tailieunhanh - Báo cáo y học: " Prompt improvement of a pressure ulcer by the administration of high viscosity semi-solid nutrition via a nasogastric tube in a man with tuberculosis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Prompt improvement of a pressure ulcer by the administration of high viscosity semi-solid nutrition via a nasogastric tube in a man with tuberculosis: a case report | Nakayama et al. Journal of Medical Case Reports 2010 4 24 http content 4 1 24 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Prompt improvement of a pressure ulcer by the administration of high viscosity semi-solid nutrition via a nasogastric tube in a man with tuberculosis a case report Tamaki Nakayama Seiji Hayashi Kyoichi Okishio Tomoko Tomishiro Kaori Hosogai Yuki Ootsu Yasushi Morioka Kazuyoshi Hatsuda Eriko Naito Mitsunori Sakatani Abstract Introduction Semi-solid nutrition with high viscosity has the advantage of reducing gastroesophageal reflux and diarrhea and shortens the duration of administration compared with liquid nutrition. This is the first report describing the administration of semi-solid nutrition with high viscosity via a nasogastric tube which achieved a remarkable improvement in the patient s nutritional state. Case presentation A 67-year-old man mongoloid race Japanese with tuberculosis a pressure ulcer and malnutrition was admitted to our hospital. He also had right hemiplegia dysphagia and aphasia as sequelae of a cerebral hemorrhage. Before his admission he had been treated at another hospital with 600 kcal day of liquid nutrition via a nasogastric tube which was insufficient and induced severe malnutrition. After he was admitted to our hospital we increased the quantity of his liquid nutrition without success because of complications specifically diarrhea and gastroesophageal reflux. As it was difficult to confirm whether or not he would accept gastrostomy feeding we administered semi-solid nutrition with high viscosity 20 000 mPa x s via a large-bore nasogastric tube 18 French . Soon after he was started on semi-solid nutrition his pressure ulcer and malnutrition improved without diarrhea or complications accompanying the large-bore nasogastric tube. Conclusion When patients have problems with liquid nutrition such as diarrhea or gastroesophageal reflux semisolid nutrition via a nasogastric .