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Journal articles on the topic 'Gastrostomy'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 July 2024

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1

Gavshchuk, M. V., A. V. Gostimsky, A. N. Zavyalova, I. M. Barsukova, I. V. Karpatsky, O. V. Lisovsky, and I. A. Gostimsky. "Evolution of gastrostomy in palliative medicine." Bulletin of the Russian Military Medical Academy 20, no. 4 (December 15, 2018): 232–36. http://dx.doi.org/10.17816/brmma12380.

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The article analyzes the world experience in methods of applying of stomach nutritional fistula. Different methods of gastrostomy are described, their classification is given. The advantages and disadvantages of common surgeries are outlined. The most often used traditional surgeries are: gastrostomy by Stamm, Topver and tubular gastrostomy. Complication rate of these operations led to a further search for minimally invasive techniques: percutaneous puncture, laparoscopic gastrostomy, and laparoscopically- assisted percutaneous endoscopic gastrostomy. A significant disadvantage of minimally invasive puncture techniques is the need to purchase relatively expensive disposable sets for primary installation and replaceable low profile tubes. The cost of these supplies in Russia is much higher than the money allocated in the obligate medical insurance system, which makes the method economically unprofitable for medical institutions and patients. Partially, the costs could be reduced by the use, as a gastrostomy tube, a Foley urinary catheter. There are several studies that have confirmed economic advantages and absence of a reliable difference in the number of complications and duration of use such tubes. However, some complications are reported: migration of catheter into the duodenum with the development of obstruction, decreased comfort and quality of life. The conducted study showed absence of classification of gastrostomy types and their complications. The final consensus in clinical use of different types of gastrostomy in different situations is absent. There is a tendency to decrease rate of traditional laparotomical operations in favor of less invasive interventions making it difficult for adequate analyzing. In cases with need for revision, biopsy and fundoplication, laparoscopic or laparoscopically-assisted percutaneous endoscopic gastrostomies are preferred which has proven itself in children. For a group of palliative patients of elderly age with high risk and doubtful prognosis, minimally invasive puncture gastrostomes are more appropriate.

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Ferreira, Douglas Geraldo, Clebio Dean Martins, and Denise Lembi Ferreira. "Anseios dos familiares relacionado a implantação de gastrostomia em pacientes com incapacidade cognitiva." STUDIES IN HEALTH SCIENCES 2, no. 3 (December 9, 2021): 164–81. http://dx.doi.org/10.54018/shsv2n3-014.

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Contextualização do tema: A implantação da Gastrostomia requer uma indicação médica ou de um profissional nutricionista. Desde que o paciente apresente condições clinicas e funcionais para tal, pois é um ato invasivo, seja pelo seguimento percutâneo ou cirúrgico (NAVES, 2014). Objetivo: Compreender os fatores que interferem na implantação da Gastrostomia de pacientes assistidos por um programa de atendimento domiciliar com incapacidade cognitiva à partir dos relatos de familiares. Materiais e Métodos: Estudo qualitativo, descritivo, analítico e exploratório, realizado em uma operadora de plano de saúde de um município do interior de Minas Gerais. Sendo que as 07 entrevistas foram aplicadas aos familiares de pacientes com incapacidade cognitiva, com diagnóstico de demência do tipo Alzheimer, com Extrato Clínico Funcional 09 e 10, assistidos pela equipe de Assistência Domiciliar do Viver Bem da Unimed Sete Lagoas/MG, denominada Gerenciamento de Casos Especiais. Resultados: A análise dos dados seguiu a proposta de análise temática de conteúdo de Bardin (2016), onde emergiram duas categorias: “Gastrostomia: Implantação favorável ou desfavorável em pacientes com incapacidade cognitiva sob o ponto de vista dos familiares” e “Prolongamento de sofrimento e terminalidade da vida de forma digna: percepção dos familiares em relação à Gastrostomia”. Considerações finais: Esta pesquisa, demonstrou os desfechos relacionados a implantação ou não do dispositivo Gastrostomia em pacientes portadores de demência e incapacidade cognitiva, no qual apresentam, por conseguinte a perda da autonomia para decidir pelo procedimento médico. Diante disto, foram observados vários relatos de sentimentos como anseios, preocupações, dificuldades na tomada de decisão, medo, necessidade, prolongamento e confortabilidade. Concluiu se que, o objetivo de conhecer intrinsecamente os familiares de pacientes com incapacidade cognitiva e sua relação com a implantação do dispositivo Gastrostomia foi alcançado com excelência, visto que os questionamentos nortearam uma reflexão e, os familiares expressaram suas vontades, culturas e percepções no processo do cuidar. Contextualization of the theme: The implantation of Gastrostomy requires a medical indication or a professional nutritionist. As long as the patient presents clinical and functional conditions for such, because it is an invasive act, whether by percutaneous or surgical follow-up (NAVES, 2014). Objective: To understand the factors that interfere with the implementation of gastrostomy in patients assisted by a home care program with cognitive impairment based on the reports of family members. Materials and Methods: Qualitative, descriptive, analytical and exploratory study, realized in a health plan operator of a city in the interior of Minas Gerais. Being that the 07 interviews were applied to family members of patients with cognitive impairment, with diagnosis of dementia of the Alzheimer's type, with Functional Clinical Extract 09 and 10, assisted by the team of Home Care Assistance of Living Well of Unimed Sete Lagoas/MG, called Management of Special Cases. Results: The data analysis followed the proposal of thematic content analysis of Bardin (2016), where two categories emerged: "Gastrostomy: Favorable or unfavorable implantation in patients with cognitive impairment under the point of view of family members" and "Prolongation of suffering and termination of life in a dignified way: perception of family members in relation to Gastrostomy". Final considerations: This research has demonstrated the outcomes related to the implantation or not of the gastrostomy device in patients with dementia and cognitive disability, in which they present, therefore the loss of autonomy to decide for the medical procedure. In face of this, several reports of feelings were observed, such as anxieties, concerns, difficulties in decision making, fear, need, prolongation and comfortability. It was concluded that the objective of knowing intrinsically the relatives of patients with cognitive disability and their relation with the implantation of the gastrostomy device was reached with excellence, since the questions guided a reflection and the relatives expressed their wishes, cultures and perceptions in the process of care.

