Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2010;14(1):123.
doi: 10.1186/cc8862. Epub 2010 Feb 19.

Feed the ICU patient 'gastric' first, and go post-pyloric only in case of failure

Mette M Berger, Ludivine Soguel
Comment

Feed the ICU patient 'gastric' first, and go post-pyloric only in case of failure

Mette M Berger et al. Crit Care. 2010.

Abstract

In a randomised trial comparing early enteral feeding by gastric and post-pyloric routes, White and colleagues have shown that gastric feeding is possible and efficient in the vast majority of critically ill patients. But the authors' conclusion that gastric is equivalent to post-pyloric is true in only the least severe patients. Given the extra workload and costs, post-pyloric is now clearly indicated in case of gastric feeding failure.

PubMed Disclaimer

Comment on

References

    1. White H, Sosnowski K, Tra K, Reeves A, Jones M. A randomised controlled comparison of early post-pyloric versus early gastric feeding to meet nutritional targets in ventilated intensive care patients. Crit Care. 2009;13:R187. doi: 10.1186/cc8181. - DOI - PMC - PubMed
    1. Davies AR, Froomes PR, French CJ, Bellomo R, Gutteridge GA, Nyulasi I, Walker R, Sewell RB. Randomized comparison of nasojejunal and nasogastric feeding in critically ill patients. Crit Care Med. 2002;30:586–590. doi: 10.1097/00003246-200203000-00016. - DOI - PubMed
    1. Treasure T, MacRae D. Minimisation: the platinum standard for trials? Randomisation doesn't guarantee similarity of groups; minimisation does. BMJ. 1998;317:362–363. - PMC - PubMed
    1. Drenth JP, Engels LG. Diabetic gastroparesis. A critical reappraisal of new treatment strategies. Drugs. 1992;44:537–553. doi: 10.2165/00003495-199244040-00002. - DOI - PubMed
    1. Berger MM, Revelly JP, Cayeux MC, Chiolero RL. Enteral nutrition in critically ill patients with severe hemodynamic failure after cardiopulmonary bypass. Clin Nutr. 2005;24:124–132. doi: 10.1016/j.clnu.2004.08.005. - DOI - PubMed

LinkOut - more resources