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https://www.readbyqxmd.com/read/27898998/nutritional-supplementation-for-hip-fracture-aftercare-in-older-people
#1
REVIEW
Alison Avenell, Toby O Smith, James P Curtain, Jenson Cs Mak, Phyo K Myint
BACKGROUND: Older people with hip fractures are often malnourished at the time of fracture, and subsequently have poor food intake. This is an update of a Cochrane review first published in 2000, and previously updated in 2010. OBJECTIVES: To review the effects (benefits and harms) of nutritional interventions in older people recovering from hip fracture. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, CENTRAL, MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, Embase, CAB Abstracts, CINAHL, trial registers and reference lists...
November 30, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27895228/differences-in-durability-dislodgement-and-other-complications-with-use-of-low-profile-nonballoon-gastrostomy-tubes-in-children
#2
Temara Hajjat, Riad M Rahhal
BACKGROUND: Nonballoon low-profile gastrostomy tubes (GTs) are used for enteral nutrition support in a subset of pediatric patients with feeding difficulties when use of balloon GTs is problematic. Different nonballoon low-profile tube types are available, but comparative studies are lacking. MATERIALS AND METHODS: This was a retrospective cohort study comparing complications and outcomes between different low-profile nonballoon GTs at a pediatric tertiary care center over 10 years...
November 28, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27878755/double-pigtail-stent-insertion-for-healing-of-leaks-following-roux-en-y-gastric-bypass-our-experience-with-videos
#3
Gianfranco Donatelli, Jean-Loup Dumont, Parag Dhumane, Stavros Dritsas, Thierry Tuszynski, Bertrand Marie Vergeau, Bruno Meduri
BACKGROUND: Roux-en-Y gastric bypass (RYGB) is complicated by a leak in 0-4.3% of cases. Treatment by fully covered stents has been reported to be associated with some life-threatening complications. We report our experience of insertion of double pigtail stents. METHODS: Thirty-three patients (20M, 43 years-20/65), presenting with a leak at an average of 10 days after RYGB (4-35), were treated by double pigtail stent insertion and a nasojejunal feeding tube. Sixty percent of these patients had undergone surgical drainage prior to stenting for control of sepsis...
November 23, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27863719/utility-of-feeding-jejunostomy-tubes-in-pancreaticoduodenectomy
#4
Hussein E Waliye, G Paul Wright, Caitlin McCarthy, Jared Johnson, Alex Scales, Andrea Wolf, Mathew Chung
BACKGROUND: Routine placement of jejunostomy tubes (JT) during pancreaticoduodenectomy (PD) is controversial. METHODS: A retrospective chart review of patients undergoing PD from 1/1/08 through 12/31/14 was performed. The patients were divided into groups by placement of JT. Outcome measures were 90-day morbidity, 90-day mortality, length of stay, rate of delayed gastric emptying (DGE), and JT-specific complications. RESULTS: 256 patients were included...
November 8, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27855471/the-pharyngostomy-tube-indications-technique-efficacy-and-safety-in-modern-surgical-practice
#5
Rafael Garza-Castillon, Jonathan Berger, Rafael Andrade, Eitan Podgaetz
Background Long-term nasogastric tubes are uncomfortable and associated with complications such as impairment with speech and swallowing, septum trauma, epistaxis, alar necrosis, and intubation of the trachea among others. Pharyngostomy tubes (PTs) are an alternative for prolonged enteral feeding, transluminal drainage of collections, and gastric decompression in patients with an intestinal obstruction and an inoperable abdomen. Patients and Methods This is a retrospective analysis of patients who had a PT placed at our institution from May 2005 to March 2015...