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3

Gavschuk, Maksim V., Aleksander V. Gostimskii, Georgiy O. Bagaturiya, Oleg V. Lisovskii, Anna N. Zavyalova, Igor V. Karpatskii, Artem V. Kosulin, Ivan A. Gostimskiy, and Ekaterina E. Aladjeva. "Import Substitution Possibilities in Palliative Medicine." Pediatrician (St. Petersburg) 9, no. 1 (March 15, 2018): 72–76. http://dx.doi.org/10.17816/ped9172-76.

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Nutrition is an important problem of palliative care. If oral feeding is not possible, percutaneous endoscopic gastrostomy (PEG) is the method of choice. The wide application of the procedure is limited by the cost of single-use sets produced in other countries. The aim of the study was to review methodic of the PEG and to find an opportunity to reduce its cost. A reusable device was developed for the application of the PEG with use of a Pétzzer catheter. Approbation of the device and methodic was carried out in experiment with 10 rabbits. In 2 cases animals died on the 5th and 6th day after the operation because of acute pneumonia and enterocolitis, complications from the operating wound and gastrostomy were absent. Remaining 8 rabbits were withdrawn from the experiment on the 10-13 day after the operation. In 3 cases purulent infection of the postoperative wound and formation of abscesses of abdominal cavity were revealed, while the gastrostomic fistula was without any signs of failure. In 5 cases were no complications. The gastrostomic fistula was placed next to laparotomic wound and was not complicated in all cases. All the described complications are considered to features of laparotomy and postoperative period in animals. The constructed analogue of the PEG allow significantly reduce costs and increase the economic efficiency of minimally invasive gastrostomy, reduce dependence on foreign materials. Encouraging results obtained in animal experiments allow testing of the technique in clinical settings.

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4

Shaver, William A., and Jeffrey A. Herold. "GASTROSTOMY." Southern Medical Journal 85, Supplement (September 1992): 3S—121. http://dx.doi.org/10.1097/00007611-199209001-00358.

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5

Edelman, D. S., P. J. Arroyo, and S. W. Unger. "Laparoscopic gastrostomy versus percutaneous endoscopic gastrostomy." Surgical Endoscopy 8, no. 1 (January 1994): 47–49. http://dx.doi.org/10.1007/bf02909493.

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6

Lai, Lisa, and S. Fahd Ali. "Percutaneous Endoscopic Gastrostomy and Open Gastrostomy." Atlas of the Oral and Maxillofacial Surgery Clinics 23, no. 2 (September 2015): 165–68. http://dx.doi.org/10.1016/j.cxom.2015.05.001.

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7

Choi, Seung Myun, Kichang Han, Gyoung Min Kim, Joon Ho Kwon, Junhyung Lee, Man-Deuk Kim, and Jong Yun Won. "Safety of co-placement of ventriculoperitoneal shunt and percutaneous radiologic gastrostomy." Acta Radiologica 61, no. 4 (January 19, 2020): 435–40. http://dx.doi.org/10.1177/0284185119870170.

