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Comparison of Post-pyloric vs. Gastric Enteral Formula Administration

Hildebrandt, Leslie A. PhD, RD; Fracchia, Jill RD; Driscoll, Julie RD; Giroux, Pamela RD, CNSD

Topics in Clinical Nutrition: June 2002 - Volume 17 - Issue 3 - p 44–51
Practice-Based Research

The objectives of this article were to determine whether post-pyloric administration of enteral formula influenced the attainment of nutritional goals and length of hospitalization compared to gastric enteral feeding. Data were collected retrospectively from the medical charts of gastrically (n=63) and post-pylorically (n=23) fed enteral, intensive care patients. No significant differences in patient or enteral formula characteristics were observed. Significantly more gastrically fed patients had gastric residual volumes which warranted feeding cessation (P<0.031). A higher percentage of the post-pylorically fed patients reached their nutritional goals compared to the gastrically fed patients (P<0.0001) and their length of hospitalization was diminished (P<0.001).

Assistant Professor, Department of Human Environmental Studies, Central Michigan University, Mt. Pleasant, Michigan (Hildebrandt)

Clinical Nutrition Manager, Highland Hospital, Rochester, New York (Fracchia)

Clinical Dietitian, Sharp HealthCare, La Mesa, California (Driscoll)

Medical Student, University of Arizona School of Medicine, Tucson, Arizona (Giroux)

The authors wish to extend thanks to Melinda Elparin and Renee Curran for their contribution to data collection and analysis, and to Dr. Carl Lee for his assistance in the statistical analysis of the data presented.

© 2002 Aspen Publishers, Inc.