TREATMENT
Review: early feeding and delayed feeding after PEG placement do not differ for complications or death within 72 hours
| The first 150 words of the full text of this article appear below. |
M L Bechtold
Dr M L Bechtold, University of Missouri School of Medicine, Columbia, MO, USA; bechtoldm@health.missouri.edu
How does early (
4 h) feeding compare with delayed or next-day feeding after percutaneous endoscopic gastrostomy (PEG) placement in terms of complications and death within 72 hours?
Included studies compared early (
4 h) with delayed or next-day feeding after PEG placement. Outcomes were death within 72 hours, complications, and gastric residual volumes on day 1.
Medline, Cochrane Central Register of Controlled Trials, CINAHL, Database of Systematic Reviews, Database of Abstracts of Reviews of Effectiveness, OVID Healthstar and Journals, and conference proceedings were searched to November 2007 for randomised controlled trials (RCTs). 6 RCTs (n = 467, mean age 63–76 y) met the selection criteria; all had Jadad scores of 2 out of 5.
Meta-analysis showed that early and delayed feeding did not differ for death within 72 hours or complications (including
Academic Medical Center, Amsterdam, The Netherlands
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