Usefulness of indirect calorimetry in the patients with percutaneous endoscopic gastrostomy tube feeding

DOI 5 Citations 16 References
  • KURIHARA Mika
    Division of Clinical Nutrition, Shiga University of Medical Science Hospital
  • IWAKAWA Hiromi
    Division of Clinical Nutrition, Shiga University of Medical Science Hospital
  • JOTATSU Tomoko
    Division of Clinical Nutrition, Shiga University of Medical Science Hospital
  • NAKANISHI Naoko
    Division of Clinical Nutrition, Shiga University of Medical Science Hospital
  • TSUJII Yasuko
    Division of Nursing, Shiga University of Medical Science Hospital
  • MIKAMI Takako
    Division of Nursing, Shiga University of Medical Science Hospital
  • USUI Rika
    Division of Nursing, Shiga University of Medical Science Hospital
  • TOKUNAGA Michiko
    Division of Nursing, Shiga University of Medical Science Hospital
  • KOTERA Toshimi
    Division of Nursing, Shiga University of Medical Science Hospital
  • HOSHINO Nobuo
    Pharmacy, Shiga University of Medical Science Hospital
  • AKABANE Michiya
    Pharmacy, Shiga University of Medical Science Hospital
  • NAGAO Taishi
    Department of Surgery, Shiga University of Medical Science Hospital
  • SHIOMI Hisanori
    Department of Internal Medicine, Shiga University of Medical Science Hospital
  • ARAKI Shinichi
    Department of Surgery, Shiga University of Medical Science Hospital
  • SASAKI Masaya
    Division of Clinical Nutrition, Shiga University of Medical Science Hospital
  • KASHIWAGI Astunori
    Division of Clinical Nutrition, Shiga University of Medical Science Hospital Department of Surgery, Shiga University of Medical Science Hospital
  • SAWADA Naoko
    Division of Clinical Nutrition, Kusatsu General Hospital
  • Kozawa Keiko
    Division of Clinical Nutrition, Kusatsu General Hospital
  • ITO Akihiko
    Department of Internal Medicine, Kusatsu General Hospital

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Other Title
  • PEG症例の経腸栄養投与熱量設定における間接熱量測定の有用性について

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Abstract

Background/Aims: Percutaneous endoscopic gastrostomy (PEG) is now becoming popular. Estimation of energy requirements for patients feeding with PEG, however, has remained to be undetermined. The energy requirement of a patient receiving nutrition support has been classically determined based on the basal energy expenditure (BEE) using the Harris-Benedict equations and multiplying stress and activity factors. Estimated resting energy expenditure (REE) assayed with indirect calorimetry is now available. We examined the usefulness of REE for patients feeding with PEG.<BR>Methods: We studied 15 patients (12 female, 3male, average age 79.7years (SD:+/-8.1)) receiving enteral feeding from PEG tube from October 2004 to January 2005. These patients were enrolled in randomized, two-period, cross over trial of 6 weeks interventions with energy feeding with BEE (efBEE) and REE (efREE). Metabolic and nutritional status of the patients was assayed in examined energy expenditure, Body mass index (BMI), Bioelectrical impedance analysis (BIA), serum albumin (Alb) and serum total protein (TP).<BR>Results: Fat mass (FM) assayed with BIA was significantly higher during efBEE compared than efREE: efBEE; 23.3 +/- 2.2kcal/kg, efREE : 20.2 +/- 5.6kcal/kg. Further, BMI was also significantly increased during efBEE. But, there were no significant differences in Fat free mass, Alb or TP during both the interventions. These data suggest energy estimation with BEE might cause hyperalimentation in patients with feeding with PEG.<BR>Conclusion: REE based nutrition management assayed with indirect calorimetry is useful for patients receiving enteral feeding with PEG tube.

Journal

  • Jomyaku Keicho Eiyo

    Jomyaku Keicho Eiyo 22 (3), 329-335, 2007

    Japanese Society for Parenteral and Enteral Nutrition

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