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percutan endoscopic gastrostomy

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https://www.readbyqxmd.com/read/30322191/functional-and-endoscopic-indicators-for-percutaneous-endoscopic-gastrostomy-peg-in-amyotrophic-lateral-sclerosis-patients
#1
Bebiana Conde, Natália Martins, Inês Rodrigues, Ana Claúdia Pimenta, João Carlos Winck
(1) Background: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative condition, whose bulbar involvement compromises language, swallowing, and airway protection. When oral nutrition is no longer adequate, percutaneous endoscopic gastroscopy (PEG) may be indicated. However, as exact timing is still debatable, we tried to find it. (2) Methods: A prospective cohort study was performed using fiber-optic endoscopic evaluation of swallowing (FEES), functional evaluation scales (ALS Functional Rating Scale-Revised (ALSFRS-R) and bulbar sub-score (ALSFRS-R-B)), lung function tests (like Forced Vital Capacity (FVC), Cough Peak Flow (CPF)) and anthropometric data...
October 14, 2018: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/30320118/gastrostomy-tube-placement-by-radiological-methods-for-older-patients-requiring-enteral-nutrition-not-to-be-forgotten
#2
Vered Hermush, Yitshal Berner, Yael Katz, Yanina Kunin, Irena Krasniansky, Yael Schwartz, Debbie Mimran Nahon, Ana Elizariev, Gad Mendelson
Background: The use of gastrostomy tubes for long-term nutritional support in older patients is frequent. Percutaneous gastrostomy tube placement may be performed using various techniques, including endoscopic, surgical, and radiologically-guided methods. While percutaneous endoscopic gastrostomy (PEG) placement is the most widely used and accepted approach, experience with the use of percutaneous radiological gastrostomy (PRG) is more limited. Objective: To evaluate the safety and short-term outcomes of PRG in older patients requiring long-term enteral feeding...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/30309998/-usefulness-of-nutritional-enforcement-by-percutaneous-gastrostomy-in-successful-omentoplasty-for-empyema-with-fistula
#3
Takuji Fujinaga, Masaki Ikeda, Koji Takahashi, Teruya Komatsu, Toshitaka Suzuki, Kunihiko Yasuda
Omentoplasty has been accepted as an effective surgical procedure for fistulated empyema. However, it is difficult for patients with poor nutritional status because their omental volume is often too poor to be applied for omentoplasty. Percutaneous endoscopic gastrostomy(PEG) is useful for long-term nutritional management. There is no report on safety and usefulness of PEG before omentoplasty. We report a case of omentoplasty that was successfully performed after nutritional enforcement by using percutaneous endoscopic gastrostomy in a patient of postoperative empyema with fistula...
October 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/30309731/magnetic-compression-anastomosis-magnamosis-in-a-porcine-esophagus-proof-of-concept-for-potential-application-in-esophageal-atresia
#4
Nicholas E Bruns, Ian C Glenn, Domenic R Craner, Steve J Schomisch, Michael R Harrison, Todd A Ponsky
BACKGROUND: Magnetic compression anastomosis (magnamosis) is the process of forming a sutureless anastomosis of the gastrointestinal tract using two magnetic Harrison rings. It has been shown to be effective in stomach, small bowel and colon, but has not been implemented in the esophagus. A pure esophageal atresia porcine model was developed to test the concept. METHODS: Five pigs weighing between 35 and 65 kg were used. In all pigs, a percutaneous endoscopic gastrostomy (PEG) tube was placed, and a right thoracotomy was performed...
September 29, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/30295748/hybrid-transgastric-approach-for-the-treatment-of-gastroesophageal-junction-pathologies
#5
C Gonzalez, J-M Kwak, F Davrieux, R Watanabe, J Marescaux, L L Swanström
Flexible endoscopy has evolved to the point that it includes many endoluminal procedures that once required open or laparoscopic surgery, for instance, antireflux surgery, pyloromyotomy, mucosal and submucosal tumor resections, and even full-thickness resection. However, these procedures remain technically demanding due to flexible technology issues: difficult imaging, limited energy devices, lack of staplers, unsatisfactory suturing abilities, and so on. Transgastric laparoscopy or hybrid laparoscopy/flex endoscopy has been described for almost two decades as an alternative to a pure endoluminal approach, mainly for pancreatic pseudocyst drainage and full-thickness and mucosal resection of various lesions...
