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J Korean Dysphagia Soc 2014; 4(1): 6-10

Published online January 1, 2014

Copyright © The Korean Dysphagia Society.

Selection of Enteral Feeding in Poststroke Dysphagia

Sung-Bom Pyun, M.D., Ph.D.

Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea

Abstract

Enteral feeding is needed for patients with dysphagia (PWD) who are at risk of malnutrition, poor fluid intake and aspiration pneumonia. Currently feeding through nasogastric (NG) tube and percutaneous endoscopic gastrostomy (PEG) are preferred method for management of PWD. The clinical outcome between NG tube and PEG feeding has been reported comparable, but higher risk of gastrointestinal bleeding has been reported in NG tube than PEG feeding. In general, NG tube feeding is recommended for early phase of dysphagia and short term use of tube feeding is expected in PWD. However, if long-term use of NG tube feeding is required, PEG should be considered for an alternative route. And the decision should be made collaboratively with the multidisciplinary team, patient and caregivers and family. (JKDS 2014;4:6-10)

Keywords: Deglutition disorders, Stroke, Enteral nutrition, Gastrostomy

Article

J Korean Dysphagia Soc 2014; 4(1): 6-10

Published online January 1, 2014

Copyright © The Korean Dysphagia Society.

Selection of Enteral Feeding in Poststroke Dysphagia

Sung-Bom Pyun, M.D., Ph.D.

Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea

Abstract

Enteral feeding is needed for patients with dysphagia (PWD) who are at risk of malnutrition, poor fluid intake and aspiration pneumonia. Currently feeding through nasogastric (NG) tube and percutaneous endoscopic gastrostomy (PEG) are preferred method for management of PWD. The clinical outcome between NG tube and PEG feeding has been reported comparable, but higher risk of gastrointestinal bleeding has been reported in NG tube than PEG feeding. In general, NG tube feeding is recommended for early phase of dysphagia and short term use of tube feeding is expected in PWD. However, if long-term use of NG tube feeding is required, PEG should be considered for an alternative route. And the decision should be made collaboratively with the multidisciplinary team, patient and caregivers and family. (JKDS 2014;4:6-10)

Keywords: Deglutition disorders, Stroke, Enteral nutrition, Gastrostomy

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