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Background There is little evidence about the safety of co-placement of percutaneous radiologic gastrostomy in patients with ventriculoperitoneal shunt. Purpose To investigate the safety of co-placement of percutaneous radiologic gastrostomy tube and ventriculoperitoneal shunt. Material and Methods Between July 2006 and June 2018, 1015 patients underwent percutaneous radiologic gastrostomy placement at our institution. Those who had undergone both ventriculoperitoneal shunt and percutaneous radiologic gastrostomy placement were selected. Patient data, including baseline characteristics, percutaneous radiologic gastrostomy types, temporal relationship between the procedures, and ventriculoperitoneal shunt infection, were retrospectively reviewed. Results Nineteen patients received percutaneous radiologic gastrostomy and ventriculoperitoneal shunt co-placement. The percutaneous radiologic gastrostomy types were pigtail-retained gastrostomy (n = 12) and pull-type gastrostomy (n = 7). Ventriculoperitoneal shunt was placed before percutaneous radiologic gastrostomy in 15 patients (79%) and vice versa in four patients (21%). Mean interval between the two procedures was 361 days (range 3–1833 days). Only one case (5.3%) of ventriculoperitoneal shunt infection occurred and it was successfully managed conservatively. There was no significant difference in the incidence of complications between the ventriculoperitoneal shunt before percutaneous radiologic gastrostomy group and the opposite group ( P = 0.789). Moreover, there was no significant difference in complication rates between the two gastrostomy catheter types ( P = 0.368). Conclusions Co-placement of percutaneous radiologic gastrostomy and ventriculoperitoneal shunt seems safe and should not be considered a contraindication. Moreover, the percutaneous radiologic gastrostomy and ventriculoperitoneal shunt should be placed as far from each other as possible.

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Grigaliūnas, Aurelijus, Nijolė Šileikienė, and Algimantas Stašinskas. "Perkutaninė endoskopinė gastrostomija." Lietuvos chirurgija 2, no. 4 (January 1, 2004): 0. http://dx.doi.org/10.15388/lietchirur.2004.4.2347.

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Aurelijus Grigaliūnas, Nijolė Šileikienė, Algimantas StašinskasVilniaus greitosios pagalbos universitetinė ligoninė,Vilniaus universiteto Bendrosios ir plastinės chirurgijos,ortopedijos, traumatologijos klinikosBendrosios chirurgijos centras,Šiltnamių g. 29, LT-04130 VilniusEl. paštas: nijo@delfi.lt Įvadas / tikslas Pateikti perkutaninės endoskopinės gastrostomijos techniką. Nurodyti šio minimaliai invazinio chirurginio metodo indikacijas ir kontraindikacijas. Išanalizuoti Vilniaus greitosios pagalbos universitetinėje ligoninėje atliktų perkutaninių endoskopinių gastrostomijų komplikacijas ir mirties priežastis. Ligoniai ir metodai Retrospektyviai išnagrinėti atliktų perkutaninių endoskopinių gastrostomijų 34 atvejai. Ligoniams, kuriems buvo rijimo sutrikimų, gastrostomijos atliktos "stumk" ir "trauk" būdais. Rezultatai 1996–2003 metais Vilniaus greitosios pagalbos universitetinėje ligoninėje atliktos 34 perkutaninės endoskopinės gastrostomijos: 24 vyrams ir 10 moterų. Amžiaus vidurkis – 55,6 metų. Komplikacijų buvo 9 (26,4%) ligoniams; 4 (11,8%) ligoniai mirė; 5 (14,7%) ligoniams, iškritus gastrostominiams zondams, atliktos regastrostomijos. Išvados Perkutaninė endoskopinė gastrostomija – minimaliai invazinė chirurginė operacija. Jos atlikimo technika paprasta, lengvai įvaldoma. Tai intervencija, pasižyminti mažu komplikacijų ir mirčių skaičiumi. Reikšminiai žodžiai: perkutaninė endoskopinė gastrostomija, enterinis maitinimas, minimaliai invazinė chirurgija Percutaneous endoscopic gastrostomy Aurelijus Grigaliūnas, Nijolė Šileikienė, Algimantas Stašinskas Background / objective To present the formation technique of percutaneous endoscopic gastrostomy; indications and contraindications of this minimally invasive surgical method. To analyze complications and death rate in patients to whom those gastrostomies were performed at Vilnius University Emergency Hospital. Patients and methods Thirty-four cases of percutaneous endoscopic gastrostomies due to dysphagia were reviewed retrospectively. Percutaneous endoscopic gastrostomy formations were performed by the "push" or "pull" methods. Results Thirty-four percutaneous endoscopic gastrostomies were performed in Vilnius University Emergency Hospital in 1996–2003 for 24 male and 10 female patients, mean age 55.6 years. Complications were observed in 9 (26.4%) cases; four (11.8%) patients died. In 5 (14.7%) cases regastrostomies were performed when the gastrostomic drainage tube fell out. Conclusions Percutaneous endoscopic gastrostomy is a minimally invasive surgical intervention. Its technique is simple, easy to master. This intervention shows a relatively low complication and death rate. Keywords: percutaneous endoscopic gastrostomy, enteral nutrition, minimally invasive surgery

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Golubev, K. V., E. E. Topuzov, V. V. Oleynik, T. R. Stuchevskaya, and S. V. Gorchakov. "General principles for the prevention and treatment of complications of percutaneous endoscopic gastrostomy (review of literature)." Scientific Notes of the Pavlov University 26, no. 3 (February 4, 2020): 25–30. http://dx.doi.org/10.24884/1607-4181-2019-26-3-25-30.

