The therapeutic effect and complications of oro-esophageal tube training in stroke patients

Saerom Kang,1 Sook Joung Lee,1 Min Kyu Park,2 Eunseok Choi,1 Sangjee Lee11Department of Physical Medicine and Rehabilitation, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea; 2Department of Clinical Pharmacology and Therapeutics,...

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Autores principales:	Kang S, Lee SJ, Park MK, Choi E, Lee S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Stroke Swallowing disorder Oro-esophageal tube Tube feeding Videofluoroscopy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/3dda1db4127c4123acda4178a11179c4
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spelling	oai:doaj.org-article:3dda1db4127c4123acda4178a11179c42021-12-02T03:55:20ZThe therapeutic effect and complications of oro-esophageal tube training in stroke patients1178-1998https://doaj.org/article/3dda1db4127c4123acda4178a11179c42019-07-01T00:00:00Zhttps://www.dovepress.com/the-therapeutic-effect-and-complications-of-oro-esophageal-tube-traini-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Saerom Kang,1 Sook Joung Lee,1 Min Kyu Park,2 Eunseok Choi,1 Sangjee Lee11Department of Physical Medicine and Rehabilitation, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea; 2Department of Clinical Pharmacology and Therapeutics, Chung Buk National University Hospital, College of Medicine, Cheongju-si, Chungcheongbuk-do, Republic of KoreaBackground: Patients with severe dysphagia after stroke are usually fed using a nasogastric tube. However, this method is inconvenient and causes complications. The oro-esophageal (OE) tube has been used as an alternative parenteral feeding method for patients for whom safe oral feeding is impossible. This study aimed to evaluate the therapeutic effects and complications of OE tube feeding in stroke patients with dysphagia.Methods: This study was designed as a retrospective medical chart review of dysphagic stroke patients who were recommended for OE tube feeding. Thirty-eight stroke patients were recommended for OE tube feeding according to videofluoroscopic swallowing study (VFSS) findings. Of those patients, 17 received OE tube feeding training and conventional dysphagia therapy. Follow-up VFSSs were performed sequentially based on the patients’ conditions. When a patient was able to swallow therapeutic foods with specific viscosities during the VFSS, oral feeding was considered to be initiated. Patients were divided into two groups according to final feeding methods.Results: Seventeen patients attempted OE tube feeding. Among them, 64.7% of the patients could change to full oral feeding at their follow-up VFSS evaluation. Additionally, 70.6% of the patients showed gastroesophageal reflux disease regardless of whether they changed to oral feeding. On individual items of the Functional Dysphagia Scale, both groups showed significant improvements in the triggering of pharyngeal swallowing, the amount of residue, and the pharyngeal transit time. These functions were better improved in the patients who could change to oral feeding than in those who could not. Both groups showed significant aggravation of nasal penetration.Conclusion: Our study quantitatively shows the therapeutic effects and complications of OE tube training. OE tube feeding can facilitate the swallowing process and assist patients in transitioning to oral feeding. This easy-to-apply technique may significantly impact future treatment strategies in stroke patients with severe dysphagia.Keywords: stroke, swallowing disorder, oro-esophageal tube, tube feeding, videofluoroscopy  Kang SLee SJPark MKChoi ELee SDove Medical PressarticleStrokeSwallowing disorderOro-esophageal tubeTube feedingVideofluoroscopyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 1255-1264 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Stroke Swallowing disorder Oro-esophageal tube Tube feeding Videofluoroscopy Geriatrics RC952-954.6
spellingShingle	Stroke Swallowing disorder Oro-esophageal tube Tube feeding Videofluoroscopy Geriatrics RC952-954.6 Kang S Lee SJ Park MK Choi E Lee S The therapeutic effect and complications of oro-esophageal tube training in stroke patients
description	Saerom Kang,1 Sook Joung Lee,1 Min Kyu Park,2 Eunseok Choi,1 Sangjee Lee11Department of Physical Medicine and Rehabilitation, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea; 2Department of Clinical Pharmacology and Therapeutics, Chung Buk National University Hospital, College of Medicine, Cheongju-si, Chungcheongbuk-do, Republic of KoreaBackground: Patients with severe dysphagia after stroke are usually fed using a nasogastric tube. However, this method is inconvenient and causes complications. The oro-esophageal (OE) tube has been used as an alternative parenteral feeding method for patients for whom safe oral feeding is impossible. This study aimed to evaluate the therapeutic effects and complications of OE tube feeding in stroke patients with dysphagia.Methods: This study was designed as a retrospective medical chart review of dysphagic stroke patients who were recommended for OE tube feeding. Thirty-eight stroke patients were recommended for OE tube feeding according to videofluoroscopic swallowing study (VFSS) findings. Of those patients, 17 received OE tube feeding training and conventional dysphagia therapy. Follow-up VFSSs were performed sequentially based on the patients’ conditions. When a patient was able to swallow therapeutic foods with specific viscosities during the VFSS, oral feeding was considered to be initiated. Patients were divided into two groups according to final feeding methods.Results: Seventeen patients attempted OE tube feeding. Among them, 64.7% of the patients could change to full oral feeding at their follow-up VFSS evaluation. Additionally, 70.6% of the patients showed gastroesophageal reflux disease regardless of whether they changed to oral feeding. On individual items of the Functional Dysphagia Scale, both groups showed significant improvements in the triggering of pharyngeal swallowing, the amount of residue, and the pharyngeal transit time. These functions were better improved in the patients who could change to oral feeding than in those who could not. Both groups showed significant aggravation of nasal penetration.Conclusion: Our study quantitatively shows the therapeutic effects and complications of OE tube training. OE tube feeding can facilitate the swallowing process and assist patients in transitioning to oral feeding. This easy-to-apply technique may significantly impact future treatment strategies in stroke patients with severe dysphagia.Keywords: stroke, swallowing disorder, oro-esophageal tube, tube feeding, videofluoroscopy
format	article
author	Kang S Lee SJ Park MK Choi E Lee S
author_facet	Kang S Lee SJ Park MK Choi E Lee S
author_sort	Kang S
title	The therapeutic effect and complications of oro-esophageal tube training in stroke patients
title_short	The therapeutic effect and complications of oro-esophageal tube training in stroke patients
title_full	The therapeutic effect and complications of oro-esophageal tube training in stroke patients
title_fullStr	The therapeutic effect and complications of oro-esophageal tube training in stroke patients
title_full_unstemmed	The therapeutic effect and complications of oro-esophageal tube training in stroke patients
title_sort	therapeutic effect and complications of oro-esophageal tube training in stroke patients
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/3dda1db4127c4123acda4178a11179c4
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The therapeutic effect and complications of oro-esophageal tube training in stroke patients

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