Percutaneous Endoscopic Gastrostomy and Peristomal Infection

Fagundes, Renato Borges; Cantarelli, J. C.; Fontana, Kalil; Motta, Giordana de Cássia Pinheiro da

doi:10.1097/sle.0b013e318221c3f1

Cited by 7 publications

(7 citation statements)

References 16 publications

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“…Patients requiring PEG have a high mortality rate in the early period because of their comorbidities and underlying diseases. In studies predicting a 30-day mortality rate, the results were as follows: (19,20). In our study, the 3-month mortality rate was 30.9%.…”

Section: Discussionsupporting

confidence: 48%

Our experience with percutaneous endoscopic gastrostomy and long-term follow-up results

Durak¹,

Fidan

Erkut

et al. 2022

Anatolian Current Medical Journal

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Aim: Percutaneous endoscopic gastrostomy (PEG) is the preferred method for long-term enteral feeding of patients who cannot be fed orally for various reasons and have a functioning gastrointestinal system. In this study, we aimed to present and discuss the demographic characteristics, indications, and early and late complications of patients implanted with the endoscopic PEG in our center. Material and Method: In this study, we retrospectively evaluated age, gender, chronic diseases, indication for PEG, complications during the procedure, complications arising from PEG during patient follow-up, and survival times of 84 patients who underwent PEG between January 2016 and January 2020 from the electronic medical file system. Results: Of the 84 patients enrolled in the study, 59.5% (n=50) were male and 40.5% (n=34) were female. The mean age of the patients was 61.35±19.52 years. The endoscopic PEG success rate was 97.6%. Of the requests for PEG, 58.6% (n=50) were for patients in intensive care units. The most common indications for PEG insertion were cerebrovascular accident (CVA), chronic nervous system disease, and hypoxic-ischemic encephalopathy. Complications related to PEG were observed in 11 patients. All complications were mild, and no severe complications were observed. While one of the complications developed in the early period ( 30 days). No deaths from causes related to the PEG procedure have been observed. Conclusion: In patients with inadequate oral intake, PEG is a safe and appropriate option for continuous enteral feeding because of its low complication and mortality rates.

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Section: Discussionsupporting

confidence: 48%

Our experience with percutaneous endoscopic gastrostomy and long-term follow-up results

Durak¹,

Fidan

Erkut

et al. 2022

Anatolian Current Medical Journal

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“…Of the included articles, 27 were found to fit into the Healthcare system category 11, (with 32 citations within this category), 43 into the Individual with an ostomy category 4,5,9,12-19,22,24-28,30-32,34-37,39-57 (74 citations), and 13 into the Ostomy product category 9,10,25,39,41,55,58-64 (16 citations); several articles were found to fit into two or more categories or subcategories. The articles were divided into three evidence levels 8 : Level I (high), five articles 38,51,54,61,64 ; Level II (good), 43 articles 4,10,[12][13][14][15][16][17][18][19][20][21][22][24][25][26][27][28][29][30][31][32][33][34][35][36][37]41,[44][45][46][47][48][49][50]52,53,[55][56][57][58]…”

Section: Literature Search Resultsmentioning

confidence: 99%

“…The Healthcare system category included seven system level PSC risk factors related to contact, guidance and input from the healthcare system (Figure 4). In the literature review, 27 articles 11, (one Level I 38 , 24 Level II [13][14][15][16][17][18][19][20][21][22][24][25][26][27][28][29][30][31][32][33][34][35][36][37] , two Level III 11,23 ),…”

Section: Healthcare Systemmentioning

confidence: 99%

“…Surgical guidelines include best practices for creating ostomies for the best possible patient outcome; 19 articles [13][14][15][17][18][19][20]22,[24][25][26][27][30][31][32][34][35][36][37] (all Level II) were found providing clinical evidence for surgical techniques and indicating the importance of selecting a surgical procedure that reduces the risk of getting PSC. Care guidelines include high quality postoperative training and follow-up; three articles 21,23,38 (Level I, II and III: one each) were found pertaining to guidelines for ensuring the quality of postoperative training of the patients.…”

