Bedside percutaneous endoscopic gastrostomy

Carrillo, Eddy H.; Heniford, B. Todd; Osborne, Dustin L.; Spain, David A.; Miller, Frank B.; Richardson, J. David

doi:10.1007/s004649900531

Cited by 26 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Uþsitaesaes parenterinis maitinimas sukelia virðkinimo trakto gleivinës atrofijà, sumaþina skrandþio motorikà veikianèiø gastrointestiniø hormonø iðskyrimà, dël to atsiranda virðkinimo trakto fiziologinë disfunkcija. Ðie pokyèiai sukelia bakterijø translokacijà ið þarnø, gali pasireikðti sepsis, pneumonija, intraabdominaliniai abscesai, kepenø nepakankamumas ir dauginis organø nepakankamumas [1,2,4].…”

Section: Diskusijaunclassified

“…Nazogastrinis maitinimas -gana paprastas bûdas enteriniam fiziologiniam maitinimui uþtikrinti, bet ne visi pacientai já toleruoja, daþnai zondà iðsitraukia. Kartais dël maitinimo pro nazogastriná zondà pasireiðkia aspiracinë pneumonija, ezofagitas, gastritas, gastroezofaginis refliuksas [1,2,4].…”

Section: Diskusijaunclassified

“…Gastrostominis maitinimas yra labai artimas fiziologiniam, nors ir ðiuo atveju gali atsirasti gastroezofaginis refliuksas, aspiracinë pneumonija. Kaip profilaktikos priemonë rekomenduojama maitinimo metu paciento lovos galvûgalá pakelti 30 laipsniø kampu [4][5][6][7].…”

Section: Diskusijaunclassified

See 2 more Smart Citations

Perkutaninė endoskopinė gastrostomija

Grigaliūnas¹,

Šileikienė²,

Stašinskas³

2004

View full text Add to dashboard Cite

Aurelijus Grigaliūnas, Nijolė Šileikienė, Algimantas StašinskasVilniaus greitosios pagalbos universitetinė ligoninė,Vilniaus universiteto Bendrosios ir plastinės chirurgijos,ortopedijos, traumatologijos klinikosBendrosios chirurgijos centras,Šiltnamių g. 29, LT-04130 VilniusEl. paštas: nijo@delfi.lt Įvadas / tikslas Pateikti perkutaninės endoskopinės gastrostomijos techniką. Nurodyti šio minimaliai invazinio chirurginio metodo indikacijas ir kontraindikacijas. Išanalizuoti Vilniaus greitosios pagalbos universitetinėje ligoninėje atliktų perkutaninių endoskopinių gastrostomijų komplikacijas ir mirties priežastis. Ligoniai ir metodai Retrospektyviai išnagrinėti atliktų perkutaninių endoskopinių gastrostomijų 34 atvejai. Ligoniams, kuriems buvo rijimo sutrikimų, gastrostomijos atliktos "stumk" ir "trauk" būdais. Rezultatai 1996–2003 metais Vilniaus greitosios pagalbos universitetinėje ligoninėje atliktos 34 perkutaninės endoskopinės gastrostomijos: 24 vyrams ir 10 moterų. Amžiaus vidurkis – 55,6 metų. Komplikacijų buvo 9 (26,4%) ligoniams; 4 (11,8%) ligoniai mirė; 5 (14,7%) ligoniams, iškritus gastrostominiams zondams, atliktos regastrostomijos. Išvados Perkutaninė endoskopinė gastrostomija – minimaliai invazinė chirurginė operacija. Jos atlikimo technika paprasta, lengvai įvaldoma. Tai intervencija, pasižyminti mažu komplikacijų ir mirčių skaičiumi. Reikšminiai žodžiai: perkutaninė endoskopinė gastrostomija, enterinis maitinimas, minimaliai invazinė chirurgija Percutaneous endoscopic gastrostomy Aurelijus Grigaliūnas, Nijolė Šileikienė, Algimantas Stašinskas Background / objective To present the formation technique of percutaneous endoscopic gastrostomy; indications and contraindications of this minimally invasive surgical method. To analyze complications and death rate in patients to whom those gastrostomies were performed at Vilnius University Emergency Hospital. Patients and methods Thirty-four cases of percutaneous endoscopic gastrostomies due to dysphagia were reviewed retrospectively. Percutaneous endoscopic gastrostomy formations were performed by the "push" or "pull" methods. Results Thirty-four percutaneous endoscopic gastrostomies were performed in Vilnius University Emergency Hospital in 1996–2003 for 24 male and 10 female patients, mean age 55.6 years. Complications were observed in 9 (26.4%) cases; four (11.8%) patients died. In 5 (14.7%) cases regastrostomies were performed when the gastrostomic drainage tube fell out. Conclusions Percutaneous endoscopic gastrostomy is a minimally invasive surgical intervention. Its technique is simple, easy to master. This intervention shows a relatively low complication and death rate. Keywords: percutaneous endoscopic gastrostomy, enteral nutrition, minimally invasive surgery