October 8, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/30291404/comparison-of-major-complications-in-children-after-laparoscopy-assisted-gastrostomy-and-percutaneous-endoscopic-gastrostomy-placement-a-meta-analysis
#6
Filip Sandberg, Margrét Brands Viktorsdóttir, Martin Salö, Pernilla Stenström, Einar Arnbjörnsson
PURPOSE: A meta-analysis was performed to compare the rates of the major complications associated with two gastrostomy tube placement techniques in a pediatric population: laparoscopy-assisted gastrostomy (LAG) and percutaneous endoscopic gastrostomy (PEG). METHODS: The PubMed electronic database was queried for comparative studies of the two insertion techniques. The Newcastle-Ottawa scale (NOS) was used for the assessment of the quality and risk of bias in the included studies...
October 5, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/30263877/refusal-of-peg-feeding-following-a-carotid-endarterectomy
#7
Adam L Jones
This case study presents a patient who has undergone right carotid endarterectomy complicated by glossopharyngeal nerve (or cranial nerve (CN) IX) injury. The patient had one transient ischaemic attack (TIA) three weeks before admission. A computed tomography (CT) scan two days after admission illustrated a right-sided parietal infarct. The patient subsequently had a CT angiogram, which showed a large, calcified plaque in the right internal carotid artery. He then underwent a right carotid endarterectomy...
July 25, 2018: Curēus
https://www.readbyqxmd.com/read/30251336/long-term-nasogastric-versus-percutaneous-endoscopic-gastrostomy-tube-feeding-in-older-asians-with-dysphagia-a-pragmatic-study
#8
Mohamad Hasif Jaafar, Sanjiv Mahadeva, Kit Mun Tan, Ai-Vyrn Chin, Shahrul B Kamaruzzaman, Hui Min Khor, Nor Izzati Saedon, Maw Pin Tan
BACKGROUND: A barrier to gastrostomy feeding exists among Asian clinicians and caregivers due to negative perceptions regarding complications. We compared clinical and nutrition outcomes in older dysphagic Asian patients with nasogastric (NG) or gastrostomy tube feeding using a pragmatic study design. METHODS: The choice of enteral tube access was determined by managing clinicians and patients/caregivers. Comparisons of tube feeding methods were made during a 4-month period, adjusting statistically for inherent confounders...
September 25, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30244635/bronchoscope-guided-percutaneous-endoscopic-gastrostomy-tube-placement-by-interventional-pulmonologists-a-feasibility-and-safety-study
#9
Erik Folch, Fayez Kheir, Amit Mahajan, Daniel Alape, Omar Ibrahim, Eugene Shostak, Adnan Majid
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) tube placement is a procedure frequently done in the intensive care unit. The use of a traditional endoscope can be difficult in cases of esophageal stenosis and theoretically confers an increased risk of infection due to its complex architecture. We describe a technique using the bronchoscope, which allows navigation through stenotic esophageal lesions and also minimizes the risk of endoscopy-associated infections. METHODS: Prospective series of patients who had PEG tube placement guided by a bronchoscope...
September 24, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/30240081/use-of-nutritional-devices-in-cornelia-de-lange-syndrome-data-from-a-large-italian-cohort
#10
Valentina Decimi, Barbara Parma, Roberto Panceri, Chiara Fossati, Milena Mariani, Silvia Russo, Cristina C Gervasini, Maurizio Cheli, Anna Cereda, Angelo Selicorni
Cornelia de Lange syndrome (CdLS) is a genetic condition characterized by intellectual disability, peculiar facial dysmorphisms, multiorgan malformations, and growth problems. Majority cases of CdLS are caused by mutations in genes of Cohesin pathway. Although feeding problems are a well-known feature, no specific data have been published about the use of nutritional devices. We analyzed use, type, time of introduction, and duration of nutritional devices in 73 CdLS patients. In total, 29/73 (40%) used a device; nasogastric tube (NGT) in 28/73 (38%) and percutaneous endoscopic gastrostomy (PEG) in 7/73 (10%)...