November 17, 2016: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/27853378/benefit-of-percutaneous-endoscopic-gastrostomy-in-patients-undergoing-definitive-chemoradiotherapy-for-locally-advanced-nasopharyngeal-carcinoma
#6
Yun Xu, Qiaojuan Guo, Jin Lin, Bijuan Chen, Jiangmei Wen, Tianzhu Lu, Yuanji Xu, Mingwei Zhang, Jianji Pan, Shaojun Lin
BACKGROUND AND AIM: To evaluate the impact of percutaneous endoscopic gastrostomy (PEG) tube on nutritional status, treatment-related toxicity, and treatment tolerance in patients with locally advanced nasopharyngeal carcinoma (NPC) who underwent chemoradiotherapy. PATIENTS AND METHODS: We enrolled 133 consecutive non-metastatic NPC (III/IV stage) patients, who were treated with prophylactic PEG feeding before the initiation of concurrent chemoradiotherapy (CCRT) between June 1, 2010 and June 30, 2014...
2016: OncoTargets and Therapy
https://www.readbyqxmd.com/read/27847836/obstructive-acute-pancreatitis-secondary-to-peg-tube-migration
#7
Douglas F Taylor, Ryan Cho, Allan Cho, Viet Nguyen, Abhijit Sunnapwar, Craig Womeldorph
Percutaneous gastrostomy is a well-established method of providing enteral nutrition to patients incapable of oral intake, or for whom oral intake is insufficient to meet metabolic needs. In comparison to total parenteral nutrition, enteral feeding is advantageous in that it helps maintain gut mucosal integrity, which decreases the risk of bacterial translocation through the gastrointestinal tract. Complications include bleeding, aspiration, internal organ injury, perforation, periostomal leaks, tube dislodgement, and occlusion...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27847709/intermittent-oroesophageal-tube-feeding-via-the-airway-in-patients-with-dysphagia
#8
Hyo Kyung Shin, Kyo In Koo, Chang Ho Hwang
OBJECTIVE: To investigate the feasibility of the use of the oropharyngeal airway (OPA) during intermittent oroesophageal tube (IOET) feeding. METHODS: Ten patients, who were evaluated using the videofluoroscopic swallowing study (VFSS), were enrolled. One patient withdrew from the study during the study period. Tube insertion time with and without OPA use was recorded in the same patients in a random order during the VFSS. Patients who could safely undergo IOET feeding were then randomly allocated to 2 groups (OPA and non-OPA)...
October 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27832331/role-of-nasogastric-tube-in-children-undergoing-elective-distal-bowel-surgery
#9
Niyaz Ahmed Khan, Subhasis Roy Choudhury, Partap Singh Yadav, Raghu Prakash, Jigar N Patel
BACKGROUND: Nasogastric tubes are being routinely used in children and adults undergoing elective abdominal surgery without much scientific evidence supporting their true usefulness. The aim of our study was to assess the role of nasogastric tube in children undergoing elective distal bowel surgery. MATERIALS AND METHODS: All pediatric patients undergoing elective distal bowel surgery were enrolled and randomized into two groups: those with nasogastric tube (NG group) or without nasogastric tube (NNG group)...
November 10, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27805991/treatment-of-spontaneous-esophageal-rupture-with-transnasal-thoracic-drainage-and-temporary-esophageal-stent-and-jejunal-feeding-tube-placement
#10
Gang Wu, Yan Shi Zhao, Yi Fang, Yu Qi, Xiangnan Li, Dechao Jiao, Kewei Ren, Xinwei Han
BACKGROUND: Spontaneous rupture of the esophagus is a rare but life-threatening thoracic emergency, with high rates of clinical misdiagnosis and mortality. This paper summarizes our experience in the treatment of spontaneous esophageal rupture with transnasal thoracic drainage, and temporary esophageal stent and jejunal feeding tube placement. METHODS: We retrospectively assessed the medical records of 19 patients with spontaneous esophageal rupture treated using our intervention protocol...