show abstract

Section: Diskusijaunclassified

See 1 more Smart Citation

Perkutaninė endoskopinė gastrostomija

Grigaliūnas¹,

Šileikienė²,

Stašinskas³

2004

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Percutaneous dilatational tracheostomy (PDT) and percutaneous endoscopic gastrostomy (PEG) are procedures that may be safely completed at the bedside in the intensive care unit (ICU) [1][2][3][4][5]. Bleeding is the most common early complication of tracheostomy [6], occurring in up to 5% of patients, and occurs in up to 2.5% of PEG placements [7][8][9][10][11].While bedside procedures offer shorter operative time, fewer adverse events from anesthesia, and lower resource utilization compared to procedures completed in the operating room (OR), it is unclear whether patients continued on anticoagulation or antiplatelet agents are at increased risk for bleeding during these procedures [12].…”

Section: Introductionmentioning

confidence: 99%

Safety of Prophylactic Anticoagulation During Bedside Procedures: A Prospective Multicenter Observational Study

et al. 2022

View full text Add to dashboard Cite

Background Bedside percutaneous dilatational tracheostomy (PDT) and percutaneous endoscopic gastrostomy (PEG) are common procedures performed in the intensive care unit (ICU). Venous thromboembolism (VTE) prophylaxis is frequently prescribed to ICU patients and it remains unclear whether pre-procedure discontinuation is necessary. Methods This multi-center prospective observational study aimed to describe bleeding rates in patients undergoing bedside PEG or PDT who did or did not have VTE prophylaxis held. Decision to hold prophylaxis was made by the operating physician. The primary endpoint was the rate of peri-procedural bleeding complications. Secondary endpoints included quantification of held doses in the peri-procedural period, rate of venous thromboembolism, and characteristics associated with having prophylaxis held. Results 91 patients were included over a 2-year period. Patients were on average aged 54 years, 40% female, mostly admitted to the trauma service (59%), and most commonly underwent bedside PDT (59%). Overall, 21% of patients had doses of pre-procedure prophylaxis held. Bleeding events occurred in 1 patient (1.4%) who had prophylaxis continued and in 1 patient (5.0%) who had prophylaxis held, a rate difference of 3.6% (95% CI-9.5%, 16.7%). One bleeding event was managed with bedside surgical repair and one with blood transfusion. There were 10 VTE events, all of whom had prophylaxis continued during the pre-procedure period but 3 had prophylaxis held after the procedure. Conclusions Bleeding complications were rare and did not significantly differ depending on whether prophylaxis was held or not. Future research is required to confirm the lack of risk with continuing prophylaxis through bedside procedures.

show abstract

Video-assisted gastrostomy

Majewski

Zieliński

1999

Surg Endosc

View full text Add to dashboard Cite

Surgical centers that treat esophageal cancer need to create a simple and easy method to feed patients who suffer from complete occlusion of the upper alimentary tract. The purpose of this work is to present our own modification of a laparoscopic feeding gastrostomy, which is based on our own experience and previously published methods. Our system requires only two trocars and can be done under general or local anesthesia. It consists of exteriorizing a stomach fragment through a 12-mm opening in the skin under video control. The newly created gastrostomy forms a channel in the abdominal wall that is long narrow and enough to allow a 24-F catheter to be inserted without serious leakage. The method was applied satisfactorily to 11 patients, with a mean observation time of 3.5 months. It offers the patient an ongoing nutrition gastrostomy for early use. After 3 weeks, the gastrostomy can be used on a temporary basis by inserting the catheter during the feeding time and afterward withdrawing it with the gauze pad still attached. We have found this procedure to be a simple, easy, and cost-effective alternative to supplying nutrition to patients with complete upper alimentary tract stenosis. Moreover, it is superior to previously described methods.

show abstract

Bedside percutaneous endoscopic gastrostomy

Abstract: Early PEG in critically injured patients is a safe and effective method of providing access to the GI tract for nutritional support. In patients with significant brain injuries, adequate sedation and the presence of an ICP monitor help to minimize secondary insults to the brain.

Cited by 26 publications

References 10 publications

Perkutaninė endoskopinė gastrostomija

Perkutaninė endoskopinė gastrostomija

Safety of Prophylactic Anticoagulation During Bedside Procedures: A Prospective Multicenter Observational Study

Video-assisted gastrostomy

Contact Info

Product

Resources

About