2010 Volume 46 Issue 5 Pages 842-846
Background and Purpose: Diarrhea, dumping syndrome or abdominal pain are some of the problems associated with liquid nutrients for patients with gastrostomy. To solve these problems, we introduced a home rapid-injection method of semi-solid food for pediatric patients with gastrostomy. Materials and Methods: The rapid-injection method of semi-solid food was introduced to five gastrostomy patients who suffered from liquid nutrient originated symptoms such as diarrhea or nausea. The semi-solid food was made from ordinary foodstuffs at home. A 50ml dose of semi-solid food was injected through the gastrostomy at a speed of 50ml in 2 to 3 minutes for the initial dose. The family was allowed to increase the dose to the same dose as liquid nutrients if the 50ml of semi-solid food was accepted by the patient. Results: Semi-solid food could be injected 2 to 4 times a day in all five patients. Total time for injection decreased from the median time of 8 hours to 1.8 hours a day. The shape of stools was improved from watery or loosely formed stools to well formed or hard stools in all patients. Conclusion: The rapid injection method of semi-solid food is a good alternative method for gastrostomy nutrition in terms of improving patients' quality of life.
