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"Nasogastric Tube" OR "Orogastric Tube"

Yael Shapira-Galitz, Galia Karp, Oded Cohen, Doron Halperin, Yonatan Lahav, Nimrod Adi
BACKGROUND: Nasal device-related pressure ulcers are scarcely addressed in the literature. OBJECTIVES: To assess the prevalence and severity of cutaneous and mucosal nasogastric tube (NGT)-associated pressure ulcers (PU) in critically ill patients and to define predictors for their formation. METHODS: A single center observational study of intensive care unit patients with a NGT for more than 48 hours was conducted. Nasal skin was evaluated for PU...
December 2018: Israel Medical Association Journal: IMAJ
Ashley Szabo Eltorai
RATIONALE AIMS AND OBJECTIVES: Pulmonary aspiration is a feared complication of anaesthesia that is associated with significant morbidity and mortality. Within the small existing body of literature on medical malpractice claims related to periprocedural aspiration, very little information is available regarding the case-specific factors that were alleged to contribute to each aspiration event. METHODS: This study searched an extensive nationwide database of medical malpractice claims and identified 43 relating to periprocedural pulmonary aspiration...
December 12, 2018: Journal of Evaluation in Clinical Practice
Satyajeet Misra, Bikram Kishore Behera, Alok Kumar Sahoo
No abstract text is available yet for this article.
November 2018: Indian Journal of Anaesthesia
Brit Long, Jennifer Robertson, Alex Koyfman
BACKGROUND: Small bowel obstruction (SBO) is a commonly diagnosed disease in the emergency department (ED). Recent literature has evaluated the ED investigation and management of SBO. OBJECTIVE: This review evaluates the ED investigation and management of adult SBO based on the current literature. DISCUSSION: SBO is most commonly due to occlusion of the small intestine, resulting in fluid and gas accumulation. This may progress to mucosal ischemia, necrosis, and perforation...
December 6, 2018: Journal of Emergency Medicine
Relin van Vliet, Marieke Bink, Julian Polman, Amaran Suntharan, Iris Grooten, Sandra E Zwolsman, Tessa J Roseboom, Rebecca C Painter
Introduction: Hyperemesis gravidarum (HG) medical therapies are currently of limited effect, which creates a larger role for patient preferences in the way HG care is arranged. This is the first study using in-depth interviews to investigate patients' preferences and experiences of HG treatment. Materials and Methods: We conducted individual in-depth interviews among women who had been hospitalized for HG in North Holland at least once in the past 4 years. We asked them about their experiences, preferences, and suggestions for improvement regarding the HG treatment they received...
2018: Journal of Pregnancy
Michelle B Mulder, Matthew Hernandez, Mohamed D Ray-Zack, Daniel C Cullinane, David Turay, Salina Wydo, Martin Zielinski, Daniel Dante Yeh
BACKGROUND: Gastrografin (GG)-based nonoperative approach is both diagnostic and therapeutic for partial small bowel obstruction (SBO). Absence of X-ray evidence of GG in the colon after 8 h is predictive of the need for operation, and a recent trial used 48 h to prompt operation. We hypothesize that a significant number of patients receiving the GG challenge require >48 h before an effect is seen. METHODS: A post hoc analysis of an Eastern Association for the Surgery of Trauma multi-institutional SBO database was performed including only those receiving GG challenge...
January 2019: Journal of Surgical Research
Johan Gagnière, Bertrand Le Roy, Julie Veziant, Bruno Pereira, Raja R Narayan, Denis Pezet, Emmanuel Buc, Aurélien Dupré
BACKGROUND: Sympathetic denervation of the antropyloric area combined with relative devascularization from division of the right gastric vessels (RGV) during pancreaticoduodenectomy (PD) could predispose to delayed gastric emptying (DGE). Therefore, some authors advocated for RGV preservation (RGVP), where feasibility and utility for the prevention of post-operative DGE have never been investigated. METHODS: From 2011 to 2014, patients who underwent classic Whipple PD (CWPD, n = 34), standard pylorus-preserving PD (PPPD, n = 44) or PPPD with RGVP (n = 22) were retrospectively analysed...
