This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Moncure, M. Articles by Ross, S. E. Search for Related Content PubMed PubMed Citation Articles by Moncure, M. Articles by Ross, S. E. Social Bookmarking                         What's this?

Jejunostomy Tube Feedings Should not Be Stopped in the Perioperative Patient

Department of Surgery, Division of Trauma and Critical Care, Kansas University Medical Center, Kansas City

Elaine Samaha, RH, MA

Department of Surgery, Division of Trauma, UMDNJ/Robert Wood Johnson Medical School at Camden; Cooper Health Systems, Camden, New Jersey

Kimberly Moncure, MD

Department of Anesthesia, UMDNJ/Robert Wood Johnson Medical School at Camden; Cooper Health Systems, Camden, New Jersey

Jocelyn Mitchell, MD

Department of Surgery, Division of Trauma, UMDNJ/Robert Wood Johnson Medical School at Camden; Cooper Health Systems, Camden, New Jersey

Christina Rehm, MD

Department of Surgery, OHSU, Portland, Oregon

David Cypel, MD

Department of Anesthesia, UMDNJ/Robert Wood Johnson Medical School at Camden; Cooper Health Systems, Camden, New Jersey

Julia Eydelman

Department of Anesthesia, UMDNJ/Robert Wood Johnson Medical School at Camden; Cooper Health Systems, Camden, New Jersey

Steven E. Ross, MD

Department of Surgery, Division of Trauma, UMDNJ/Robert Wood Johnson Medical School at Camden; Cooper Health Systems, Camden, New Jersey

Background: Anesthetic standard of care is to restrict oral intake for 8 hours before elective surgery. There is no research addressing appropriate preoperative discontinuation of jejunostomy tube (J-tube) feedings. We hypothesized that patients could be fed safely, via a J-tube, until the time of surgery. Methods: Patients admitted to a Level I Trauma Center, having J-tubes and undergoing a nonabdominal operation, were prospectively evaluated. Group I patients received J-tube feedings until transport to the operating room. Group II patients had tube feedings discontinued for at least 8 hours before surgery. Data were compared using the Student's t test and contingency table analysis. Results: There were 46 patients in group I and 36 in group II. There was no incidence of aspiration. Patient groups did not differ in age, mortality, length of stay, injury severity score, or ventilator days. Group I patients had tube feedings discontinued for fewer hours before and after surgery than group II patients (before surgery: 1.40 ± 1.20 vs 11.61 ± 5.01, respectively ; p < .001; after surgery: 2.99 ± 7.49 us 7.11 ± 9.03, respectively; p = .043); received more kilocalories/ grams of protein on the day of surgery (group I vs group II, 1676.15/89.57 ± 1133.21/38.04 us 791.14/57.58 ± 498.66/79.87, respectively; p = .001/p = .032) and more kilocalories/grams of protein on the first postoperative day (group I us group II, 1580.74/92.57 ± 600.53/37.96 vs 1152.47/63.53 ± 733.96/39.40, respectively; p = .006/p = .001). Conclusions: Patients receiving J-tubes who are undergoing nonabdominal operations may safely continue enteral nutrition at maximum protein and caloric intake until surgery. (Journal of Parenteral and Enteral Nutrition 23:356-359, 1999)

Journal of Parenteral and Enteral Nutrition, Vol. 23, No. 6, 356-359 (1999)
DOI: 10.1177/0148607199023006356


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				N. M. Habashi, J. O'Connor, and M. McCunn Venilator Management and Criical Care Issues Following Cardiothoracic Trauma Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2002; 6(2): 127 - 147. [Abstract] [PDF]

				B. Taylor and L. Schallom Bedside Small Bowel Feeding Tube Placement in Critically III Patients Utilizing a Dietitian/Nurse Team Approach Nutr Clin Pract, August 1, 2001; 16(4): 258 - 262. [Abstract] [PDF]