Modified B-ultrasound method for measurement of antral section only to assess gastric function and guide enteral nutrition in critically ill patients

Ying Liu, Ya-Kun Gao, Lei Yao, Li Li, Ying Liu, Ya-Kun Gao, Lei Yao, Li Li

Abstract

Aim: To establish a modified B-ultrasound method of measuring the antral section only to assess gastric motility in healthy people, and evaluate its application in guiding enteral nutrition (EN) in critically ill patients.

Methods: First, 30 healthy volunteers were selected. The modified B-ultrasound method and the traditional B-ultrasound method were applied to assess gastric function. The correlation of indices of gastric function between the two groups was analyzed statistically. In addition, 64 critically ill patients were selected, and the modified B-ultrasound method and the gastric juice withdrawal method were applied to guide the implementation of EN. Daily caloric value, the time required to achieve complete EN, ICU stay, hospitalization time, and serum prealbumin and albumin levels were recorded and compared between the two groups. Kaplan-Meier survival curve was used to compare the complications of EN between the two groups.

Results: In healthy subjects, there was a good correlation among gastric emptying time, antral contraction frequency and antral motility index between the two groups (r = 0.57, 0.61 and 0.54, respectively). The study on critically ill patients also revealed that a better effect of EN was achieved in the modified B-ultrasound method group, in which patients had shorter ICU stay and hospitalization time and higher levels of serum prealbumin and albumin. The Kaplan-Meier survival analysis revealed that the improved B-ultrasound method was associated with significantly fewer EN complications (P = 0.031).

Conclusion: The modified B-ultrasound method can provide a good real-time assessment of gastric function and has a better effect than the traditional method in guiding EN in critically ill patients.

Keywords: Critically ill patients; Enteral nutrition; Gastric emptying; Real-time ultrasound.

Conflict of interest statement

Conflict-of-interest statement: We declare that there are no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Ultrasound measurement of the antral section only.
Figure 2
Figure 2
Comparison of changes in prealbumin and albumin levels between the two groups of patients. A: Changes in prealbumin levels; B: Changes in albumin levels. aP < 0.05, cP < 0.01.
Figure 3
Figure 3
Comparison of complications between the two groups of patients.

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