Burger B, Ahrens K, Schwenk A, Ollenschlager G, Marx L, Schrappe M; International Conference on AIDS.
Int Conf AIDS. 1993 Jun 6-11; 9: 527 (abstract no. PO-B36-2349).
Medizinische Klinik I, University of Cologne, Germany.
OBJECTIVE: Evaluation of an escalating nutritional intervention, including nocturnal nasogastral tube-feeding [NNTF] as third step. PATIENTS AND METHODS: 29 pat. (WR 5-6; previous weight loss median 14% [7-27%] of usual body weight [BW]) were treated according to the following scheme: Step I includes an intensified nutritional counselling. In case of failure (no weight gain or further weight loss), 1000/1500 kcal are added in step II as formula diets. When pat. do not meet their calculated requirements for energy, in step III NNTF is introduced. RESULTS: 21 pat. were evaluable (5/29 died during the study period, two moved to another city, one was excluded from efficacy analysis because of intercurrent acute OI). In steps I+II, 10/21 pts. gained between 1 and 4 kg BW; 4 pts. could stop weight loss and 3 lost further weight (4 to 7 kg). 4/21 reached step III. 1/4 did not tolerate self application of the tube, 3 pts. tolerated 4 weeks of NNTF with 2000 kcal per night but wished then to change to percutaneous endoscopic gastrostomy (PEG). All Pat. with NNTF could at least stabilize body weight and body cell mass. CONCLUSION: Nocturnal nasogastric tube feeding may be an alternative for patients not gaining weight with nutritional counselling and oral supplements (step I-II), because it avoids a) infection risks and high costs of parenteral nutrition, b) visibility of permanent nasoenteric tubes, and c) invasiveness of PEG. However, this therapy seems to be tolerated only for several weeks.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Body Weight
- Enteral Nutrition
- Food, Formulated
- Gastroscopy
- Gastrostomy
- HIV Infections
- HIV Seropositivity
- Humans
- Intubation, Gastrointestinal
- Malnutrition
- Nutritional Status
- Nutritional Support
- Protein-Energy Malnutrition
- Weight Gain
- surgery
Other ID:
UI: 102205362
From Meeting Abstracts