November 29, 2018: ANZ Journal of Surgery
Kenric Tam, Ryan K Orosco, A Dimitrios Colevas, Nikita Bedi, Heather M Starmer, Beth M Beadle, F Christopher Holsinger
OBJECTIVES/HYPOTHESIS: Based on current guidelines, surgical and nonsurgical therapies are viable frontline treatment for patients with locoregional oropharyngeal carcinoma (OPC). We sought to compare financial parameters between chemoradiation and transoral robotic surgery (TORS) in this patient population. STUDY DESIGN: Case-control study. METHODS: In this study we identified patients with selected American Joint Committee on Cancer 7th Edition stage II to IVa OPC treated with TORS between January 2013 and December 2014...
November 28, 2018: Laryngoscope
Elles J T M van der Louw, Roel E Reddingius, Joanne F Olieman, Rinze F Neuteboom, Coriene E Catsman-Berrevoets
BACKGROUND: The mean overall survival rate of children with diffuse intrinsic pontine glioma (DIPG) is 9-11 months, with current standard treatment with fractionated radiotherapy and adjuvant chemotherapy. So far, novel therapeutic strategies have not yet resulted in significantly better survival. The main source of energy for glioblastoma cells is glucose. Therefore, metabolic alterations induced by the use of the extremely carbohydrate-restricted ketogenic diet (KD) as adjuvant therapy are subject of interest in cancer research...
November 28, 2018: Pediatric Blood & Cancer
Paul H Sugarbaker, Puja G Khaitan, Chukwuemeka Ihemelandu
BACKGROUND: Patients with gastrointestinal or gynecologic malignancy may show disease progression within the abdomen and pelvis causing bowel obstruction in the absence of clinical evidence of disease outside of the peritoneal space. Bowel obstruction eventually results and has a profound effect on quality of life eventually leading to the demise of these patients. METHODS: In order to improve the quality of life and combat the requirement for a nasogastric tube, a combination of total parenteral nutrition (TPN) to allow adequate caloric intake plus cervical esophagostomy to drain intestinal secretions was utilized as a palliative treatment long-term for patients with malignancy-associated bowel obstruction...
November 16, 2018: International Journal of Surgery Case Reports
Gregory B Omondi, George Serem, Nancy Abuya, David Gathara, Neville A Stanton, Dorothy Agedo, Mike English, Georgina A V Murphy
Background: Sharing tasks with lower cadre workers may help ease the burden of work on the constrained nursing workforce in low- and middle-income countries but the quality and safety issues associated with shifting tasks are rarely critically evaluated. This research explored this gap using a Human Factors and Ergonomics (HFE) method as a novel approach to address this gap and inform task sharing policies in neonatal care settings in Kenya. Methods: We used Hierarchical Task Analysis (HTA) and the Systematic Human Error Reduction and Prediction Approach (SHERPA) to analyse and identify the nature and significance of potential errors of nasogastric tube (NGT) feeding in a neonatal setting and to gain a preliminary understanding of informal task sharing...
2018: BMC Nursing
Shigeo Ishikawa, Hiroyoshi Matsumura, Sachiko Tomitsuka, Kazuyuki Yusa, Yoko Sato, Mitsuyoshi Iino
PURPOSE: The aim of this retrospective study was to compare the effectiveness of nasogastric tube (NGT) feeding of a semisolid diet versus a liquid diet after orthognathic surgery. PATIENTS AND METHODS: The orthognathic surgery patients were relatively young and generally healthy, without severe medical disease. Of the patients, 26 received liquid feeding (liquid diet group [LG], with an administration rate of 100 mL/hour), 30 received semisolid feeding at a high administration rate (semisolid diet-rapid administration group [SSRAG], 200 to 500 mL/hour), and 33 received semisolid feeding at a slower rate (semisolid diet-slow administration group [SSSAG], 100 mL/hour)...
October 25, 2018: Journal of Oral and Maxillofacial Surgery
Maria Paparoupa, Yujin Yan, Michael Möller, Frank Schuppert
No abstract text is available yet for this article.
