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Nutrition in Clinical Practice
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Fiber-Containing Formula and Needle Catheter Jejunostomies: A Clinical Evaluation

Paige Collier, RD

Nutrition Services, Vanderbilt University, Nashville, Tennessee

Kenneth A. Kudsk, MD

Department of Surgery, The University of Tennessee, Memphis

Jeffrey Glezer, MD

Department of Surgery, The University of Tennessee, Memphis

Rex O. Brown, PHARMD

Department of Clinical Pharmacy, The University of Tennessee, Memphis

Despite the high frequency of diarrhea, chemically defined diets have traditionally been used with needle catheter jejunostomies, a common form of postpyloric enteral access, to avoid tube occlusion. We reviewed our experience with 57 patients fed a fiber-containing diet to determine the incidence of catheter occlusion and diarrhea. Eight catheters temporarily occluded but were reopened and remained patent for an additional 6.3 ± 3.1 days for an overall success rate of 91% (52 of 57). The five remaining occluded catheters were removed after 6.2 ± 1.8 days. Four of the five patients with occluded catheters tolerated gastric feedings, but one required a permanent jejunostomy. Diarrhea occurred in six (10.5%) of the 57 patients given the fiber-containing formula. We concluded that a fiber-containing formula can be administered through needle catheter jejunostomies if the catheter is irrigated daily and if no medications are given via the catheter. A fiber-containing formula may reduce the incidence of diarrhea in jejunostomy-fed patients compared with patients fed chemically defined diets.

Nutrition in Clinical Practice, Vol. 9, No. 3, 101-103 (1994)
DOI: 10.1177/0115426594009003101
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