, the degree of diarrhea was not changed with time. In the moderate and high fiber groups, daily diarrhea score and monthly diarrhea frequency were low compared to the control group (p<0.05). Also, the incidence of pseudomembraneous colitis was low in fiber groups.

We concluded that adding dietary soluble fibers to nasogastric tube-fed formulas may be helpful to reduce the diarrhea and the development of pseudomembraneous colitis. The proper fiber amount will be determined through the following more case studies.

Key Words: Diarrhea, Dietary soluble fiber, Nasogastric tube feeding, Dysphagia, Brain injury


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