Section: Health Care System Individual With a Stoma Ostomy Product So...mentioning

confidence: 99%

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A risk factor model for peristomal skin complications

Hansen¹,

Bechshøft²,

Martins³

et al. 2022

wcet

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For people living with an ostomy, leakage and peristomal skin complications (PSC) are common issues that often appear together. Better means of preventing these issues could improve the quality of life of these patients. The purpose of the research presented here was to identify and build a model of risk factors for PSC.Risk factors were identified via discussion sessions with Coloplast's internal ostomy care experts, the Coloplast Skin Expert Panel, the Global Coloplast Ostomy Forum (COF), and 18 national COF boards, collectively representing more than 400 ostomy care nurses from around the world. Risk factors were identified by these expert groups, analysed, clustered into categories, and discussed in several stages, resulting in the risk factor model for PSC, comprising three overall categories and their related risk factors (n=24). Consensus on the model was achieved using a modified Delphi process involving over 4000 experts within ostomy care from 35 countries. In parallel, a systematic literature review of risk factors for PSC was performed to identify primary literature supporting the model. Relevant articles published from 2000 until August 2020 were included in the review, and 58 articles were found to support 19 out of the total 24 risk factors. The risk factor model for PSC was ratified by the Coloplast Skin Expert Panel and the Global COF and holds potential to be included in guidelines for healthcare professionals and to be used as a tool in daily clinical practice.

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“…The advantages of the jumping technique might be a small incision with few skin wounds, which might be correlated with the smaller wound infection rate in our study. Fagundes et al [14] recently reported that reduction in infection could be achieved not by using prophylactic antibiotics but by a minimal skin incision. In our study, irrespective of the number of levels operated, hospital stay was similar in all cases.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Feasibility of Full Endoscopic Decompression in One- to Three-Level Lumbar Canal Stenosis via a Single Skin Port Using a New Endoscopic System, Percutaneous Stenoscopic Lumbar Decompression

Lim¹,

Nam²,

Kim³

et al. 2019

Asian Spine J

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Study Design This retrospective study involved 450 consecutive cases of degenerative lumbar stenosis treated with percutaneous stenoscopic lumbar decompression (PSLD). Purpose We determined the feasibility of PSLD for lumbar stenosis at single and multiple levels (minimum 1-year follow-up) by image analysis to observe postoperative widening of the vertebral canal in the area. Overview of Literature The decision not to perform an endoscopic decompression might be due to the surgeon being uncomfortable with conventional microscopic decompression or unfamiliar with endoscopic techniques or the unavailability of relevant surgical tools to completely decompress the spinal stenosis. Methods The decompressed canal was compared between preoperative controls and postoperative treated cases. Data on operative results, including length of stay, operative time, and surgical complications, were analyzed. Patients were assessed clinically on the basis of the Visual Analog Scale (VAS) score for the back and legs and using the Oswestry Disability Index (ODI). Results Postoperative magnetic resonance imaging revealed that PSLD increased the canal cross-sectional area by 52.0% compared with the preoperative area at the index segment ( p <0.001) and demonstrated minimal damage to the normal soft tissues including muscles and the extent of removed normal bony tissues. Mean improvements in VAS score and ODI were 4.0 ( p <0.001) and 40% ( p <0.001), respectively. Conclusions PSLD could be an alternative to microscopic or microendoscopic decompression with various advantages in the surgical management of lumbar stenosis.

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Percutaneous Endoscopic Gastrostomy and Peristomal Infection

Abstract: The use of PA did not seem to reduce peristomal infection rates. However, minimal SI was significantly associated with reduction of this complication.

Cited by 7 publications

References 16 publications

Our experience with percutaneous endoscopic gastrostomy and long-term follow-up results

Our experience with percutaneous endoscopic gastrostomy and long-term follow-up results

A risk factor model for peristomal skin complications

Therapeutic Feasibility of Full Endoscopic Decompression in One- to Three-Level Lumbar Canal Stenosis via a Single Skin Port Using a New Endoscopic System, Percutaneous Stenoscopic Lumbar Decompression

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