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Journal of Parenteral and Enteral Nutrition
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Subjective Distress during Continuous Enteral Alimentation: Superiority of Silicone Rubber to Polyurethane

Maria-E. Herrmann, PH.D.

Department of Gastroenterology, Klinikum Steglitz, FU Berlin, Berlin, West Germany

Ralf-Marco Liehr, M.D.

Department of Gastroenterology, Klinikum Steglitz, FU Berlin, Berlin, West Germany

Heike Tanhoefner, M.D.

Department of Gastroenterology, Klinikum Steglitz, FU Berlin, Berlin, West Germany

Ernst Otto Riecken, M.D.

Department of Gastroenterology, Klinikum Steglitz, FU Berlin, Berlin, West Germany

A small-bore feeding tube of silicone rubber was developed in order to improve the acceptance of enteral feeding. The insertion procedure was facilitated by providing a double guidewire which allows continuous adjustment of tip rigidity. The usefulness of this tube was tested in a short-term and a long-term volunteer study as well as in a prospective follow-up of patients receiving enteral nutrition. The volunteer study showed that the newly developed tube significantly reduced subjective distress (rank value 14) when compared to a conventional tube made of polyurethane (rank value 20). In the patient study, 131 silicone rubber tubes were used in 85 patients who received enteral nutrition for a total period of 2080 days and complained about foreign-body feeling and rhinorrhea in only 3.7% and 0.5% of the days, respectively. The rate of inadvertent removals was relatively low (32%), mainly due to restricted mental status of the patients. (Journal of Parenteral and Enteral Nutrition 13:281-285, 1989)

Journal of Parenteral and Enteral Nutrition, Vol. 13, No. 3, 281-285 (1989)
DOI: 10.1177/0148607189013003281
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 Nutr Clin PractHome page
G. Minard
Invited Review: Enteral Access
Nutr Clin Pract, October 1, 1994; 9(5): 172 - 182.
[Abstract] [PDF]