Traditionally, tube feedings have been delayed after percutaneous endoscopic gastrostomy placement to the next day and up to 24 hours postprocedure.
However, results from various randomized controlled trials indicate earlier feeding may be an option.
Dr Matthew Bechtold and colleagues from Missouri, USA conducted a meta-analysis to analyze the effect of early feedings after percutaneous endoscopic gastrostomy placement.
The team searched multiple databases.
Only randomized controlled trials on adult subjects that compared early versus delayed or next-day feedings after percutaneous endoscopic gastrostomy placement were included.
|An increase in gastric residual volumes during day 1 was noted|
|The American Journal of Gastroenterology |
Meta-analyses for the effect of early and delayed feedings were analyzed by calculating pooled estimates of complications, death at 72 hours, and significant increases in postprocedural gastric residual volume during day 1.
The researchers identified 6 studies involving 467 patients that met the inclusion criteria.
No statistically significant differences were noted between early and delayed or next-day feedings for patient complications or death in 72 hours.
A statistically significant increase in gastric residual volumes during day 1 was noted.
Dr Bechtold’s team concluded, “Early feeding at 4 hours after percutaneous endoscopic gastrostomy placement may represent a safe alternative to delayed or next-day feedings.”
“Although an increase in significant gastric residual volumes at day 1 was noted, overall complications were not affected.”