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Percutaneous Endoscopic Gastrostomy Tubes May Be Associated With Preservation of Lung Function in Patients With Cystic Fibrosis.

Racha T KhalafDeanna GreenErnest K AmankwahJacquelin PeckVanessa CarrNeil A GoldenbergMichael Wilsey
Published in: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition (2018)
We observed that after adjusting for mutation class and baseline BMI, BMI percentile increased per month for those with PEG (0.51, 95% confidence interval (CI) = -0.05-1.08, P = .08), but decreased for those without PEG (-0.03, 95% CI = -0.33-0.28, P = .86); however, the difference (0.54; 95% CI = -0.10-1.18, P = .10) was not statistically significant. FEV1 change with time showed a decrease for patients with PEG (-0.04; 95% CI = -0.30-0.22, P = .74) and those without PEG (-.22; 95% CI = -0.45-0.01, P = .06). Although the decrease for those without PEG was higher than those with PEG, the difference between the groups was not statistically significant (0.18; 95% CI = -0.17-0.52, P = .32) CONCLUSION: Lung function trajectory showed a trend towards preservation among patients with CF who receive PEG despite lack of significant difference in BMI. There may be a favorable effect of PEG on lung function independent of changes in BMI.
Keyphrases
  • lung function
  • drug delivery
  • cystic fibrosis
  • body mass index
  • chronic obstructive pulmonary disease
  • air pollution
  • weight gain
  • minimally invasive