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https://www.readbyqxmd.com/read/27891266/a-silent-and-chronic-complication-of-percutaneous-endoscopic-gastrostomy-tube-small-bowel-enterocutaneous-fistula
#1
Sai Wah Cheung
Percutaneous endoscopic gastrostomy (PEG) has gradually gained the popularity since its invention and become the most preferred method for gastrostomy insertion in recent years. PEG is associated with lower morbidity and mortality and has the advantages of being minimally invasive and more convenient over the conventional open gastrostomy. However, significant rates of major complication still occur. Enterocutaneous fistula is one of the key complications that can be easily neglected due to its asymptomatic nature...
2016: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/27799884/thirty-day-mortality-after-percutaneous-gastrostomy-by-endoscopic-versus-radiologic-placement-a-systematic-review-and-meta-analysis
#2
Joo Hyun Lim, Seung Ho Choi, Changhyun Lee, Ji Yeon Seo, Hae Yeon Kang, Jong In Yang, Su Jin Chung, Joo Sung Kim
BACKGROUND/AIMS: A percutaneous gastrostomy can be placed either endoscopically (percutaneous endoscopic gastrostomy, PEG) or radiologically (radiologically-inserted gastrostomy, RIG). However, there is no consistent evidence of the safety and efficacy of PEG compared to RIG. Recently, 30-day mortality has become considered as the most important surrogate index for evaluating the safety and efficacy of percutaneous gastrostomy. The aim of this meta-analysis was to compare the 30-day mortality rates between PEG and RIG...
October 2016: Intestinal Research
https://www.readbyqxmd.com/read/27737522/percutaneous-endoscopic-gastrostomy-tube-insertion-in-neurodegenerative-disease-a-retrospective-study-and-literature-review
#3
Pamela Sarkar, Alice Cole, Neil J Scolding, Claire M Rice
Background/Aims: With the notable exceptions of dementia, stroke, and motor neuron disease, relatively little is known about the safety and utility of percutaneous endoscopic gastrostomy (PEG) tube insertion in patients with neurodegenerative disease. We aimed to determine the safety and utility of PEG feeding in the context of neurodegenerative disease and to complete a literature review in order to identify whether particular factors need to be considered to improve safety and outcome...
October 13, 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27678507/infant-gastrostomy-outcomes-the-cost-of-complications
#4
Rachel M Landisch, Ryan C Colwell, John C Densmore
PURPOSE: Comparative outcomes of enhanced percutaneous endoscopic gastrostomy (PEG) and laparoscopic gastrostomy (LG) have not been elucidated in infants. We describe the outcomes and procedural episodic expenditures of PEG versus LG in this high-risk population. METHODS: One hundred eighty-three gastrostomies in children under 1year were reviewed from our institution spanning 1/2011-6/2015. Pertinent demographics and 3-month complications (mortality, gastrocolic fistula, reoperation, cellulitis, granulation, pneumonia, and tube dislodgement <6weeks) were collected...
September 15, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27573920/growth-and-nutrition-in-children-with-ataxia-telangiectasia
#5
Emma Stewart, Andrew P Prayle, Alison Tooke, Sara Pasalodos, Mohnish Suri, Andy Bush, Jayesh M Bhatt
BACKGROUND: Ataxia telangiectasia (A-T) is a rare multisystem disease with high early mortality from lung disease and cancer. Nutritional failure adversely impacts outcomes in many respiratory diseases. Several factors influence nutrition in children with A-T. We hypothesised that children with A-T have progressive growth failure and that early gastrostomy tube feeding (percutaneous endoscopic gastrostomy, PEG) is a favourable management option with good nutritional outcomes. METHODS: Data were collected prospectively on weight, height and body mass index (BMI) at the national paediatric A-T clinic...