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We considered the views of researchers presented in the modern literature on both the problem as a whole and discussion questions regarding the causes of development, preventive measures, and methods of treating percutaneous endoscopic gastrostomy complications, such as clogging of the gastrostomy tube, peristomal wound infections, necrotic fasciitis, pneumoperitoneum, buried bumper syndrome, growth of granulations in the gastrostomy zone, postoperative bleeding and intraparietal hematoma of the gastric wall, traumatic dislocation of the gastrostomy tube, peritonitis after percutaneous endoscopic gastrostomy, peristomal leakage, сolonic fistula, liver injury and abdominal wall metastasis at the percutaneous endoscopic gastrostomy site.

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Kumar, Ashwath S., Majid Bani Yaghoub, Kamel Rekab, Matt Hall, and Thomas Mario Attard. "Pediatric multicenter cohort comparison of percutaneous endoscopic and non-endoscopic gastrostomy technique outcomes." Journal of Investigative Medicine 68, no. 2 (September 26, 2019): 413–18. http://dx.doi.org/10.1136/jim-2019-001028.

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Enteral access is one of the mainstays of nutritional support. Several different modalities for gastrostomy placement are established. In pediatrics, however, there is a limited evidence base supporting the choice of 1 modality over the others. We retrospectively compared elective percutaneous endoscopically placed gastrostomy (PEG) with surgical and interventional radiology-placed gastrostomy outcomes using the Pediatric Hospital Inpatient Sample multicenter administrative database (Pediatric Health Information System). Pediatric patients (<18 years) undergoing planned elective gastrostomy (2010–2015) were included. Coded gastrostomy procedure subtype, patient demographic characteristics, chronic comorbidities and subsequent related outcomes, mortality, readmission, length of stay and total cost of admission were analyzed. Univariate analysis differentiated among gastrostomy techniques. The effect of gastrostomy on mortality and 30-day readmission were determined using a forward, stepwise, binary logistic regression. Generalized linear models were used to estimate the effect of gastrostomy type on length of stay and total cost. During the study period, 11,712 children underwent gastrostomy, including PEG (27%). Patients with chronic comorbidities were more, or as likely to undergo non-PEG procedures. Postoperatively, PEG patients were less likely to require mechanical ventilation and total parenteral nutrition (TPN). Gastrostomy type was not predictive of mortality; predictors included non-White race and need for mechanically assisted ventilation. Readmission following gastrostomy was common (29.5%), and more likely in PEG patients (OR 1.31). Predictors of readmission included earlier TPN (OR 1.39), cardiovascular (OR 1.17) and oncology (OR 4.17) comorbidities. Our study suggests that PEG placement entails similar length of stay and cost as in non-PEG gastrostomy. Patients undergoing PEG were less likely to require mechanical ventilation and TPN postoperatively. Mortality is similar in both groups although more likely with specific comorbidities. Racial background appeared to be associated with choice of gastrostomy, length of stay and mortality.

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Frolova, Ekaterina V., Edgar Kh Samsonyan, Sergei I. Emelyanov, Dmitriy Yu Bogdanov, and Ramil A. Bashirov. "Gastrostomy: Evolution of Surgical Techniques." Annals of the Russian academy of medical sciences 78, no. 4 (November 1, 2023): 356–62. http://dx.doi.org/10.15690/vramn7051.

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Up to date data analysis of development and advance of gastrostomy surgical technique as well as its evolution are presented in details. Principal technical modalities of gastrostomy creation including laparotomy, miniinvasive laparoscopic approach, percutaneous endoscopic and percutaneous X-ray endoscopic gastrostomy are summarized alongside with their technical pitfalls and disadvantages. Clinical data of gastrostomy is imposed. Possible options of complications caused by technical drawbacks and functioning of gastrostomy are highlighted and described. Analysis of literature review allowed us make the conclusion of percutaneous endoscopic gastrostomy to be the most perspective from the technical and clinical efficacy point of view.

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Şerban, Dragoş, Costel Savlovschi, Cristian Brănescu, Corneliu Tudor, Răzvan Borcan, Adriana Nica, Geta Vancea, and Ana-Maria Dascălu. "Complex protocol of surgical nursing of postoperative feeding stoma." Romanian Medical Journal 62, no. 4 (December 31, 2015): 377–80. http://dx.doi.org/10.37897/rmj.2015.4.9.

