Journal of Renal Nutrition
Volume 7, Issue 4 , Pages 208-211, October 1997

Successful percutaneous endoscopic gastrostomy feeding in continuous ambulatory peritoneal dialysis☆

  • Mandakini G Patel, BSc, SRD (Senior I Renal Dietitian)

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Mandakini G. Patel, Senior I renal dietitian, Renal Unit St Bartholomew's Hospital, West Smithfield, London ECIA 7BE, England.
    • The Royal Hospitals NHS Trust, Renal Unit, St Bartholomew's Hospital, London, England.
    • ,
  • Martin J Raftery, MD, FRCP (Director of Renal Services)

      Affiliations

    • The Royal Hospitals NHS Trust, Renal Unit, The Royal London Hospital, London, England.

Abstract 

Objective: To improve nutritional status using percutaneous endoscopic gastrostomy feeding (PEG).

Design: Case study.

Main Outcome Measure: Dietary intake, body mass index, serum albumin, serum urea, and mid-arm circumference.

Results: Over the 6 months post-PEG, the patient regained weight lost (12 kg), body mass index increased from 19.3 kg/m2 to 25.0 kg/m2, serum urea levels increased from 11 g/L (66 mg/dL) to 22 g/L (132 mg/dL), serum albumin levels increased from 25 g/L (2.5 g/dL) to 31 g/L (3.1 g/dL), and mid-arm circumference increased from 27 to 28 cm.

Conclusions: PEG feeding in continuous ambulatory peritoneal dialysis (CAPD) can be a successful nutritional strategy, but is not frequently used in adult CAPD patients. This case shows a possible alternative means of dealing with malnutrition in the CAPD population.

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☆ Presented at the Eighth International Congress on Nutrition and Metabolism in Renal Disease, Naples Italy, October 9 to 12, 1996.

PII: S1051-2276(97)90021-2

Journal of Renal Nutrition
Volume 7, Issue 4 , Pages 208-211, October 1997

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