The Feasibility and Outcome of Oro-esophageal Tube Feeding in Patients with Various Etiologies
- 533 Downloads
The oro-esophageal tube (OE tube) is widely used in dysphagia patients although its success rate for transition to oral feeding is reported only in stroke patients. The aim of this study was to evaluate the feasibility and outcome of OE tube feeding for patients with dysphagia resulting from various etiologies. The authors reviewed the medical records of 1995 dysphagic patients that had undergone videofluoroscopic swallowing study (VFSS) in a tertiary hospital from April 2002 through December 2009. Of these, 97 patients were recommended to use OE tube feeding based on the VFSS findings. Follow-up VFSS were performed on 54 patients. The mean duration of tube use at the time of follow-up VFSS was 274 days. We evaluated clinical information including age, sex, diet, etiology of dysphagia, location of lesions, duration of intervention, and complications of OE tube feeding. Initially, all 54 patients were fed using the OE tube. After their last follow-up evaluation, 19 patients (35.2 %) resumed full oral feeding without the OE tube, 12 patients (22.2 %) used partial OE tube feeding, and 23 patients (42.6 %) continued OE tube feeding only. Full oral feeding was achieved again most often in brain tumor, stroke, and head and neck cancer patients (54.5, 27.3, and 20.0 %, respectively). Mild adverse events, such as blood-tinged sputum, nausea, dyspepsia, and regurgitation of food, were reported in 4 patients. OE tube feeding is a feasible feeding method also in conditions other than stroke such as brain tumors, and head and neck cancers.
KeywordsDeglutition Deglutition disorders Feeding methods Tube feeding
Conflict of interest
The authors have no conflicts of interest to declare.
- 1.Roth E. Medical complications encountered in stroke rehabilitation. Phys Med Rehabil Clin North Am. 1991;2:563–77.Google Scholar
- 3.Logemann JA. Evaluation and treatment of swallowing disorders. San Diego: College Hill Press; 1998.Google Scholar
- 4.Funahashi M, Nakajima S, Ishihara K, Nishimura F. Intermittent use of an oral catheter for feeding dysphagic children. Brain Dev. 1985;17:3.Google Scholar
- 9.Nozaki S, Saito T, Matsumura T, Fujimura H, Shinno S. Intermittent oral catheterization for the patients with amyotrophic lateral sclerosis. Neurol Med. 2004;60:543–8.Google Scholar
- 11.You DS, Chun MH, Kim HJ, Ryu JS, Song YJ, Park EJ, Choi KH. The effectiveness of oro-esophageal tube feeding with dysphagia after brainstem stroke. J Korean Acad Rehabil Med. 2011;35:27–33.Google Scholar
- 13.Jung SH, Lee KJ, Hong J-B, Han TR. Validation of clinical dysphagia scale: based on videofluoroscopic swallowing study. J Korean Acad Rehabil Med. 2005;29:343–50.Google Scholar
- 14.Han TR, Paik NJ, Park JW. The clinical functional scale for dysphagia in stroke patients. Korean J Stroke. 2001;3:153–7.Google Scholar
- 16.Association AS-L-H: National Outcomes Measurement System (NOMS): Adult Speech-Language Pathology User’s Guide. Rockville MD: American Speech-Language-Hearing Association 2003.Google Scholar
- 22.Han TR, Paik NJ, Park JW. The Follow-up of Oro-Esophageal (OE) Tube Feeding. J Korean Acad Rehabil Med. 2001;25:58–61.Google Scholar