August 29, 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27505401/peg-insertion-in-patients-with-dementia-does-not-improve-nutritional-status-and-has-worse-outcomes-as-compared-with-peg-insertion-for-other-indications
#6
Ayman Abu R, Tawfik Khoury, Jonah Cohen, Shmuel Chen, Shaul Yaari, Saleh Daher, Ariel A Benson, Meir Mizrahi
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) tubes are commonly utilized as a method of enteral feeding in patients unable to obtain adequate oral nutrition. Although some studies have shown improved mortality in select populations, the safety and effectiveness of PEG insertion in patients with dementia compared with those with other neurological diseases or head and neck malignancy remains less well defined. OBJECTIVE: To evaluate the nutritional effectiveness, rate of rehospitalization, and risk of mortality among patients with dementia compared with patients with other neurological diseases or head and neck cancers who undergo PEG placement...
August 8, 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27496114/predictors-of-in-hospital-mortality-in-patients-with-metastatic-cancer-receiving-specific-critical-care-therapies
#7
Kah Poh Loh, Ankit Kansagra, Meng-Shiou Shieh, Penelope Pekow, Peter Lindenauer, Mihaela Stefan, Tara Lagu
BACKGROUND: In-hospital mortality is high for critically ill patients with metastatic cancer. To help patients, families, and clinicians make an informed decision about invasive medical treatments, we examined predictors of in-hospital mortality among patients with metastatic cancer who received critical care therapies (CCTs). PATIENTS AND METHODS: We used the 2010 California Healthcare Cost and Utilization Project: State Inpatient Databases to identify admissions of patients with metastatic cancer (age ≥18 years) who received CCTs, including invasive mechanical ventilation (IMV), tracheostomy, percutaneous endoscopic gastrostomy (PEG) tube, acute use of dialysis, and total parenteral nutrition (TPN)...
August 2016: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/27486522/percutaneous-endoscopic-transgastric-jejunostomy-peg-j-a-retrospective-analysis-on-its-utility-in-maintaining-enteral-nutrition-after-unsuccessful-gastric-feeding
#8
Ezekiel Wong Toh Yoon, Kaori Yoneda, Shinya Nakamura, Kazuki Nishihara
BACKGROUND/AIMS: Although percutaneous endoscopic gastrostomy (PEG) is the method of choice for long-term enteral nutrition, feeding-related adverse events such as aspiration pneumonia and peristomal leakage can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes may help by circumventing gastric passage during enteral nutrition and improving drainage of gastric secretions. METHODS: 20 patients (12 males and 8 females) who received PEG-J after unsuccessful PEG feeding during a 6-year period in our institution were analysed retrospectively to evaluate the efficacy of large-bore jejunal feeding tubes in maintaining enteral nutrition...
2016: BMJ Open Gastroenterology
https://www.readbyqxmd.com/read/27329861/computed-tomography-guided-percutaneous-gastrostomy-jejunostomy-for-feeding-and-decompression
#9
Heinz Albrecht, Alexander F Hagel, Philipp Schlechtweg, Thomas Foertsch, Markus F Neurath, Jonas Mudter
BACKGROUND: An effective method for long-term enteral feeding or stomach decompression is the use of a percutaneous gastrostomy (PEG) or sometimes jejunostomy (PEJ). Under certain circumstances (eg, inadequate transillumination), endoscopic placement of PEG/PEJ tubes is impossible. In these cases, computed tomography (CT)-guided PEG/PEJ may represent an alternative technique. In this study, we evaluate indications, results, and complications of CT-guided PEG/PEJ. MATERIALS AND METHODS: A total of 102 consecutive referred patients were enrolled in the study...
June 21, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27310995/trends-regarding-percutaneous-endoscopic-gastrostomy-a-nationwide-population-based-study-from-1997-to-2010
#10
Wei-Kuo Chang, Kuen-Tze Lin, Chen-Liang Tsai, Chi-Hsiang Chung, Wu-Chien Chien, Chun-Shu Lin
Percutaneous endoscopic gastrostomy (PEG) is widely used in patients requiring long-term tube feeding. Traditional PEG studies usually focused on practical, technical, and ethical issues. There have been little epidemiological studies on PEG utilization and services in Asia. We evaluated the changes in PEG utilization, patient selection, patient characteristics, and medical service in Taiwan from 1997 to 2010.This retrospective study analyzed the data of patients admitted for PEG tube placement according to the International Classification of Diseases, Ninth Revision (procedure code 43...
