Water jelly ingestion could also be efficient for rehabilitation and prevention of aspiration pneumonia amongst older sufferers with reasonable to extreme dysphagia, in accordance with a research within the Journal of Medical Gastroenterology. The findings are based mostly on 2 retrospective analyses of medical outcomes from a single middle in Japan.
In research 1, researchers performed an endoscopic swallowing evaluation in sufferers with dysphagia who have been hospitalized from January 2015 to December 2018 and had a Hyodo-Komagane rating of 8. A complete of 36 sufferers (18 ladies) with a imply age of 82±9 years have been included. A Meals Consumption Stage Scale was used to check meals consumption ranges between sufferers with and with out water jelly (50 to 100 mL) ingestion coaching 3 occasions per day.
In research 2, 64 sufferers (35 males) hospitalized with aspiration pneumonia from January 2018 to November 2019 with a imply age of 81±9 years have been included. The investigators in contrast the variety of sufferers with aspiration of any kind or quantity of food plan from the trachea or new aspiration pneumonia throughout hospitalization between the teams with and with out cyclic ingestion of jelly instantly after every meal.
In research 1, 3 sufferers (25%) who continued to bear water jelly ingestion coaching have been in a position to eat at the least 1 pureed food plan (stage 5, 2 sufferers; stage 6, 1 affected person), and not one of the 24 sufferers who didn’t bear the coaching have been in a position to eat any type of food plan (ranges 5 and 6, no sufferers) — 25% (3/12) vs 0% (0/24) (P =.011).
In research 2, the variety of members who aspirated meals from the trachea and who developed new aspiration pneumonia within the group with cyclic ingestion was considerably decrease in contrast in opposition to the group with out cyclic ingestion — 6% (2/34) vs 27% (8/30) (P =.022); 0% (0/34) vs 17% (5/30) (P =.031).
Research limitations embody the small pattern dimension from a single hospital in Japan. Moreover, it was not attainable to utterly eradicate the impact of sufferers’ background and confounding elements, and neither esophageal manometry nor radiography have been utilized in any of the members.
“[W]ater jelly ingestion coaching is anticipated to be an efficient technique for rehabilitation even in dysphagia sufferers who’ve issue persevering with rehabilitation,” acknowledged the researchers. “As well as, cyclic ingestion with water jelly instantly after every meal might scale back the chance of aspiration pneumonia within the aged with reasonable to extreme dysphagia.”
Morita A, Horiuchi A, Horiuchi I, Takada H. Effectiveness of water jelly ingestion for each rehabilitation and prevention of aspiration pneumonia in aged sufferers with reasonable to extreme dysphagia. J Clin Gastroenterol. 2022;56(2):e109-e113. doi: 10.1097/MCG.0000000000001493
This text initially appeared on Gastroenterology Advisor