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https://www.readbyqxmd.com/read/29906312/successful-treatment-of-chronic-hepatitis-c-infection-with-crushed-elbasvir-grazoprevir-administered-via-a-percutaneous-endoscopic-gastrostomy-tube
#1
J E Yap, P Jaiswal, L Ton, R Szynkarek, B M Attar, S Gandhi
WHAT IS KNOWN AND OBJECTIVE: Elbasvir/grazoprevir is an all-oral regimen approved for patients with hepatitis C virus (HCV) genotypes 1 and 4, and in renal insufficiency. However, to date, no data exist on the efficacy of this regimen when it is crushed and administered through a percutaneous endoscopic gastrostomy (PEG) tube. Here, we illustrate the case of a 63-year-old man who is the only known patient with HCV infection in the English literature to have successfully achieved a sustained viral response (SVR) when elbasvir/grazoprevir oral combination was administered through a PEG tube...
June 15, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29901558/acute-pancreatitis-as-a-rare-complication-after-gastrostomy-tube-insertion
#2
Rina Rus, Damjana Ključevšek, Matjaž Homan
No abstract text is available yet for this article.
June 12, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29894924/surgical-treatment-of-postoperative-laparostomy-and-pyloroduodenostomy-case-report
#3
António Bernardes, Catarina Melo, Sandra Ferraz
INTRODUCTION: Postoperative duodenal-cutaneous fistula represents a rare and very complex problem. In most cases operative management becomes necessary, but only after local and systemic stabilization and sepsis control. CASE PRESENTATION: A 39-year-old man was admitted for surgical management of laparostomy and pyloro-duodenostomy of the first (DI) and second (DII) duodenal segments with one year of evolution, as a complication of several surgical interventions...
June 4, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29883981/oral-feeding-outcome-after-analgesic-and-sedative-exposure-in-vlbw-preterm-infant
#4
Mark T Astoria, Leroy Thacker, Karen D Hendricks-Muñoz
OBJECTIVE:  The objective of this study was to assess the association of analgesics and sedatives on oral feeding function and need for feeding tube at discharge in the very low birth weight (VLBW) (<1,500 g) preterm infant. STUDY DESIGN:  A retrospective review of surviving inborn infants < 1,500 g and < 32 weeks' gestation ( n  = 209), discharged between January 1, 2012, and December 31, 2014, from the neonatal intensive care unit identified exposure to analgesic and sedative medications, demographics, medical course, and nasogastric or gastrostomy tube (GT) feeding at discharge...
June 8, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29882315/percutaneous-endoscopic-gastrostomy-vs-surgical-gastrostomy-in-infants-with-congenital-heart-disease
#5
Lisa M Einhorn, Brad M Taicher, Nathaniel H Greene, Leon J Reinstein, Edmund H Jooste, Michael J Campbell, Kelly A Machovec
BACKGROUND: Infants with congenital heart disease often require feeding tube placement to supplement oral intake. Gastrostomy tubes may be placed by either surgical or percutaneous endoscopic methods, but there is currently no data comparing outcomes of these procedures in this population. AIMS: The aim of our retrospective study was to investigate the perioperative outcomes between the 2 groups to determine if there are clinically significant differences. METHODS: We reviewed the charts of all infants with congenital heart disease at a single academic institution having isolated surgical or percutaneous endoscopic gastrostomy tube placement from January 2011 to December 2015...
June 7, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29880793/predictors-of-length-of-stay-for-initial-hospitalization-in-infants-with-bronchopulmonary-dysplasia
#6
Christopher B Morrow, Sharon A McGrath-Morrow, Joseph M Collaco
OBJECTIVE: Longer initial hospitalizations for preterm infants with bronchopulmonary dysplasia (BPD) can delay family bonding and attainment of developmental milestones, increase the risk for hospital acquired complications, and increase healthcare costs. The goal of the study was to identify the characteristics associated with longer lengths of hospitalization in this high-risk population. STUDY DESIGN: A retrospective analysis was performed on 660 children (born ≤32 weeks gestation) discharged from 13 Maryland NICUs recruited into an outpatient BPD registry...
June 8, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29871471/feeding-dysfunctions-and-failure-to-thrive-in-neonates-with-congenital-heart-diseases
#7
Giovanna Mangili, Elena Garzoli, Youcef Sadou
Congenital heart disease (CHD) is the most common neonatal congenital malformation. The variety and severity of clinical presentation depend on the cardiac structures involved and their functional impact. The management of newborns with CHD requires a multidisciplinary approach, in which the nutritional aspect plays an important role. An adequate caloric intake during either preand post-surgical period, in fact, improves the outcome of these patients. In addition, the failure to thrive of these children in childhood has been related to long-term cognitive delay (attention deficit disorders, aggressive behaviour and poor social and emotional development)...