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During 1985-2014 in our Clinic nearly 4,925 gastrostomes were performed, for a large variety of pathologies: benign and malign esophageal stenosis, esophageal fistulas, posttraumatic ruptures, iatrogenic pathology, strokes. Among those, some were definitives and the others were temporary. We used Gavriliu technique with peritoneal collar in 96% of the cases. During those 30 years we managed to establish an immediate and long-term care protocol of the feeding gastrostomes. This protocol contains specific measures for the monitoring of the vital parameters, biological and metabolical ones, but also the close analysis of the gastric stasis, the imposing of the digestive repose during the first 48-72 hours, the continue follow-up of the quality and the rhythm of alimentation and the mechanical protection of the Pezzer tube. The efficiency of this type of nursing consists in the introduction of food after 48-72 hours, with the second stage of efficiency of the gastrostomy in the same time with the long-term care of the associated oncological and metabolical complications. Due to the importance of the moment of the surgical indication, the technique and nursing that has been used, the survival of the patient with definitive gastrostomy has significantly improved. The elimination of the temporary ones didn’t involve in most of the cases surgical closing.

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Dvorak, Justin, David Ridder, Brendan Martin, Hieu Ton-That, Anthony Baldea, and Richard P. Gonzalez. "Is Tracheostomy Insertion an Indication for Gastrostomy Insertion?" American Surgeon 85, no. 5 (May 2019): 518–23. http://dx.doi.org/10.1177/000313481908500530.

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The aim of the study was to determine the frequency of surgical patients who undergo tracheostomy and gastrostomy insertion during the same hospitalization. Secondary outcomes included ICU and hospital length of stay (LOS) for patients who underwent concomitant tracheostomy and gastrostomy versus those who did not. This study is a retrospective review of trauma and acute care surgery (ACS) patients between 2006 and 2015 who underwent tracheostomy. Patients who also underwent open gastrostomy or percutaneous endoscopic gastrostomy during the same hospitalization were identified. Data collected included patient demographics, hospital LOS, ICU LOS, and timing of tracheostomy and gastrostomy. Three hundred one trauma and ACS patients who underwent tracheostomy were identified. Seventy- three per cent of tracheostomy patients underwent gastrostomy during the same admission. Of patients who had both tubes inserted, 79 per cent (175) underwent gastrostomy with tracheostomy as the concomitant procedure, whereas 21 per cent received gastrostomy as a delayed procedure. Median hospital LOS for patients who underwent concomitant procedures was 25 days versus 22 days for those who had delayed or no gastrostomy ( P = 0.24). Eighty-four per cent of patients who had tracheostomy for prolonged or anticipated prolonged mechanical ventilation were receiving tube feeds at discharge, and 78 per cent had not been advanced to an oral diet at discharge. Most trauma/ACS patients who undergo tracheostomy also undergo gastrostomy during their hospitalization. Concomitant gastrostomy is not associated with a decrease in hospital LOS; however, most patients who undergo tracheostomy for prolonged mechanical ventilation are discharged receiving enteral nutrition. These patients may benefit from concomitant ICU gastrostomy as a way to improve efficiency and cost-saving.

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Mollitt, Daniel L., E. Stevers Golladay, and Joanna J. Seibert. "Symptomatic Gastroesophageal Reflux Following Gastrostomy in Neurologically Impaired Patients." Pediatrics 75, no. 6 (June 1, 1985): 1124–26. http://dx.doi.org/10.1542/peds.75.6.1124.

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Utilizing the sequence of contrast radiography, gastric technetium scintigraphy, and 24-hour pH probe, 30 of 46 (65%) neurologically impaired patients, referred for feeding gastrostomy, were demonstrated to have gastroesophageal reflux and underwent a Nissen fundoplication and gastrostomy. There was no evidence of reflux in the remaining 16 (35%) and a gastrostomy alone was performed. Four infants (aged 2 to 13 months) subsequently developed progressive vomiting from 2 to 8 months following gastrostomy placement. Repeat evaluation documented postoperative reflux in three. All four underwent a Nissen fundoplication with relief of their symptoms. Gastroesophageal reflux following gastrostomy may have been produced by an alteration in anatomy or progressive neurologic dysfunction. In all likelihood, however, it was present but undetected preoperatively. An antireflux procedure was required following gastrostomy in 25% of neurologically impaired patients with an initial negative reflux evaluation. Additionally, primary fundoplication in this group was associated with 10% incidence of recurrent symptoms. The high incidence of postoperative reflux, as well as the morbidity associated with gastrostomy in face of gastroesophageal reflux, warrants careful follow-up of the brain damaged patient with feeding gastrostomy.

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Grandidge, Lisa, Chayaporn Chotiyarnwong, Sean White, Jessica Denning, and Krishnan Padmakumari Sivaraman Nair. "Survival following the placement of gastrostomy tube in patients with multiple sclerosis." Multiple Sclerosis Journal - Experimental, Translational and Clinical 6, no. 1 (January 2020): 205521731990090. http://dx.doi.org/10.1177/2055217319900907.

