Percutaneous endoscopic gastrostomy—to push or pull

Hogan, Reed B.; DeMarco, Daniel C.; Hamilton, J. Kent; Walker, Charles O.; Polter, Dan

doi:10.1016/s0016-5107(86)71841-5

Cited by 129 publications

(50 citation statements)

References 5 publications

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“…This avoids pulling the guidewire up through the mouth on nose, as is done in some endoscopic and nadiologic methods [3, 1 2, 13]. Also, the tube is inserted directly through the abdominal wall and not pulled through the mouth, as in some techniques [3,13] …”

Section: Resultsmentioning

confidence: 99%

“…In large series, major morbidity associated with surgical gastrostomy in infants and children ranges from 2% to 7%, minor morbidity from 7% to 10%, and mortality from 0% to 4% [1 1. In 1 980, percutaneous endoscopic gastrostomy was introduced as an alternative to surgery [2], and since that time it has been performed in adults [3,4] and children [5]. We report our experience with an alternative method of percutaneous gastrostomy in infants and children; this procedure is nonendoscopic and is performed by using sonognaphic and fluoroscopic guidance.…”

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confidence: 99%

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Percutaneous nonendoscopic gastrostomy in children

Cory

Cohen

1988

American Journal of Roentgenology

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Percutaneous nonendoscopic gastrostomy in children

Cory

Cohen

1988

American Journal of Roentgenology

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“…Genel olarak baktığımızda PEG'ye bağlı komplikasyon oranları % 12-43 arasında değişirken bunun sadece % 3-9'luk grubunu major komplikasyonlar oluşturmakta-dır [21][22][23][24][25][26] . Literatürde minör komplikasyonlardan en sık görüleni yara yeri enfeksiyonudur.…”

Section: Discussionunclassified

“…Çalışmamızda PEG tüpü yoluyla beslenmeye bağlı gelişen bulantı, kusma, kabızlık, ishal, şişkinlik, gaz gibi komplikasyon oranlarının literatürle uyumlu olduğu görül-müştür [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] . Sonuç olarak; en sık PEG konma nedeni 15 hasta ile (% 60) serebrovasküler hastalıklardı.…”

Section: Discussionunclassified

Percutaneous endoscopic tube gastrostomy in enteral feeding for long term

Demiryılmaz¹,

Yılmaz²,

Albayrak³

et al. 2012

Sakarya Med J

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ÖzetPerkütan endoskopik gastrostomi(PEG) ağız yoluyla beslenemeyen hastalara uzun dönem enteral beslenme sağlamak amacıyla karın duvarından mideye tüp yerleştirilmesidir. Bu çalışmamızda Genel cerrahi kliniğimizde PEG koyduğumuz hastaların PEG endikasyonlarını, erken ve geç dönemde karşılaştığımız komplikasyonları sunmayı amaçladık. 25 hastaya PEG yerleştirildi. En sık PEG konma nedeni 15 hasta ile (% 60) serebrovasküler hastalıklardı. 18 hasta evine tüp ile taburcu edilirken, 7 hasta hastanede izlemleri sırasında PEG işlemine bağlı olmayan sebeplerden kaybedildi. İşleme bağlı majör bir komplikasyonla karşılaşılmadı, erken dönemde görülen en sık görülen minör komplikasyon periostomal enfeksiyon iken geç dönemde ise tüp tıkanmasıydı. AbstractPercutaneous endoscopic gastrostomy (PEG) is to indwell a tube through abdominal wall into the stomach of patients who can not swallow orally for enteral feeding long term. In this paper we present indications and early or late term complications of PEG we encounter in our surgery unit. 25 patients underwent PEG procedure. The most common indication of PEG was cerebrovascular disorder in 15 (60%) patients.Of them, 18 were discharged, 7 were died of different causes during hospital stay. No major comlication was seen. Peristomal infection was the most common complication in early period but the tube occlusion in the late period. GirişMalnutrisyon hastaneye yatışı yapılan hastaların % 40'ını etkileyen, mortalite, morbidite, hastanede yatış süresini artıran bir sağlık problemidir. Özellikle vücut kitle indeksi 18 kg/m2 'nin altında olan yaşlı hastalarda mortalite oranı yüksektir. Beslenme; hastalıkların, travmanın ve cerrahi operasyonlar sonrası yara iyileşmesinin erken düzelmesinde önemli bir faktördür.1 Ağız yoluyla yeterli düzeyde beslenemeyen hastalarda parenteral ya da en-

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“…В последующем были разработаны модифи-кации данной методики, например push-метод (Sacks-Vine) [2], при котором гастростомичес-кая трубка может быть втянута или вставлена в желудок извне. Предложена методика Russell с использованием проводника и ряда дилататоров для увеличения размера гастростомического свища, при котором возможна установка более толстой трубки [3,4].…”

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Percutaneous endoscopic microgastrostomy as a method of the long-term enteral nutrition therapy and therapeutic treatment of patients

et al. 2017

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Aim. Analysis of the experience of percutaneous endoscopic microgastrostomy use for the long-term enteral nutrition therapy and therapeutic treatment of patients with Parkinson’s disease. Methods. The group of 4-year observation period (2012-2016) included 20 patients aged 55 to 72 with severe form of Parkinson’s disease, mostly males. All patients had microgastrostomy performed in 2008-2012 with the use of «Frezenius» set. Through microgastrostomy levodopa-carbidopa was administered by microdrainage to jejunum. Results. During the first year of functioning of gastrostomy the following complications occured: gastric juice leakage to the skin surface causing the skin maceration (in 2 cases), growth of hypergranulations around gastrostomy (in 3 cases), prolapse of the supporting ring of microgastrostomy to subcutaneous fat causing abscess (in 2 patients). By the end of the fourth year of observation 3 more patients developed prolapse of microgastrostomy to subcutaneous fat without suppuration. The authors in each certain case used different preventive methods and treatment of complications. To prevent gastric juice leakage and growth of hypergranulation, correction of tube fixation and local treatment are necessary; to prevent prolapse of the supporting ring of gastrostomy use of prolene mesh is appropriate. The microgastrostomy should be changed once in 3-4 years with proper care. When microdrainage is used for medication administration through gastrostomy to jejunum, its replacement is necessary at least once in 2 years to prevent bezoar development on catheter. Conclusion. Puncture microgastrostomy performed under endoscopic control can be effectively used for long-term nutrient and medications administration to digestive tract.

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Percutaneous endoscopic gastrostomy—to push or pull

Cited by 129 publications

References 5 publications

Percutaneous nonendoscopic gastrostomy in children

Percutaneous nonendoscopic gastrostomy in children

Percutaneous endoscopic tube gastrostomy in enteral feeding for long term

Percutaneous endoscopic microgastrostomy as a method of the long-term enteral nutrition therapy and therapeutic treatment of patients

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