The Optimal Tube Feeding Method in Head and Neck Cancer Patients: A Comparison Between Bolus, Gravity, and Tube Feeding Pump.
It is a great challenge to maintain the nutritional status of the head and neck cancer (HNC)
patients through treatment advances such as combined chemoradiation therapy or CRT. For all
these reasons, HNC patients undergoing treatment, frequently require alternate methods of
nutrition support such as as enteral tube feeding via a gastrostomy tube.Upon gastric tube
feeding initiation, the registered dietitian (RD) must consider the three different methods:
bolus (using a syringe), gravity (using gravity feeding bags), and pump (using a tube
Typically, patients are started on bolus (OPTION A), changed to gravity (OPTION B) if bolus
feeds are not tolerated, and ultimately changed to pump (OPTION C) if gravity feeds are not
tolerated. The concern is that in this process of starting with OPTION A, and moving to
OPTION B or further to OPTION C, the patient may experience unintentional weight loss and
dehydration related to tube feeding intolerance and/or tube feeding inadequacy.
Consequently, this places the patient at risk of, but not limited to, hospital admission for
dehydration and/or malnutrition, and treatment interruption. Therefore, exploring the idea
of an optimal feeding method and starting patients on it from the beginning, may improve
patient outcomes in terms of nutritional status.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
percent weight loss
Andreea Nguyen, MS in Nutrition
Baylor Health Care System
United States: Institutional Review Board
|Charles A. Sammons Cancer Center at Baylor University Medical Center||Dallas, Texas 75246|