Ann Rehabil Med.  2016 Oct;40(5):794-805. 10.5535/arm.2016.40.5.794.

Intermittent Oroesophageal Tube Feeding via the Airway in Patients With Dysphagia

• Shin HK
• Koo KI
• Hwang CH

• KMID: 2382911
• DOI: http://doi.org/10.5535/arm.2016.40.5.794

Abstract

OBJECTIVE
To investigate the feasibility of the use of the oropharyngeal airway (OPA) during intermittent oroesophageal tube (IOET) feeding.
METHODS
Ten patients, who were evaluated using the videofluoroscopic swallowing study (VFSS), were enrolled. One patient withdrew from the study during the study period. Tube insertion time with and without OPA use was recorded in the same patients in a random order during the VFSS. Patients who could safely undergo IOET feeding were then randomly allocated to 2 groups (OPA and non-OPA). Satisfaction Questionnaire with Gastrostomy Feeding (SAGA-8) scores and pneumonia incidence were assessed on the 3rd and 10th day after the VFSS. Non-parametric analysis was used for statistical analyses.
RESULTS
The IOET insertion time was significantly shorter in the OPA group than in the non-OPA group (17.72±5.79 vs. 25.41±10.41 seconds; p=0.017). Complications were not significantly different between the 2 groups (p=0.054). Furthermore, although there were no significant differences in the SAGA-8 scores (25.50±2.38 vs. 21.40±3.13; p=0.066), which reflect the patient/caregiver satisfaction and the ease of tube insertion, patients in the OPA group tended to be more satisfied with the feeding procedure.
CONCLUSION
Although the small size of the study cohort is a limitation of our study, the use of the OPA appears to be beneficial during IOET feeding in patients with dysphagia.

Keyword

Dysphagia; Intermittent oroesophageal tube; Swallowing; Videofluoroscopy

MeSH Terms

Cohort Studies
Deglutition
Deglutition Disorders*
Enteral Nutrition*
Gastrostomy
Humans
Incidence
Pneumonia

Figure

• 

  Fig. 1 A flowchart illustrating the number of participants enrolled, allocated to each study group, followed up, and analyzed. OPA, oropharyngeal airway.

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  Fig. 2 (A) The oropharyngeal airway (white arrow) was first inserted into the oropharynx, and the patient was asked to bite on it lightly. (B) The intermittent oroesophageal tube (short white arrow) was then inserted as far as possible up to the upper esophageal sphincter.

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