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Background Around a third of people with multiple sclerosis (MS) experience dysphagia. There is a need for disease-specific information on survival following placement of gastrostomy tube in people with MS. Objective We aimed to study survival following gastrostomy in patients with MS. Methods We reviewed medical records, home enteral feeding database and death certificates of people with MS who had gastrostomy from 2005 to 2017. Cox regression analysis was performed to identify independent predictors associated with mortality after gastrostomy. Results Median survival of 53 patients with MS after gastrostomy was 21.73 months. Median duration of hospital stay after gastrostomy was 14 days (IQR 5.25, 51.5). Survival at 30 days, 3 months, 1, 2, 5 and 10 years were 100% (53/53), 98.1% (52/53), 81.1% (43/53), 54.7% (29/53), 22.4% (11/49) and 6.8% (3/44), respectively. Of 53 patients, 24 died due to respiratory tract infection. Patients who had gastrostomy tube before 50 years of age survived longer (median 28.48 months) compared with those who had the gastrostomy after age 50 years (median 17.51 months) ( p = 0.040). Conclusion Around 54% of patients with MS survived two or more years following gastrostomy. Younger patients had better survival. The most frequent cause of death was respiratory infection.

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Mahawongkajit, Prasit. "PS02.134: COMPARISON OF PUSH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY WITH OPEN GASTROSTOMY IN ADVANCED ESOPHAGEAL CANCER PATIENTS." Diseases of the Esophagus 31, Supplement_1 (September 1, 2018): 159. http://dx.doi.org/10.1093/dote/doy089.ps02.134.

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Abstract Background In esophageal cancer treatment, nutrition by feeding tube has been demonstrated to improve patient tolerance of treatment, quality of life, and long term outcomes. The open gastrostomy and percutaneous endoscopic gastrostomy (PEG) push technique are procedures that avoid cancer cells seeding and also improve patient nutritional status. The aim of this study is to compare the results of the push PEG and open gastrostomy in patients with advanced esophageal cancer. Methods A retrospective study was analyzed in the advanced esophageal cancer patients who indicated and received feeding support between January 2016 and December 2017. Results 28 patients in push PEG and 36 patients in open gastrostomy presented the following comparative data: mean operative duration time shorter in push PEG (11.9 min) than open gastrostomy (35.1 min), less blood loss in push PEG (0.8 mL) than open gastrostomy (5.6 mL), less pain score in push PEG (2.4) than open gastrostomy (5.9) and shorter hospitalization in push PEG (1.8 days) than open gastrostomy (2.6 days). Both groups showed no readmission or 30 day mortality. The adverse events of open gastrostomy demonstrated higher than push PEG group. Conclusion Both push PEG and open gastrostomy were the safe options for advanced esophageal cancer patients indicating for enteral nutrition and to avoid cancer cell seeding. The push PEG demonstrated the effective minimally invasive procedure, was safe and with fewer complications. Disclosure All authors have declared no conflicts of interest.

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Blanchford, H., D. Hamilton, I. Bowe, S. Welch, R. Kumar, J. W. Moor, A. R. Welch, and V. Paleri. "Factors affecting duration of gastrostomy tube retention in survivors following treatment for head and neck cancer." Journal of Laryngology & Otology 128, no. 3 (March 2014): 263–67. http://dx.doi.org/10.1017/s0022215113002582.

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AbstractBackground:Many patients treated for head and neck cancer require nutritional support, which is often delivered using a gastrostomy tube. It is difficult to predict which patients will retain their gastrostomy tube in the long term. This study aimed to identify the factors which affect the duration of gastrostomy tube retention.Method:In this retrospective study, 151 consecutive patients from one centre were audited. All patients had a mucosal tumour of the head and neck, and underwent gastrostomy tube insertion between 2003 and 2007.Results:There were near-complete data sets for 132 patients. The gastrostomy tube was retained in survivors (n = 66) for a mean of 21.3 months and in non-survivors (n = 66) for 11.9 months. Univariate analysis showed that co-morbidity was the only factor which significantly increased duration of gastrostomy tube retention in survivors (p = 0.041).Conclusion:Co-morbidity alone was associated with a significant increase in gastrostomy tube retention. It is suggested that co-morbidity be included as a variable in future relevant research. Co-morbidity should also be considered when counselling patients about their long-term function following cancer treatment. Gastrostomy tube retention is likely to be affected by many factors, with few single variables having importance independently.

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Cook, Stephanie, Vivian Hooper, Roseann Nasser, and Derrick Larsen. "Effect of Gastrostomy on Growth in Children with Neurodevelopmental Disabilities." Canadian Journal of Dietetic Practice and Research 66, no. 1 (March 2005): 19–24. http://dx.doi.org/10.3148/66.1.2005.19.

