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percutan endoscopic gastrostomy

Pieter Hindryckx, Barbara Dhooghe, Andreas Wannhoff
BACKGROUND:  Buried bumper syndrome (BBS) is a complication of percutaneous endoscopic gastrostomy (PEG) in which the internal bumper is overgrown by the gastric mucosa. Apart from loss of patency of the PEG tube, the buried bumper may evoke symptoms such as abdominal pain or peritubular leakage. While the management of an incompletely buried bumper is fairly straightforward, this is not the case for a completely buried bumper. Different approaches to remove completely buried bumpers have been described, including endoscopic knife- or papillotome-based techniques...
February 13, 2019: Endoscopy
Marian Galovic, Anne Julia Stauber, Natascha Leisi, Werner Krammer, Florian Brugger, Jochen Vehoff, Philipp Balcerak, Anna Müller, Marlise Müller, Jochen Rosenfeld, Alexandros Polymeris, Sebastian Thilemann, Gian Marco De Marchis, Thorsten Niemann, Maren Leifke, Philippe Lyrer, Petra Saladin, Timo Kahles, Krassen Nedeltchev, Hakan Sarikaya, Simon Jung, Urs Fischer, Concetta Manno, Carlo W Cereda, Josemir W Sander, Barbara Tettenborn, Bruno J Weder, Sandro J Stoeckli, Marcel Arnold, Georg Kägi
Importance: Predicting the duration of poststroke dysphagia is important to guide therapeutic decisions. Guidelines recommend nasogastric tube (NGT) feeding if swallowing impairment persists for 7 days or longer and percutaneous endoscopic gastrostomy (PEG) placement if dysphagia does not recover within 30 days, but, to our knowledge, a systematic prediction method does not exist. Objective: To develop and validate a prognostic model predicting swallowing recovery and the need for enteral tube feeding...
February 11, 2019: JAMA Neurology
Hiroko Mori, Mariko Naito, Ayako Nakane, Haruka Tohara
BACKGROUND: Swallowing rehabilitation for patients living with a percutaneous endoscopic gastrostomy (PEG) tube for home enteral nutrition (HEN) is poorly documented, and the quality of caregivers' daily lives is also unknown. METHODS: A qualitative study based on constant comparative analysis was conducted. The study subjects were the caregivers of acquired brain injury survivors residing at home and living with a PEG tube for HEN who had recovered slight oral intake because of swallowing rehabilitation...
February 11, 2019: Nutrition in Clinical Practice
Anna Cavallini, Livio Provenzi, Giunia Scotto Di Minico, Daniela Sacchi, Lidia Gavazzi, Valeria Amorelli, Renato Borgatti
AIM: To assess the predictive validity of the Functional Evaluation of Eating Difficulties Scale (FEEDS) on long-term eating developmental outcomes in infants with neurodevelopmental disorders. METHOD: In total, 144 infants (69 females, 75 males) aged 0 to 12 months (mean [SD] 5.34mo [3.42]) with neurodevelopmental disorders and requiring enteral nutrition support, hospitalized between January 2004 and December 2017, were included. The FEEDS was administered at the onset of hospitalization...
February 5, 2019: Developmental Medicine and Child Neurology
Nicholas P Rowell
BACKGROUND: Because of publication bias, there is uncertainty about the true incidence of tumor seeding or implantation in patients with head and neck or oesophageal cancer undergoing percutaneous endoscopic gastrostomy (PEG) insertion. METHODS: In order to obtain a more reliable estimate of risk, a systematic review was undertaken. Randomized or non-randomized studies and case reports were identified by electronic searching. A risk of bias assessment was carried out for each study...
January 25, 2019: Head & Neck
Ezekiel W Toh Yoon, Kaori Yoneda, Kazuki Nishihara
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is considered the route of choice for long-term enteral nutrition. In this study, we evaluated the short term outcomes of PEG and aimed to identify the risk factors for in-hospital mortality as well as adverse events such as aspiration pneumonia. METHODS: Three hundred and twenty-four patients who received PEG for enteral nutrition between January 2007 and December 2011 were included in this study. Data regarding baseline characteristics, preoperative biomarkers and clinical outcomes were collected and analyzed...
March 2019: Minerva Gastroenterologica e Dietologica
Patrícia Queirós, Diamantino Sousa, Artur Antunes, Mercedez Sanchez, Ricardo França, José Casquilho, Horácio Guerreiro
Gastrostomy site metastization is considered an uncommon complication of percutaneous endoscopic gastrostomy (PEG) placement in patients with head and neck tumours, but it is important to consider this possibility when evaluating gastrostomy-related symptoms. The authors present the case of a 40-year-old male with excessive alcohol consumption and active smoking, diagnosed with a stage IV oropharyngeal squamous cell carcinoma. The patient developed a paraneoplastic demyelinating motor polyneuropathy that, associated with tumour mass effect, caused dysphagia with need for nasogastric tube feeding...
December 2018: GE Portuguese Journal of Gastroenterology
Jacquelin Peck, Kaitlin Sapp, Alexander Wilsey, Michael Wilsey
Buried bumper syndrome is a rare but potentially severe complication of percutaneous endoscopic gastrostomy tube insertion. Though this complication is uncommon, it may lead to pressure necrosis, bleeding, perforation, peritonitis, sepsis, or death. Each case of buried bumper syndrome is unique in terms of patient comorbidities and anatomic positioning of the buried bumper. For this reason, many approaches have been described in the management of buried bumper syndrome. In this case report, we describe the case of an adolescent Caucasian female who developed buried bumper syndrome three years after undergoing percutaneous endoscopic gastrostomy insertion...
