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Gastric myoelectrical activities in elderly severe tetanus: Useful marker to increase volume and calorie of nasogastric tube feeding 大林, 光念 植田, 光晴 山下, 太郎 三隅, 洋平 平原, 智雄 田崎, 雅義 大嶋, 俊範 内野, 誠 安東, 由喜雄 Obayashi, Konen 植田, 光晴 ウエダ, ミツハル Ueda, Mitsuharu 植田 ウエダ Ueda 光晴 ミツハル Mitsuharu 山下, 太郎 ヤマシタ, タロウ Yamashita, Taro 山下 ヤマシタ Yamashita 太郎 タロウ Taro Misumi, Yohei Hirahara, Tomoo Tasaki, Masayoshi Ooshima, Toshinori Uchino, Makoto 安東, 由喜雄 アンドウ, ユキオ Ando, Yukio 安東 アンドウ Ando 由喜雄 ユキオ Yukio © 2010 European Society for Clinical Nutrition and Metabolism Published by Elsevier B.V. 490 Tetanus Nasogastric tube feeding (NTF) Electrogastrogram (EGG) Gastric myoelectrical abnormalities Autonomic nervous activities application/pdf application/pdf application/pdf 論文(Article) Background & aims: Early high nasogastric tube feeding (NTF) is effective for improving the nutritional status of critical illness. However, potential complications of NTF in tetanus include aspiration pneumonia because of dysphagia and gastrointestinal dysfunction induced by over-activity of autonomic nervous system. Methods: We serially evaluated gastric myoelectrical activities using electrogastrogram (EGG) recorder in 4 elderly severe tetanus patients, and assessed its potential as a marker to increase volume and calorie of NTF. Results: Although dominant frequencies of EGG in all patients (1.8 ± 0.6 cycle/min (cpm)) were lower than those in healthy volunteers (2.9 ± 0.2 cpm) at least until 12th hospital day, it tended to improve from 14-24th hospital day and reached the same levels in healthy volunteers at least until 28th hospital day. We transferred total NTF along their metabolic costs when the timing of dominant frequency tended to improve in each patient (17-24th hospital day). No aspiration pneumonia and malnutrition occurred in their hospital days. Conclusion: EGG data may be a useful marker to know the level of over-activity of autonomic nervous system and to guess the best timing to increase volume and calorie of NTF especially in elderly severe tetanus. http://www.sciencedirect.com/science/article/pii/S175149911000051X Elsevier 2010-12 eng journal article AM http://hdl.handle.net/2298/20424 https://kumadai.repo.nii.ac.jp/records/24983 10.1016/j.eclnm.2010.09.006 17514991 e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 5 6 e261 e264 https://kumadai.repo.nii.ac.jp/record/24983/files/e-SPEN_5_6_Figures.pdf application/pdf 15.0 kB 2020-03-02 https://kumadai.repo.nii.ac.jp/record/24983/files/e-SPEN_5_6_Tables.pdf application/pdf 11.2 kB 2020-03-02 https://kumadai.repo.nii.ac.jp/record/24983/files/e-SPEN_5_6_e261-e264.pdf application/pdf 61.7 kB 2020-03-02