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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 113014 植田, 光晴 113015 山下, 太郎 113016 三隅, 洋平 113017 平原, 智雄 113018 田崎, 雅義 113019 大嶋, 俊範 113020 内野, 誠 113021 安東, 由喜雄 113022 Obayashi, Konen 112996 植田, 光晴 92462 ウエダ, ミツハル Ueda, Mitsuharu 山下, 太郎 157629 ヤマシタ, タロウ Yamashita, Taro Misumi, Yohei 112999 Hirahara, Tomoo 113000 Tasaki, Masayoshi 113001 Ooshima, Toshinori 113002 Uchino, Makoto 113003 安東, 由喜雄 157974 アンドウ, ユキオ Ando, Yukio 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 journal article Elsevier 2010-12 AM application/pdf application/pdf application/pdf e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 6 5 e261 e264 https://kumadai.repo.nii.ac.jp/record/24983/files/e-SPEN_5_6_Figures.pdf https://kumadai.repo.nii.ac.jp/record/24983/files/e-SPEN_5_6_Tables.pdf https://kumadai.repo.nii.ac.jp/record/24983/files/e-SPEN_5_6_e261-e264.pdf http://hdl.handle.net/2298/20424 https://kumadai.repo.nii.ac.jp/records/24983 eng 17514991 © 2010 European Society for Clinical Nutrition and Metabolism Published by Elsevier B.V.