P-OGC62 Home Enteral Tube Feeding: The Patient’s Perspective. Are we delivering an effective dietetic service?

Background Long term feeding tubes, managed independently at home have been shown to improve quality of life scores and in general are considered to be well tolerated. Beaumont Hospital has seen an increase in the number of patients referred for home enteral feeding (HEN) prior to neoadjuvant treatment for oesophagogastric (OG) cancer. We aimed to gain an insight into the supports, experiences and challenges encountered by these patients in an emerging service. Methods A retrospective qualitative study using data from 2019-2020. A questionnaire was adapted from a multicentre Irish study in 2017. Patients with OG cancer for treatment with curative intent, that underwent an elective feeding tube insertion for preoperative supplementary feeding were included. Patients were provided with a questionnaire via post. Data was analysed using Microsoft Excel. Results Response rate was 82% (14 of 17questionnaires). Mean age 60.4yrs (SD 11.7). 93% male (N = 13). In 36% (N = 5) tube feeding duration was < 3months and 3-6months duration in 43% (N = 6). Conclusions Overall positive feedback was received from patients regarding living with a feeding tube, confirming the important and impactful role of HEN. Priorities for service improvements: improved discharge information and resources may help reduce use of unreliable resources e.g. develop HEN discharge booklet to keep all relevant information in one accessible location, development of video education resources for consolidation of knowledge. Aim to provide more structured follow up with clear plans and channels of communication outlined for the patient. Quality improvement work with surgical team to reduce complication rate with feeding tubes.

Possibilities and prospects of using energy of high-temperature oscillation plasma flow in treatment of ventral hernias

OBJECTIVE. This work investigated an influence of high-temperature oscillation plasma flow on hypoderma and determined the degree of influence on lymphatic vessels. MATERIAL AND METHODS. The experiment was carried out on 15 guinea pigs, that were divided into 5 groups (3 species in each group). An incision of derma and hypoderma was performed in dorsal area. The control group was the first and their incised tissues were used for comparative morphological analysis. Hypoderma has been treated by high-temperature oscillation plasma flow using Plasma.Jet to achieve coagulation homeostasis in the second group. Excisional biopsy was made immediately after tissue processing by Plasma.Jet in this group. Biopsy was performed on the third day in the third group. It was on the fifth day in the fourth group and on the seventh day in the fifth group. RESULTS. According to histological and immunohistochemical study, it was stated that optimal hemostasis was achieved due to coagulation without necrotic changes and absence of lymphorrhea. CONCLUSIONS. The developed method of hemostasis allowed doctors to reduce complication rate in postoperative period.