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Chronic malnutrition and growth failure are frequent consequences of feeding difficulties in neurodevelopmentally disabled children. Gastrostomy feeding has been used successfully to alleviate chronic malnutrition as well as distress and frustration associated with feeding. Unfortunately, caregivers are often resistant to gastrostomy placement. In order to determine the impact of gastrostomies in 20 children with neurodevelopmental disability (NDD), a questionnaire was used to collect caregivers’ perceptions both before and after gastrostomy. The questionnaire assessed caregivers’ retrospective perceptions of quality of life, feeding difficulties, and the burdens and benefits of gastrostomies. To determine impact on growth, height and weight were measured once before and three times after gastrostomy (at six, 12, and 24 months). The number of times a child was fed and the amount of time spent feeding decreased significantly following gastrostomy (p<0.001 and p<0.05, respectively). Growth for all children improved following gastrostomy (p<0.001). Pregastrostomy problems improved significantly following gastrostomy, as did caregivers’ perceptions of quality of life for both themselves and their child (p<0.001). These results indicate that gastrostomy has a positive impact on growth for neurodevelopmentally disabled children, and on quality of life for both children and caregivers. Caregivers may find these results encouraging if they are faced with a decision about gastrostomy placement for their child.

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Ackroyd, Ryan, Meghana Saincher, Simon Cheng, and Wael El-Matary. "Gastrostomy Tube Insertion in Children: The Edmonton Experience." Canadian Journal of Gastroenterology 25, no. 5 (2011): 265–68. http://dx.doi.org/10.1155/2011/821019.

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BACKGROUND: Although gastrostomy tube insertion – whether endoscopic or open – is generally safe, procedure-related complications have been reported.OBJECTIVE: To compare gastrostomy tube insertion-related complications between percutaneous endoscopic gastrostomy and open gastrostomy at a single pediatric centre.METHODS: The charts of children (younger than 17 years of age at the time of tube insertion) who underwent endoscopic or open gastrostomy tube insertion from January 2005 to December 2007 at the Stollery Children’s Hospital (Edmonton, Alberta) were examined.RESULTS: A total of 298 children underwent gastrostomy tube insertion over a period of three years. After excluding patients with incomplete charts, 160 children (91 boys, mean [± SD] age 3.18±4.73 years) were included. Eighty-five children (mean age 4.50±5.40 years) had their gastrostomy tube inserted endoscopically, while the remaining 75 (mean age 1.68±3.27 years; P<0.001) underwent an open procedure. The overall rate of major complications was 10.2% for the endoscopic technique and 8.6% for the open technique (P=0.1). Major infections were higher in the endoscopic technique group, while persistent gastrocutaneous fistulas after tube removal were more common in the open technique group.CONCLUSION: Although the rate of major complications was similar between the endoscopic and open tube insertion groups, major infections were more common among children who underwent endoscopic gastrostomy. The decision for gastrostomy tube insertion was primarily based on clinical background.

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20

Lindberg, Claes-Göran, K. Ivancev, Z. Kan, and R. Lindberg. "Percutaneous Gastrostomy." Acta Radiologica 32, no. 4 (January 1991): 302–4. http://dx.doi.org/10.3109/02841859109177570.

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21

Branscombe, Liz. "Tube gastrostomy." Veterinary Nursing Journal 23, no. 3 (March 2008): 19–22. http://dx.doi.org/10.1080/17415349.2008.11013663.

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22

Hashiba, K. "Endoscopic Gastrostomy." Endoscopy 19, S 1 (November 1987): 23–24. http://dx.doi.org/10.1055/s-2007-1018304.

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23

McGee, Linda. "Feeding gastrostomy." Journal of Wound, Ostomy and Continence Nursing 14, no. 2 (March 1987): 73–78. http://dx.doi.org/10.1097/00152192-198703000-00045.

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24

Fallen, Nancy A. "Feeding gastrostomy." Journal of Wound, Ostomy and Continence Nursing 15, no. 5 (September 1988): 214. http://dx.doi.org/10.1097/00152192-198809000-00048.

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Lindberg, C. G., K. Ivancev, Z. Kan, and R. Lindberg. "Percutaneousc Gastrostomy." Acta Radiologica 32, no. 4 (July 1991): 302–4. http://dx.doi.org/10.1177/028418519103200407.

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26

Beale, A. "Gastrostomy Insertion." Clinical Radiology 58, no. 10 (October 2003): 821. http://dx.doi.org/10.1016/s0009-9260(03)00313-1.

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LUETZOW, ANNETTE M., RICHARD A. K. CHAFFOO, and HARVEY YOUNG. "PERCUTANEOUS GASTROSTOMY." Laryngoscope 98, no. 10 (October 1988): 1035???1039. http://dx.doi.org/10.1288/00005537-198810000-00001.

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28

Avansino, Jeffrey R., and Matthias Stelzner. "Open gastrostomy." Operative Techniques in General Surgery 3, no. 4 (December 2001): 251–57. http://dx.doi.org/10.1053/otgn.2001.27756.

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29

Farrell, Timothy M., and Mark J. Koruda. "Laparoscopic gastrostomy." Operative Techniques in General Surgery 3, no. 4 (December 2001): 258–62. http://dx.doi.org/10.1053/otgn.2001.27787.

