Early Feeding Following Percutaneous Gastrostomy Tube Placement
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 80 |
| Updated: | 12/29/2018 |
| Start Date: | October 30, 2017 |
| End Date: | November 2019 |
| Contact: | Lucy Smigiel |
| Email: | lucy.smigiel@ucdenver.edu |
| Phone: | 720-848-6610 |
This study plans to learn more about the safety of early feeding following placement of a
feeding tube. Doctors in other specialties feed patients 4 hours after patients receive a
feeding tube. However, Interventional Radiologists typically wait to feed patients for 24
hours following feeding tube placement. The investigator would like to demonstrate that
feeding after 4 hours does not increase complications and can actually reduce the burden to
patients who receive a feeding tube.
feeding tube. Doctors in other specialties feed patients 4 hours after patients receive a
feeding tube. However, Interventional Radiologists typically wait to feed patients for 24
hours following feeding tube placement. The investigator would like to demonstrate that
feeding after 4 hours does not increase complications and can actually reduce the burden to
patients who receive a feeding tube.
Inclusion Criteria:
- Patients between the ages of 18-80 years
- Outpatients receiving a gastrostomy tube at University of Colorado that do not require
post-pyloric feeding
- Patients that have no contraindication for intragastric feeding immediately following
tube placement
- INR (international normalized ratio) <1.5
- Platelet count > 50,000/µL
- WBC (white blood cell count) 4.0-11.1 x 109/L
Exclusion Criteria:
- Patients < 18 years or > 80 years of age
- Patients admitted to the hospital at the time of screening (i.e., inpatients)
- Women who are pregnant (confirmed by urine pregnancy screen)
- Patients requiring post-pyloric feeding
- Patients receiving venting gastrostomy tubes
- Patients receiving primary Gastro-Jejunal (GJ) Tube tube placement
- Patients with an interposed bowel on CT after stomach insufflation
- INR > 1.5
- Platelet count < 50,000/µL
- WBC > 11.1 x 109/L
- Known active infection
- Need for post-gastric feeding
- History of gastric bypass surgery or Roux-En-Y
- Mechanical obstruction of the GI tract
- Active peritonitis
- Known hemodynamic instability as demonstrated by tachycardia, hypotension, labile
blood pressure or altered mental status.
- Bowel ischemia
- Ascites
- Recent Gastro-Intestinal (GI) bleeding (within 2 weeks)
- Respiratory compromise as demonstrated by hypercarbia (CO2>45mmHg) or hypoxia (O2<90%)
- Unable to provide informed consent
We found this trial at
1
site
Aurora, Colorado 80045
Principal Investigator: Thor Johnson, MD, PhD
Phone: 720-848-6610
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