October 31, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27804875/clostridium-difficile-infection-associations-with-chemotherapy-radiation-therapy-and-targeting-therapy-treatments
#11
Avi Peretz, Izhar Ben Shlomo, Orna Nitzan, Luigi Bonavina, Pmela M Schaffer, Moshe Schaffer
BACKGROUND: Although mucositis, diarrhea, and constipation as well as immunosuppression are well recognized side-effects of cancer treatment, the underlying mechanisms including changes in the composition of gut microbiota and Clostridium difficile infection have not yet been thoroughly reviewed. OBJECTIVE: We herein set out to review the literature regarding the relations between cancer chemotherapy, radiation treatment, and Clostridium difficile-associated colitis...
October 28, 2016: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/27803831/esophageal-perforation-with-unilateral-fluidothorax-caused-by-nasogastric-tube
#12
Lukas P Mileder, Martin Müller, Friedrich Reiterer, Alexander Pilhatsch, Barbara Gürtl-Lackner, Berndt Urlesberger, Wolfgang Raith
Preterm infants are highly susceptible to injuries following necessary and often life-saving medical interventions. Esophageal perforation is a rare, yet serious complication that can be caused by aerodigestive tract suction, endotracheal intubation, or nasogastric tube placement. We present the case of a neonate born at 23 weeks plus three days of gestation with chest radiography showing malposition of the nasogastric feeding tube and massive right-sided effusion of Iopamidol in the pleural cavity due to esophageal perforation...
2016: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/27796601/short-and-long-term-outcomes-from-percutaneous-endoscopic-gastrostomy-with-jejunal-extension
#13
Wiriyaporn Ridtitid, Glen A Lehman, James L Watkins, Lee McHenry, Evan L Fogel, Stuart Sherman, Gregory A Coté
BACKGROUND: There is a paucity of data regarding the safety and efficacy of percutaneous endoscopic gastrostomy with jejunal extension (PEG-J). We evaluated adverse events related to PEG-J and determined the clinical impact of PEG-J in those with chronic pancreatitis (CP). METHODS: This cohort study included all patients who underwent PEG-J placement in a tertiary-care academic medical center between 2010 and 2012. Main outcome measurements were (1) short- and long-term complications related to PEG-J and (2) changes in weight and hospitalizations during the 12-month period before and after PEG-J in the CP subgroup...
October 28, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27785689/complications-of-feeding-jejunostomy-tubes-in-patients-with-gastroesophageal-cancer
#14
Audrey H Choi, Michael P O'Leary, Shaila J Merchant, Virginia Sun, Joseph Chao, Dan J Raz, Jae Y Kim, Joseph Kim
BACKGROUND: Feeding jejunostomy tubes (FJT) in patients undergoing resection of gastroesophageal cancers facilitate perioperative nutrition. Data regarding FJT use and complications are limited. STUDY DESIGN: A single institution review was performed for patients who underwent perioperative FJT placement for gastrectomy or esophagogastrectomy from 2007 to 2015. FJT-related and unrelated complications were evaluated. RESULTS: FJTs were inserted for total/completion gastrectomy (n = 49/117, 41...
October 26, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27780384/predicting-feeding-tube-and-tracheotomy-dependence-in-laryngeal-cancer-patients
#15
John Patrick Lavo, David Ludlow, Matt Morgan, Gloria Caldito, Cherie-Ann Nathan
CONCLUSIONS: The two scales reliably measure laryngeal edema and dysfunction in laryngeal cancer patients. The eight categories from these scales, and abnormal pharyngeal squeeze, can be used to form a new rating scale intended to help clinicians identify and circumvent swallowing complications after chemo-irradiation. OBJECTIVES: The objectives were to compare two laryngeal edema rating scales in laryngeal cancer patients and determine if post-radiation +/- chemotherapy edema predicts dependence on a feeding tube and/or tracheostomy...