September 2018: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/30233750/a-ventriculoperitoneal-shunt-incidentally-found-in-the-stomach
#11
Dan Isaac Cohen-Addad, Kevin Hewitt, Donnie Bell
We report a case of a ventriculoperitoneal shunt incidentally found within the stomach while the patient was undergoing a percutaneous endoscopic gastrostomy (PEG) tube placement. Among the complications of ventriculoperitoneal shunt placement, bowel perforation is rare a complication found in 0.01%-0.07% of cases, and typically occurs in premature infants and neonates [1]. To date, less than 100 such cases have been recorded of which only a few have appeared in the radiological literature. Here we discuss the current literature, the radiological features, clinical presentations and the management...
December 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/30197271/tolerability-and-safety-of-early-enteral-nutrition-in-children-after-percutaneous-endoscopic-gastrostomy-placement-a-multicentre-randomised-controlled-trial
#12
Anna Wiernicka, Małgorzata Matuszczyk, Agnieszka Szlagatys-Sidorkiewicz, Piotr Landowski, Ewa Toporowska-Kowalska, Beata Gębora-Kowalska, Katarzyna Popińska, Marta Sibilska, Urszula Grzybowska-Chlebowczyk, Sabina Więcek, Ewa Hapyn, Karolina Blimke-Kozieł, Jarosław Kierkuś
BACKGROUND & AIMS: We assessed the tolerability and safety of implementing early enteral nutrition in children at 3 h after percutaneous endoscopic gastrostomy (PEG) placement to establish an optimum feeding mode in paediatric patients that reduced the fasting period, the inadequate nutritional support interval, and the hospitalisation time. METHODS: Children with clinical indications for PEG placement were recruited from six medical centres in Poland to participate in the study...
August 28, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30181417/use-of-inpatient-palliative-care-services-in-patients-with-advanced-cancer-receiving-critical-care-therapies
#13
Kah Poh Loh, Maya Abdallah, Meng-Shiou Shieh, Mihaela S Stefan, Penelope S Pekow, Peter K Lindenauer, Supriya G Mohile, Dilip Babu, Tara Lagu
Background: Invasive mechanical ventilation (IMV), dialysis for acute kidney failure, and other critical care therapies (CCTs) are associated with a high risk for complications in patients with metastatic cancer. Inpatient palliative care (IPC) can assist in assessing patients' preferences for life-prolonging treatment at the end of life. This study investigated the use pattern of IPC, outcomes (in-hospital mortality, length of stay [LOS], discharge destination, and cost of care), and predictors of IPC use in patients with metastatic cancer who received CCTs...
September 2018: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/30179861/feasibility-of-international-proposed-standardized-enteral-connector-for-semi-solid-formula-feeding
#14
Michio Maruyama, Shohei Iijima, Nobuya Ishibashi, Michio Inukai, Tetsuharu Oriishi, Naruo Kawasaki, Naomi Kurata, Yutaka Suzuki, Isao Tabei, Masahiro Chiba, Etsuko Nakamura, Takashi Higashiguchi
BACKGROUND/AIMS: The current study was undertaken to assess if the semi-solid formulas could be used with a new ENFit connector with similar force to current percutaneous endoscopic gastrostomy (PEG) tubes. METHODS: Experiment 1: We measured the applied pressure (force) needed to compress the syringe containing 7 viscous semi-solid formulas with a 20 Fr PEG tube and low-profile tube through the ENFit connector or the current connector. Experiment 2: This experiment was conducted to evaluate the compression force through 2 connectors in 3 infusion velocity, 7 PEG tube types with 2 semi-solid formulas...
