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BMC Gastroenterology· 2022Q2

Gastric ultrasound for feeding intolerance in the ICU: close but not quite right

Lynn Vernieuwe, An Wallyn, Lisa Van Dyck, Peter B C Van de Putte

Short summary

Concerns are raised about methodological flaws in a study using gastric ultrasound (GUS) to evaluate feeding intolerance in ICU patients, suggesting results should be interpreted with caution.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Methodological flaws identified in a study evaluating gastric ultrasound (GUS) for feeding intolerance in ICU patients.
  • Concerns include use of an unvalidated model for non-clear fluids and an unclear scanning protocol.
  • Essential anatomical landmarks for correct GUS interpretation were not visible in presented images.
  • Lack of comparison to a gold standard raises doubts about the study's conclusions.

AI-generated from the title and abstract; the full text is not read.

Abstract

In the January 2021 issue of BMC Gastroenterology, Elmokadem et al. report their findings on the use of gastric ultrasound (GUS) for the evaluation of feeding intolerance-defined as high gastric residual volume-in critically ill patients. We voice in this correspondence our concerns regarding certain methodological flaws and believe the study results should be interpreted with caution. The authors applied a model unvalidated for non-clear fluids as enteral feeding, the scanning protocol was not clearly described and essential anatomical landmarks required for correct interpretation are not visible in the presented images. Additionally, since GUS was not compared to a gold standard, we believe the authors' conclusion may be overoptimistic and does not undoubtedly answer the primary outcome.

The authors' abstract, as published at the source. BMC Gastroenterology, 2022 · DOI ↗

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Field: Nutrition and Dietetics

Nutrition and DieteticsNursing