May 23, 2018: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
https://www.readbyqxmd.com/read/29849255/gastric-outlet-obstruction-caused-by-foley-catheter-a-complication-when-substituting-for-commercial-gastrostomy-tubes
#8
Sawlar Vu, Amanda B Lewis, Brooks Moore
The technique of using percutaneous endoscopic gastrostomy (PEG) for long-term enteral feeding is well established and commonly used. While the technique is relatively safe and simple, the gastrostomy tube itself may deteriorate or malfunction, requiring a replacement tube. We present a case of a 58-year-old woman who was found to have gastric outlet obstruction from the inflated balloon of a Foley catheter being used as a replacement for her PEG tube. This case illustrates a potential complication of using a Foley catheter in place of commercially available gastrostomy tubes...
February 2018: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29848734/percutaneous-endoscopic-gastrostomy-tube-is-a-negative-prognostic-factor-for-recurrent-metastatic-head-and-neck-cancer
#9
Marco Siano, Nadine Jarisch, Markus Joerger, Vittoria Espeli
BACKGROUND/AIM: Recurrent/metastatic head and neck squamous cell cancer (r/mHNSCC) patients often need a percutaneous endoscopic gastrostomy feeding tube (PEG). Among known prognostic factors, PEG could be prognostic as well. PATIENTS AND METHODS: We retrospectively analyzed r/mHNSCC patients referred for systemic treatment. Kaplan-Meier and multivariate cox regression models were applied to assess prognostic impact of PEG. RESULTS: One hunderd and ten patients were identified, 42 had a PEG at treatment start...
June 2018: Anticancer Research
https://www.readbyqxmd.com/read/29848452/feeding-advancement-and-simultaneous-transition-to-discharge-fastdischarge-after-laparoscopic-gastrostomy
#10
Richard J Hendrickson, Ashwini S Poola, Joseph A Sujka, Katrina L Weaver, Rebecca M Rentea, Shawn D St Peter, Tolulope A Oyetunji
BACKGROUND: Laparoscopic gastrostomy (LG) is a common surgical procedure. However, there is little consensus on a postoperative feeding regimen. With prior nasogastric feed tolerance, there should be no delay in resumption of feeds and subsequent discharge to home. This is a report on a Feeding Advancement and Simultaneous Transition-Discharge (FAST-Discharge) pathway, which to date has not been reported in the literature. METHODS: A retrospective review of patients who underwent LG was performed from May 2010 to May 2015...
May 4, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29847396/nurse-assisted-percutaneous-endoscopic-gastrostomy-tube-placement-is-a-safe-procedure-in-adult-patients
#11
Vibeke Gye, M B Mortensen
The percutaneous endoscopic gastrostomy (PEG) procedure is normally carried out by two doctors. Preliminary experience has suggested that this procedure may be accomplished with the same safety level using one doctor and a specially trained endoscopy nurse. The aim of the study was to assess the immediate outcome and 30 days' procedure-related morbidity following nurse-assisted percutaneous endoscopic gastrostomy (NA-PEG) in an unselected population of adult patients. Retrospective, nonconsecutive analysis of NA-PEG procedures were registered between 2008 and 2014...
May 2018: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/29843419/standard-polymeric-formula-tube-feeding-in-neurologically-impaired-children-a-five-year-retrospective-study
#12
Valeria Dipasquale, Maria Ausilia Catena, Sabrina Cardile, Claudio Romano
Malnutrition is frequent in neurologically impaired (NI) children. Enteral feeding via gastrostomy tube is increasingly being used to provide adequate nutrition. Our aim was to assess the outcomes of exclusive gastrostomy tube feeding with standard polymeric formula in children with NI, severe oro-motor dysfunction, and malnutrition, and to investigate the role of the underlying NI-associated disease. A five-year retrospective study from January 2013 to November 2017 was conducted. The primary aim was to assess the nutritional outcomes of exclusive gastrostomy tube feeding with standard polymeric formula in malnourished NI children...
May 28, 2018: Nutrients
https://www.readbyqxmd.com/read/29812967/association-between-the-availability-of-hospital-based-palliative-care-and-treatment-intensity-for-critically-ill-patients
#13
May Hua, Xiaoyue Ma, R Sean Morrison, Guohua Li, Hannah Wunsch
RATIONALE: In the intensive care unit (ICU), studies involving specialized palliative care services have shown decreases in the use of non-beneficial life-sustaining therapies and ICU length of stay for patients. However, whether widespread availability of hospital-based palliative care is associated with less frequent use of high intensity care is unknown. OBJECTIVE: To determine whether availability of hospital-based palliative care is associated with decreased markers of treatment intensity for ICU patients...
May 29, 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29808280/outcomes-of-laparoscopic-nissen-fundoplications-in-children-younger-than-2-years-single-institution-experience
#14
Armando Rosales, Jill Whitehouse, Carrie Laituri, Glenda Herbello, Julie Long
BACKGROUND: Variation exists in the diagnostic testing for gastroesophageal reflux (GER) in infants and in the application of surgical therapy. There has been an increase in antireflux surgery (ARS) since the development of laparoscopy but the outcomes in high-risk infants is unclear. This study examines the results of laparoscopic fundoplication in infants less than 2 years. METHODS: The results of infants less than 2 years undergoing laparoscopic Nissen fundoplication (Lap-F) from 2012 to 2015 were retrospectively reviewed and outcomes were followed until 2017...