June 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27207937/survival-after-percutaneous-endoscopic-gastrostomy-in-older-adults-with-neurologic-disorders
#11
Ozgur Kara, Muhammet Cemal Kizilarslanoglu, Busra Canbaz, Gunes Arik, Hacer Dogan Varan, Mehmet Emin Kuyumcu, Mustafa Kemal Kilic, Fatih Sumer, Yusuf Yesil, Burcu Balam Yavuz, Mustafa Cankurtaran, Omer Ozturk, Taylan Kav, Meltem Halil
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) tube placement is a common procedure performed to provide a route for enteral feeding. We aimed to examine the survival after PEG in older adults with neurologic disease and to demonstrate the factors associated with mortality. METHODS: We analyzed the data of 500 patients who underwent PEG placement between 2005 and 2015 at a university hospital. The data included age, sex, follow-up duration, comorbidities, medications, indications for PEG, complications, and laboratory results...
May 18, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27181526/systematic-review-of-qualitative-and-quantitative-studies-on-the-attitudes-and-barriers-to-percutaneous-endoscopic-gastrostomy-feeding
#12
Mohamad Hasif Jaafar, Sanjiv Mahadeva, Karen Morgan, Maw Pin Tan
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is now commonly used in long-term care and community settings. However, regional variations exist in the acceptability of PEG tube feeding with long-term nasogastric feeding still commonplace in many Asian nations. AIMS: To evaluate the evidence relating to attitudes towards PEG feeding and to determine potential barriers to the acceptance of PEG tube feeding. METHODS: We searched Ovid MEDLINE, EMBASE, the Cochrane Library, Web of Science and CINAHL databases...
May 1, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27141303/comparing-open-gastrostomy-tube-to-percutaneous-endoscopic-gastrostomy-tube-in-heart-transplant-patients
#13
Vishnu Ambur, Sharven Taghavi, Senthil Jayarajan, John Gaughan, Yoshiya Toyoda, Elizabeth Dauer, Lars Ola Sjoholm, Abhijit Pathak, Thomas Santora, Amy J Goldberg
INTRODUCTION: Impaired wound healing due to immunosuppression has led some surgeons to preferentially use open gastrostomy tube (OGT) over percutaneous gastrostomy tube (PEG) in heart transplant patients when long-term enteral access is deemed necessary. METHODS: The National Inpatient Sample (NIS) database (2005-2010) was queried for all heart transplant patients. Those receiving OGT were compared to those treated with PEG tube. RESULTS: There were 498 patients requiring long-term enteral access treated with a gastrostomy tube, with 424 (85...
May 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27011529/percutaneous-endoscopic-gastrostomy-technical-problems-complications-and-management
#14
Savas Yuruker, Bulent Koca, Ilhan Karabicak, Bekir Kuru, Necati Ozen
Percutaneous endoscopic gastrostomy (PEG) is an important technique for the provision of nutrition. The present study presents data from our analysis of the PEG procedure. Patients administered with PEG at the endoscopy unit of the 19 Mayıs University General Surgery Department between 2007 and 2013 were analyzed retrospectively, and technical problems, indications, and complications related to the PEG procedure in 221 patients were evaluated. Of the patients, 60 % were male and the median age was 61 years (18-92 years)...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26913678/percutaneous-endoscopic-gastrostomy-tube-in-a-syncardia%C3%A2-total-artificial-heart
#15
Amit Prasad, Kai Singbartl, Jacqueline Boone, Behzad Soleimani, Mohamad Zeriouh, M Loebe, Michael Koerner, J Elisabeth Oei, Christoph E Brehm, Ali Ghodsizad
As a bridge to transplant, the Syncardia™ total artificial heart (TAH) is an option for patients who are not candidates for left ventricular assist devices (LVAD) due to right ventricular failure. The need for nutritional support in these patients is essential for a favorable outcome. Low body mass indexes and albumin levels have been associated with increased morbidity and mortality in cardiac surgery patients [Alverdy 2003]. It is not uncommon for postoperative patients to have difficulty in consuming enough calories after surgery, which is further complicated by a hypermetabolic demand due to surgical stress...
