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Dysphagia

, Volume 30, Issue 6, pp 680–685 | Cite as

The Feasibility and Outcome of Oro-esophageal Tube Feeding in Patients with Various Etiologies

  • Juyong Kim
  • Han Gil Seo
  • Goo Joo Lee
  • Tai Ryoon Han
  • Byung-Mo OhEmail author
Original Article

Abstract

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.

Keywords

Deglutition Deglutition disorders Feeding methods Tube feeding 

Notes

Conflict of interest

The authors have no conflicts of interest to declare.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Juyong Kim
    • 1
  • Han Gil Seo
    • 1
  • Goo Joo Lee
    • 1
  • Tai Ryoon Han
    • 2
  • Byung-Mo Oh
    • 1
    Email author
  1. 1.Department of Rehabilitation MedicineSeoul National University College of MedicineSeoulRepublic of Korea
  2. 2.Department of Rehabilitation MedicineGangwon-Do Rehabilitation HospitalChuncheonRepublic of Korea

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