Ulumbi Nasania Kilimba
Muhumbili National-Hospital, United States
Title: Nutrition intervention to adult patients with gastrostomy feeding tube after discharged from Muhimbili Hospital
Biography
Biography: Ulumbi Nasania Kilimba
Abstract
Gastrostomy feeding tube is inserted directly to the stomach for feeding to patient suffers upper gastric obstruction. Common causes; smoking, above 60 years, and low intake of fresh fruits and vegetable, but recently climate changes mentioned. Common clinical features; are dysphagia, persistent vomiting, and progressive wasting. The malnutrition is critical issue to upper gastrointestinal cancer and the rate rapidly is raising but data are limited. Current study conducted to evaluate the nutrition status among gastrostomy patients discharged home. Method; The surveillance study conducted to adult patients with gastrostomy tube feeding discharge home. The male and female were involved. Patient not assigned to Home Enteral Nutritional counseling program enrolled. The Telephone applied to make follow up. The follow done after third months post gastrostomy. The content analysis methods applied to analyze the data.Results; about 28 recruited, 21(75%) were male, and 7 (25%) female. Majority 15(53%) were above the 40 years. 16(57%) were smoked, 10 were living with family members who were smoking. The findings showed 21(75%) patients passed away within 3monts post gastrostomy, only 1 (3.5%) was alive.
Discussion; It is first nutrition surveillance study conducted at Tanzania to find out post gastrostomy nutrition status as severe malnutrition threatens the life. According to studies findings, home enteral nutrition program increase the life span and reduce the effect of chemotherapy and radiation.
Conclusion; Patient undergone Gastrostomy need closely nutrition care and then suggests the launch of the home enteral nutritional program, supplement, and development of nutrition guideline for UGI.