Analyses of Serum Micronutrients and Vitamin Concentration in Long-Term Enteral Nutritional Support after Direct Percutaneous Endoscopic Jejunostomy (D-PEJ)
10.2185/jjrm.56.632
- Author:
Shinji NISHIWAKI
;
Yukari NIWA
;
Naohumi KAWADE
;
Kiyoyuki TAKENAKA
;
Masahide IWASHITA
;
Nobuhito ONOGI
;
Hiroo HATAKEYAMA
;
Takao HAYASHI
;
Teruo MAEDA
;
Koushiro SAITOH
- Publication Type:Journal Article
- MeSH:
Upper case dee;
Percutaneous endoscopic jejunostomy [PEJ];
Percutaneous endoscopic gastrostomy;
Serum;
Feeding
- From:Journal of the Japanese Association of Rural Medicine
2007;56(4):632-637
- CountryJapan
- Language:Japanese
-
Abstract:
Enteral feeding is generally accepted in patients who cannot take nutrients orally. Percutaneous endoscopic gastrostomy (PEG) is a major enteral means for the introduction of nutritional solutions. However, jejunal feeding is sometimes employed instead of gastric feeding in cases of post-gastrectomy or repeated aspiration after PEG. The digestion and absorption of nutrients in trans-jejunal feeding might be different from those in trans-gastric feeding. In the present study, we measured the serum concentations of micronutrients and vitamins in the cases of direct percutaneous endoscopic jejunostomy (D-PEJ), compared to those of PEG. The enteral feeding has been continued for more than six months in all the cases. Serum copper and zinc concentration were significantly decreased in the D-PEJ group, whereas no significant difference in the concentrations of iron, selenium, vitamins A, B12 and E was ovserved between the two groups. Anemia and neutropenia were frequently observed in many patients with D-PEJ. These conditions were associated with copper deficiency. Much attention should be paid to copper and zinc deficiency in long-term trans-jejunal feeding.