November 14, 2018: Intensive Care Medicine
Kara A Rothenberg, Barnard J Palmer, Olajire Idowu, Sunghoon Kim
BACKGROUND: There are various methods to place a gastrostomy tube. We report a laparoscopic method to place a standard percutaneous endoscopic gastrostomy (PEG) tube without the use of endoscopy. METHODS: Laparoscopic magnet-assisted PEG placement was carried out using an orogastric tube attached with a magnet that is used to retrieve the PEG wire that has been percutaneously placed into the stomach. RESULTS: Four pediatric patients (mean age 31 months) underwent a PEG tube placement using the laparoscopic magnet-assisted PEG tube insertion technique during 2017...
November 8, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Paul A Fuchs, Todd E Peters, Margaret M Benningfield
This case provides support for electroconvulsive therapy as a safe treatment in adolescents with a feeding tube. The patient presented to our hospital with symptoms of catatonia with minimal oral intake. She had stopped eating, had minimal interaction with her environment, and spent weeks with a nasogastric tube for nutritional support. She had been referred for electroconvulsive therapy but was unable to find a local provider who would perform it on an adolescent with a nasogastric tube. She came to our hospital and received 9 rounds of electroconvulsive therapy with improvement of her catatonia and no aspiration or adverse events...
January 2019: Child and Adolescent Psychiatric Clinics of North America
Davide Zampieri, Alessandro Pangoni, Giuseppe Marulli, Federico Rea
We report a case of the repair of an acquired benign tracheoesophageal fistula (TEF) after prolonged mechanical invasive ventilation. Patient had an unknown double incomplete aortic arch determining a vascular ring above trachea and esophagus. External tracheobronchial compression, caused by the vascular ring, increasing the internal tracheoesophageal walls pressure determined by endotracheal and nasogastric tubes favored an early TEF development. The fistula was repaired through an unusual left thoracotomy and vascular ring dissection...
October 30, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Masato Hayashi, Hirofumi Kawakubo, Yoshiaki Shoji, Syuhei Mayanagi, Rieko Nakamura, Koichi Suda, Norihito Wada, Hiroya Takeuchi, Yuko Kitagawa
BACKGROUND: Although esophagectomy is the only curative option for esophageal cancer, the associated invasiveness is high. Nasogastric (NG) tube use may prevent complications; however, its utility remains unclear, and the decompression period depends on the doctor. This study aimed to reveal the effect of conventional versus early NG tube removal on postoperative complications after esophagectomy. METHODS: This single-center prospective randomized controlled clinical trial enrolled patients aged 20-80 years with histologically proven primary esophageal squamous cell carcinoma...
October 23, 2018: World Journal of Surgery
Alexandre Arthur Jacinto, Eronides Salustiano Batalha Filho, Luciano de Souza Viana, Pedro De Marchi, Renato de Castro Capuzzo, Ricardo Ribeiro Gama, Domingos Boldrini Junior, Carlos Roberto Santos, Gustavo Dix Junqueira Pinto, Josiane Mourão Dias, Heloisa Pelisser Canton, Raiany Carvalho, Lucas Augusto Radicchi, Soren Bentzen, Eduardo Zubizarreta, Andre Lopes Carvalho
BACKGROUND: The evolution of radiotherapy over recent decades has reintroduced the hypofractionation for many tumor sites with similar outcomes to those of conventional fractionated radiotherapy. The use of hypofractionation in locally advanced head and neck cancer (LAHNC) has been already used, however, its use has been restricted to only a few countries. The aim of this trial was to evaluate the safety and feasibility of moderate hypofractionated radiotherapy (HYP-RT) with concomitant cisplatin (CDDP)...
October 23, 2018: BMC Cancer
Huseyin Kaya, Ismail Kursad Gokce, Sukru Gungor, Hatice Turgut, Ramazan Ozdemir
Gastric hemangiomas are rare benign vascular tumors that can cause severe gastrointestinal system bleeding. We presented the case of a neonate with fresh bleeding and melena from the orogastric tube and detected gastric hemangioma in esophagogastroduodenoscopic examination. Propranolol is widely used in treatment of cutaneous hemangiomas and non-gastric gastrointestinal system hemangiomas. However, the surgical approach is preferred for treating gastric hemangiomas, and there are few reports of gastric hemangiomas associated with non-surgical treatment...
October 2018: Pediatric Gastroenterology, Hepatology & Nutrition
Faraz Shafiq, Faruq Hameed, Khalid Siddiqui
No abstract text is available yet for this article.
September 2018: Pakistan Journal of Medical Sciences Quarterly
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