May 28, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29806137/gastrointestinal-and-nutritional-issues-in-children-with-neurological-disability
#15
REVIEW
Claudio Romano, Valeria Dipasquale, Frederic Gottrand, Peter B Sullivan
Neurological disability is often associated with feeding and gastrointestinal disorders leading to malnutrition and growth failure. Assessment of nutritional status represents the first step in the clinical evaluation of children with neurological disability. The European Society of Gastroenterology, Hepatology, and Nutrition (ESPGHAN) recently issued a consensus statement on gastrointestinal and nutritional management in children with neurological disability. Here we critically review and address implications of this consensus for clinical practice, including assessment and monitoring of nutritional status, definition of nutritional requirements, diagnosis and treatment of gastro-oesophageal reflux disease, and indications for and modalities of nutritional support...
May 27, 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29805820/acute-gastric-volvulus-causing-splenic-avulsion-and-hemoperitoneum
#16
Yana Cavanagh, Neal Carlin, Ruhin Yuridullah, Sohail Shaikh
Gastric volvulus is an abnormal, potentially life-threatening, torsion of the stomach. The presence of complications such as hemoperitoneum increases the diagnostic urgency; however it can also mask the presentation of gastric volvulus. We encountered a 66-year-old female who presented with symptomatic gastric outlet obstruction and was found to have hemoperitoneum and splenic avulsion on imaging. In our case, hemoperitoneum was a clinical red herring as initial imaging concentrated on the presence of hemoperitoneum and was nondiagnostic of gastric volvulus...
2018: Case Reports in Gastrointestinal Medicine
https://www.readbyqxmd.com/read/29799111/decreasing-use-of-percutaneous-endoscopic-gastrostomy-tube-feeding-in-japan
#17
Kosaku Komiya, Yuko Usagawa, Jun-Ichi Kadota, Naoki Ikegami
OBJECTIVES: To identify trends in percutaneous endoscopic gastrostomy (PEG) tube placement and intravenous hyperalimentation (IVH) in nonhospital settings (as a potential alternative to tube feeding for nutrition) and to summarize published reports concerning the decision-making process for PEG placement. DESIGN: National survey and systematic review. SETTING: Japan. PARTICIPANTS: All Japanese people. MEASUREMENTS: Data on numbers of individuals with a PEG tube and IVH were obtained from the website of the Japanese Ministry of Health, Labour, and Welfare and published reports concerning the decision-making process for PEG placement in Japan were summarized...
May 25, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29796374/predictive-factors-for-percutaneous-endoscopic-gastrostomy-tube-placement-after-anterior-cervical-fusion
#18
Rafael De la Garza-Ramos, C Rory Goodwin, Nancy Abu-Bonsrah, Amit Jain, Peter G Passias, Brian J Neuman, Daniel M Sciubba
Study Design: Retrospective case-control study. Objectives: To identify incidence and risk factors for percutaneous endoscopic gastrostomy (PEG) tube placement after anterior cervical fusion (ACF). Methods: Adult patients undergoing elective ACF with/without corpectomy for spondylosis from 2002 to 2011 were identified using the Nationwide Inpatient Sample database. The primary outcome measure was PEG tube placement; secondary outcomes included in-hospital mortality, total hospital charges, and discharge disposition...
May 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29791420/upper-gastrointestinal-endoscopy-applied-in-pediatrics-endoscopic-and-histological-findings-including-helicobacter-pylori
#19
Diego Soares Coca, Carolina Manna Santos, Osmar Silvio Garcia de Oliveira, Dayse Aparício Pereira, Carlos Jr Kiyoshi Furuya, Everson L A Artifon
OBJECTIVE: To present and discuss the endoscopic and histological results, as well as the incidence of Helicobacter pylori and other diseases, indications and characteristics of upper digestive endoscopies performed in children. MATERIAL AND METHODS: Twenty-five endoscopies were performed in children aged six months to 11 years (mean 7.69 years), from February 2013 to January 2016. In 200 patients, endoscopies were diagnostic and serial biopsies were performed (esophagus, stomach and duodenum), in 120 of them...
January 2018: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://www.readbyqxmd.com/read/29785745/use-of-proton-pump-inhibitors-is-associated-with-increased-mortality-due-to-nosocomial-pneumonia-in-bedridden-patients-receiving-tube-feeding
#20
Kosuke Hamai, Hiroshi Iwamoto, Shinichiro Ohshimo, Yu Wakabayashi, Daisuke Ihara, Kazunori Fujitaka, Hironobu Hamada, Koichi Ono, Noboru Hattori
AIM: To investigate the association between the use of proton pump inhibitors (PPI) and nosocomial pneumonia and gastrointestinal bleeding in bedridden patients receiving tube feeding. METHODS: A total of 116 bedridden hospitalized patients receiving tube feeding, of which 80 were supported by percutaneous endoscopic gastrostomy and 36 by nasogastric tube, were included in the present study. The patients were divided into two groups: 62 patients treated with PPI (PPI group) and 54 patients without PPI (non-PPI group)...
May 22, 2018: Geriatrics & Gerontology International
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