Effect on Diarrhea of Dietary Soluble Fiber Added to Nasogastric Tube-Fed Formulas in Stroke or Traumatic Brain Injury Patients.
- Author:
Joong Son CHON
1
;
Sae Il CHUN
;
Dong A KIM
;
Suk Hoon OHN
;
Sung Rae CHO
;
Jeong Hoon SEO
;
Tae Jun YOON
;
Seong YOU
;
Jung Nam KIM
;
Jee Young YOON
Author Information
1. Department of Rehabilitation Medicine, Yonsei University College of Medicine.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Diarrhea;
Dietary soluble fiber;
Nasogastric tube feeding;
Dysphagia;
Brain injury
- MeSH:
Brain Injuries*;
Colitis;
Deglutition Disorders;
Diarrhea*;
Humans;
Incidence;
Stroke*
- From:Journal of the Korean Academy of Rehabilitation Medicine
2000;24(5):870-876
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The purpose of this study was to investigate the effect of dietary soluble fibers added to nasogastric tube-fed formulas and to compare the difference of the degree of diarrhea according to the amount of dietary soluble fibers in stroke or traumatic brain injury patients for comprehensive rehabilitative management. METHOD: Fifty-two stroke or traumatic brain injury patients fed by nasogastric tube due to dysphagia were included. They received fiber-free formulas for the first 30 days and then they were randomly assigned to three groups, including the control (fiber-free) group, moderate fiber (3.5 gm fiber/L) group and high fiber (7 gm fiber/L) group. Each group received their respective formulas for the next 30 days. We compared diarrhea score and frequency. RESULTS: In the control group, the degree of diarrhea was not changed with time. In the moderate and high fiber groups, daily diarrhea score and monthly diarrhea frequency were low compared to the control group (p<0.05). Also, the incidence of pseudomembraneous colitis was low in fiber groups. CONCLUSION: We concluded that adding dietary soluble fibers to nasogastric tube-fed formulas may be helpful to reduce the diarrhea and the development of pseudomembraneous colitis. The proper fiber amount will be determined through the following more case studies.