2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/26900455/comparison-of-open-gastrostomy-tube-to-percutaneous-endoscopic-gastrostomy-tube-in-lung-transplant-patients
#16
Sharven Taghavi, Vishnu Ambur, Senthil Jayarajan, John Gaughan, Yoshiya Toyoda, Elizabeth Dauer, Lars Ola Sjoholm, Abhijit Pathak, Thomas Santora, Amy J Goldberg
INTRODUCTION: Lung transplant patients require a high degree of immunosuppression, which can impair wound healing when surgical procedures are required. We hypothesized that because of impaired healing, lung transplant patients requiring gastrostomy tubes would have better outcomes with open gastrostomy tube (OGT) as compared to percutaneous endoscopic gastrostomy tube (PEG). METHODS: The National Inpatient Sample (NIS) Database (2005-2010) was queried for all lung transplant recipients requiring OGT or PEG...
February 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/26887795/enteral-nutrition-at-home-and-in-nursing-homes-an-11-year-2002-2012-epidemiological-analysis
#17
COMPARATIVE STUDY
Agostino Paccagnella, Maria L Marcon, Carla Baruffi, Marta Giometto, Alessandra Mauri, Claudia Vigo, Antonella Scantamburlo, Luisa Sambado, Maria Sambataro, Enrica Trevisiol, Daniela Zanin, Helena Salvat Heras, Maria C De Marco
BACKGROUND: Home enteral nutrition (HEN) is a well-established extra-hospital therapy that can reduce the risk of malnutrition, ensure the rapid discharge of patients from hospital and significantly reduce health care expenditure. The data reported in this study allow us to understand the relationships between mortality, the place of treatment either at patients' homes (PH) or in nursing homes (NHR) and nutritional status. METHODS: Patients were analyzed according to age, gender, underlying disease, the Karnofsky Index, type of enteral access device (nasogastric tube or percutaneous endoscopic gastrostomy), weight and Body Mass Index (BMI)...
March 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/26752090/providing-care-beyond-the-hospital-perspective-of-a-tertiary-care-hospital-from-a-developing-country
#18
COMPARATIVE STUDY
Saad Akhtar Khan, Muhammad Waqas, Badar Uddin Ujjan, Adnan Salim, Gohar Javed, Syed Ijlal Ahmed, Malikah Surani, Marium Khan
BACKGROUND: Neurorehabilitation is an important aspect of continuing care for neurosurgical patients with functional disability. In developing countries, where formal home nursing frequently is unavailable, ensuring care after discharge is a difficult task. Training attendants to provide nursing care is an alternate option. In this study, we compared the outcomes of patients nursed by family members versus those looked after by a professional nurse. METHODS: This was a retrospective observational study conducted at the Aga Khan University Hospital Karachi...
April 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26448410/relationship-of-percutaneous-endoscopic-gastrostomy-related-mortality-and-morbidity-rates-and-effectiveness-with-advancing-age
#19
Y F Cagin, Y Atayan, M A Erdoğan, Y Bilgic
BACKGROUND AND AIMS: Percutaneous endoscopic gastrostomy (PEG) is insertion of a tube to stomach through abdominal wall for provision of nutrition in patients who couldn't be fed by oral route. In the present study, it was aimed to evaluate PEG procedures performed in our facility regarding indication, complication and effectiveness and to determine whether these characteristics have a relationship with advancing age. MATERIAL AND METHODS: In this descriptive study, we reviewed clinical and endoscopic records of 300 patients who underwent PEG procedure between May 2009 and December 2011...
July 2015: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/26411975/experiences-in-palliative-home-care-of-infants-with-life-limiting-conditions
#20
Michaela Kuhlen, Jessica I Höll, Hemmen Sabir, Arndt Borkhardt, Gisela Janßen
UNLABELLED: The aim of this study was to determine the distinct issues neonates/infants with life-limiting conditions and their families face during palliative home care and to enable physicians/caregivers to carefully address their needs. Data on home-based palliative care of all neonates and infants, who were being taken care of by our paediatric palliative care team between 2007 and 2014, was analysed. A total of 31 patients (pts) were analysed. The majority of patients (n = 17) were diagnosed with congenital malformations or chromosomal abnormalities...
March 2016: European Journal of Pediatrics
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