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30

Suh, Jeong-Soo. "Percutaneous Gastrostomy." Ewha Medical Journal 14, no. 4 (1991): 429. http://dx.doi.org/10.12771/emj.1991.14.4.429.

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31

STUART, SAMUEL PATRICK, EDWARD H. TILEY, and JAMES P. BOLAND. "Feeding Gastrostomy." Southern Medical Journal 86, no. 2 (February 1993): 169–72. http://dx.doi.org/10.1097/00007611-199302000-00004.

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32

Laasch, H. U., and D. Martin. "Radiologic gastrostomy." Endoscopy 39, no. 3 (March 2007): 247–55. http://dx.doi.org/10.1055/s-2006-945119.

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33

Funaki, Brian. "Mushroom Gastrostomy." Seminars in Interventional Radiology 22, no. 01 (March 2005): 61–63. http://dx.doi.org/10.1055/s-2005-869584.

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34

Wanklyn, Peter. "Percutaneous gastrostomy." Reviews in Clinical Gerontology 5, no. 1 (February 1995): 113–17. http://dx.doi.org/10.1017/s0959259800004044.

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35

Surana, R. "Laparoscopic gastrostomy." Journal of Pediatric Surgery 29, no. 3 (March 1994): 468. http://dx.doi.org/10.1016/0022-3468(94)90604-1.

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36

Gerfo, Paul Lo. "Feeding gastrostomy." Surgical Endoscopy 8, no. 9 (September 1994): 1049. http://dx.doi.org/10.1007/bf00705716.

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Edelman, David S., Stephen W. Unger, and David R. Russin. "Laparoscopic Gastrostomy." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 1, no. 4 (December 1991): 251???253. http://dx.doi.org/10.1097/00129689-199112000-00010.

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Peitgen, Klaus, Christian von Ostau, and Martin K. Walz. "Laparoscopic Gastrostomy." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 11, no. 2 (April 2001): 76–82. http://dx.doi.org/10.1097/00129689-200104000-00002.

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Fuchs, Susan. "Gastrostomy Tubes." Pediatric Emergency Care 33, no. 12 (December 2017): 787–91. http://dx.doi.org/10.1097/pec.0000000000001332.

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Goldberg, Elizabeth, Robin Kaye, Jennifer Yaworski, and Chris Liacouras. "Gastrostomy Tubes." Gastroenterology Nursing 28, no. 6 (November 2005): 485–93. http://dx.doi.org/10.1097/00001610-200511000-00004.

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&NA;. "Gastrostomy Tubes." Gastroenterology Nursing 28, no. 6 (November 2005): 493–94. http://dx.doi.org/10.1097/00001610-200511000-00005.

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42

DAVIS, JOHN. "Minilaparoscopic Gastrostomy." Pediatric Endosurgery & Innovative Techniques 4, no. 1 (January 2000): 57–59. http://dx.doi.org/10.1089/pei.2000.4.57.

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43

Wills, J. S., and J. T. Oglesby. "Percutaneous gastrostomy." Radiology 167, no. 1 (April 1988): 41–43. http://dx.doi.org/10.1148/radiology.167.1.3347743.

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44

Clark, J., and R. A. Pugash. "Laparoscopic Gastrostomy." Endoscopy 34, no. 6 (June 2002): 506. http://dx.doi.org/10.1055/s-2002-31992.

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Clark, J. A., and R. A. Pugash. "Radiologic gastrostomy." Surgical Endoscopy 15, no. 2 (February 2001): 221. http://dx.doi.org/10.1007/s004640000352.

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Clark, John A., and Robyn A. Pugash. "Continent gastrostomy." Journal of Surgical Oncology 76, no. 3 (2001): 237. http://dx.doi.org/10.1002/jso.1037.

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Kamalesh, Naduthottam Palaniswami, Kurumboor Prakash, and Ganesh Narayanan Ramesh. "Wandering Gastrostomy." Indian Journal of Surgery 78, no. 2 (October 17, 2015): 144–46. http://dx.doi.org/10.1007/s12262-015-1377-6.

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Vassilopoulos, Pericles P., and Nickos Kelessis. "Continent gastrostomy." Journal of Surgical Oncology 73, no. 2 (February 2000): 115–16. http://dx.doi.org/10.1002/(sici)1096-9098(200002)73:2<115::aid-jso11>3.0.co;2-h.

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Laasch, Hans-Ulrich. "Radiologic gastrostomy." International Journal of Gastrointestinal Intervention 12 suppl 1, no. 1 (November 25, 2023): S3—S5. http://dx.doi.org/10.18528/ijgii23s0102.

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50

Gauderer, Michael W. L. "Feeding Gastrostomy or Feeding Gastrostomy Plus Antireflux Procedure?" Journal of Pediatric Gastroenterology and Nutrition 7, no. 6 (November 1988): 795–96. http://dx.doi.org/10.1097/00005176-198811000-00002.

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