October 26, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27762065/32-years-of-experience-with-co2-laser-assisted-treatment-for-zenker-s-diverticulum-an-update-of-227-patients-treated-in-kiel
#16
M Hoffmann, A Fazel, K-G Mews, P Ambrosch
OBJECTIVES: To underline the value of the microendoscopic CO2 -LASER-assisted treatment (MEDCO2 ) for Zenker's diverticulum by investigating a large patient cohort treated in a single medical centre. DESIGN: Retrospective cohort study of consecutive patients. SETTING: Department of Otorhinolaryngology, Head and Neck Surgery, Christian-Albrechts-University Kiel, Germany. PARTICIPANTS: A total of 227 patients with Zenker's diverticulum were treated by MEDCO2 , and the results were compared with those reported in the literature for the open transcervical approach (OTA) and the endoscopic staple-assisted oesophagodiverticulostomy (ESED)...
October 19, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27756847/optimizing-transition-to-home-enteral-nutrition-for-pediatric-patients
#17
Wednesday Marie A Sevilla, Barbara McElhanon
Enteral nutrition is delivered via the gastrointestinal tract when oral intake is not sufficient to maintain nutrition status. There is evidence that long-term home enteral nutrition (HEN) can be advantageous to pediatric patients by improving quality of life and function. Data from pediatric patients receiving either nasogastric tube or gastrostomy tube feeds indicate good outcomes in terms of maintaining and improving nutrition status as evidenced by anthropometric measurements. As the number of pediatric patients requiring HEN increases, development of an effective program to allow smooth transition to the home is necessary...
October 18, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27751411/sclerotherapy-with-6-polidocanol-solution-in-patients-with-placenta-accreta
#18
Ricardo Mauricio Malagón Reyes, Rubén Castorena de Ávila, María de Jesús Ángeles Vázquez, César Augusto Núñez Monteagudo, Hugo Mendieta Zerón
OBJECTIVE: Placenta accreta is one of the main obstetrical complications worldwide. The aim of this study was to report the experience of managing placenta accreta with a 6% polidocanol solution sclerotherapy. MATERIALS AND METHODS: We selected patients between 37 weeks of gestation and 38 weeks of gestation, diagnosed with placenta accreta, treated at the Maternal Perinatal Hospital "Monica Pretelini Sáenz", Toluca, Mexico, during the period from November 2013 to August 2014...
October 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27725105/sialodochoplasty-stents-cost-analysis-and-outcomes
#19
Peter S Han, Yohanan Kim, Timothy S Yoo, Steve Lee, Jared C Inman
PURPOSE: We reviewed a patient cohort receiving sialodochoplasty with or without salivary stent placement. We propose the Firlit-Kluge pediatric urinary catheter (Cook Medical, Bloomington, IN) as an advantageous alternative stent because of our duct patency results with stenting, considering the advantages and disadvantages of specific stents. We also provide a simple cost summary of commonly used stents. MATERIALS AND METHODS: A retrospective review of a case series of patients undergoing sialodochoplasty or salivary duct surgery from 2012 to 2015 was undertaken at a tertiary care center...
September 15, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27717336/the-protocol-for-a-randomised-controlled-trial-of-the-evaluation-of-the-tolerance-and-safety-of-early-enteral-nutrition-in-children-after-percutaneous-endoscopic-gastrostomy-placement-protocol-version-09-01-2015
#20
Anna Wiernicka, Małgorzata Matuszczyk, Agnieszka Szlagatys-Sidorkiewicz, Ewa Toporowska-Kowalska, Katarzyna Popińska, Urszula Chlebowczyk-Grzybowska, Ewa Hapyn, Jarosław Kierkuś
BACKGROUND: The appropriate time to initiate enteral nutrition after the placement of a percutaneous endoscopic gastrostomy (PEG) tube has been an area of limited research. There are no sufficient randomised prospective controlled trials in the paediatric population comparing the safety and tolerance of early feeding (3 h) after PEG placement. In order to reduce the period of fasting, inadequate nutritional support, and hospitalisation time, we decided to devise this study. METHODS/DESIGN: This study is a multicentre, randomised, open-label trial designed to evaluate the tolerance and safety of early enteral nutrition after PEG placement in children...
October 7, 2016: BMC Pediatrics
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