2018: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/30175807/-levodopa-carbidopa-intestinal-gel-treatment-introduced-by-surgical-gastrostomy-in-a-patient-of-parkinson-s-disease-after-billroth-ii-gastrojejunostomy
#15
Tomohito Nakano, Daisuke Hirozawa, Munehisa Shimamura, Tsutomu Sasaki, Kensuke Ikenaka, Hideki Mochizuki
A 68-year-old man, who had received Billroth II gastrojejunostomy because of duodenal ulcer at the age of 20, was diagnosed to have Parkinson's disease at age 57 years. The drug therapy has been effective in the first 10 years, however, recently he was suffering from troublesome dyskinesia and wearing-off in spite of diligent drug adjustments. Although the indication of levodopa-carbidopa intestinal gel (LCIG) treatment was good, percutaneous endoscopic gastrostomy was difficult because of abdominal adhesion...
September 28, 2018: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/30172678/predictors-of-percutaneous-endoscopic-gastrostomy-placement-in-acute-ischemic-stroke
#16
Kristin Brown, Chunyan Cai, Andrew Barreto, Paige Shoemaker, Jade Woellner, Kim Vu, Andreaa Xavier, Umair Saeed, Jeffrey Watkins, Sean Savitz, Anjail Sharrief
BACKGROUND: Dysphagia is a common complication of stroke and can have a lasting impact on morbidity and mortality; yet there are no standards to guide dysphagia management in stroke patients. We assessed predictors of percutaneous endoscopic gastrostomy (PEG) placement in an ischemic stroke cohort and sought to determine the utility of an objective scale in predicting PEG placement in a high-risk sub-set. METHODS: Consecutive cases of ischemic stroke were retrospectively, identified and demographic and clinical variables were collected...
August 29, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/30142812/anterior-and-posterior-diaphragm-kinesio-taping-for-intractable-hiccups-after-ischemic-stroke-a-case-report
#17
Julie Gallagher
RATIONALE: Pathophysiologic mechanisms of the central nervous system, such as stroke, can be associated with intractable hiccups. Intractable hiccups can be associated with potentially fatal consequences, thus requiring safe management in an inpatient rehabilitation facility (IRF) setting with a multidisciplinary team approach to optimize mobility and feeding. PATIENT CONCERNS: A 49-year-old male presented to the emergency department with complaints of vomiting and dizziness...
August 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30132209/complications-of-percutaneous-endoscopic-and-radiologic-gastrostomy-tube-insertion-a-kasid-korean-association-for-the-study-of-intestinal-diseases-study
#18
Soo-Kyung Park, Ji Yeon Kim, Seong-Joon Koh, Yoo Jin Lee, Hyun Joo Jang, Soo Jung Park
BACKGROUND: Gastrostomy tube insertion is beneficial to selected patients, and percutaneous endoscopic gastrostomy (PEG) and percutaneous radiological gastrostomy (PRG) are two of the frequently used methods in gastrostomy. This study aimed to investigate the indications and complications of both PEG and PRG. METHODS: This was a retrospective multicenter cohort study. Patients who underwent initial PEG or PRG tube insertion for nutritional purpose between January 2010 and December 2015 at five university hospitals were included in the study...
August 21, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30131273/late-detection-of-early-complication-after-placement-of-percutaneous-endoscopic-gastrostomy-asymptomatic-transluminal-perforation-of-the-colon
#19
Carmelo Diéguez Castillo, Amparo Roa Colomo, María Del Mar Díaz Alcázar, Pilar Martínez Tirado, Ángel Palacios Pérez
No abstract text is available yet for this article.
August 18, 2018: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/30126760/a-pilot-study-of-add-on-oral-triheptanoin-treatment-for-children-with-medically-refractory-epilepsy
#20
Sophie Calvert, Katie Barwick, Melody Par, Kah Ni Tan, Karin Borges
AIM: Despite antiepileptic medication and dietary treatment options available about 45% of children with epilepsy still suffer from uncontrolled seizures. Triheptanoin is an anaplerotic treatment designed to improve energy generation via the Krebs cycle. METHOD: For the first time, we evaluated the feasibility, tolerability and efficacy of add-on triheptanoin in 12 patients with medically refractory epilepsy (seven males, five females; min-max: 3-18yr, median 13...
August 7, 2018: European Journal of Paediatric Neurology: EJPN
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