January 2019: Pediatric Gastroenterology, Hepatology & Nutrition
Karima Farrag, Yogesh M Shastri, Ulrike Beilenhoff, Ayşegül Aksan, Jürgen Stein
No abstract text is available yet for this article.
January 22, 2019: BMJ: British Medical Journal
R R Song, Y F Tao, C H Zhu, Z B Ju, Y C Guo, Y Ji
Objective: To investigate the effects of nasogastric tube (NGT) and percutaneous endoscopic gastrostomy (PEG) tube feeding on the susceptibility of pulmonary infection in long-term coma patients with stroke or traumatic brain injury. Methods: A total of 295 candidates who were in long-term coma after stroke or traumatic brain injury but without pulmonary infection and eligible for PEG catheterization were screened prospectively between January 2014 and February 2018. The patients were divided into PEG group (86 patients) and NGT group (209 patients) according to the choice of next-of-kin...
December 25, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Gonçalo Nunes, Tânia Meira, Marta Patita, Ana Teresa Barata, Carla Adriana Santos, Jorge Fonseca
BACKGROUND & AIMS: Malnutrition is common in patients eligible for percutaneous endoscopic gastrostomy (PEG). Feeding tube transparietal thickness (TT) may contribute to assess nutritional status. This study aims to: 1) Characterize TT in PEG patients. 2) Determine the association between TT and the currently used tools 3) Define TT best cut-offs to predict undernutrition 4) Assess the correlation between TT and survival. METHODS: Prospective cohort study including patients who underwent PEG...
February 2019: Clinical Nutrition ESPEN
John Eccles, Edward Wiebe, Pernilla D'Souza, Gurpal Sandha
Background and study aims  Pseudocysts are the most common pancreatic cystic lesions and they usually develop in association with pancreatitis of at least 4 weeks' duration. Extra-pancreatic pseudocysts, although reported, are relatively uncommon. Secondary liver pseudocysts are recognized within the literature, and most patients described have required percutaneous or surgical drainage due to infection or symptoms. The mechanism of hepatic pseudocyst formation is not entirely clear but it is postulated that this phenomenon may occur through pseudocyst-portal vein fistulization...
January 2019: Endoscopy International Open
Aniruthan Deivasigamani, Panneerselvam Vinodhini, Thirugnanam Nelson, T P Elamurugan, Sreenath Gs
Percutaneous endoscopic gastrostomy (PEG) is a commonly used minimally invasive procedure to provide safe and durable access for long-term enteral nutrition in patients when oral feeds are not possible. The reported complications of PEG range from minor wound infections to life-threatening complications like hemorrhage and peritonitis. The buried bumper syndrome is one of the uncommon complications with a reported incidence of 0.3 to 2.4%. Though it is considered to be a late complication, the buried bumper syndrome has been reported as early as two weeks following the procedure...
October 29, 2018: Curēus
S Dobos, V Thill, B K Deressa, L Bruyninx, C M Da Silva Costa, E De Koster, E Toussaint
BACKGROUND AND STUDY AIMS: Percutaneous endoscopic gastrostomy is the most common therapeutic procedure performed by the digestive endoscopists in the upper gastrointestinal tract. It aims to feed patients presenting denutrition and/or insufficient oral intake. Percutaneous endoscopic gastrostomy feasibility is about 95-100 % although in some cases it is impossible to achieve it, leading to ask for a surgical placement. Even though the feasibility of the surgical approach is excellent its complications are quite higher than percutaneous endoscopic placement, it requires general anesthesia and sometimes these patients could be non elligible for it due to their comorbidities (malnutrition, cardio-vascular diseases etc...
October 2018: Acta Gastro-enterologica Belgica
Seo Hee Lee, Hee Seok Moon, Jae Ho Park, Ju Seok Kim, Sun Hyung Kang, Eaum Seok Lee, Seok Hyun Kim, Jae Kyu Sung, Byung Seok Lee, Hyun Yong Jeong
Percutaneous endoscopic gastrostomy (PEG) is widely used to provide nutritional support for patients with dysphagia and/or disturbed consciousness preventing oral ingestion, and PEG tube placement is a relatively safe and convenient non-surgical procedure performed under local anesthesia. However, the prevention of PEG-insertion-related complications is important. A 64-year-old man with recurrent pneumonia underwent tracheostomy and nasogastric tube placement for nutritional support and opted for PEG tube insertion for long-term nutrition...
December 25, 2018: Korean Journal of Gastroenterology, Taehan Sohwagi Hakhoe Chi
Liansong Ye, Xianhui Zeng, Xianglei Yuan, Linjie Guo, Yuyan Zhang, Yan Li, Bing Hu
No abstract text is available yet for this article.
January 11, 2019: Endoscopy
Anna W LaVigne, Danielle N Margalit, Bhupendra Rawal, Maria Puzanov, Donald J Annino, Laura A Goguen, David J Sher, Jonathan D Schoenfeld, Nicole G Chau, Jochen H Lorch, Guilherme Rabinowits, Robert I Haddad, Roy B Tishler
BACKGROUND: Radiation therapy for squamous cell cancer of the head and neck with unknown primary (head and neck CUP) has been associated with significant levels of swallowing toxicity. We examined the effect of changes in mucosal dose on development of laryngeal strictures and percutaneous endoscopic gastrostomy (PEG) dependence. METHODS: Retrospective analysis of 58 patients with head and neck CUP treated with intensity-modulated radiation therapy (IMRT) at the Dana Farber Cancer Institute from August 2004 through July 2013...
January 8, 2019: Head & Neck
Mary K Montes de Oca, Anthony Nye, Caroline Porter, Justin Collins, Corey Satterfield, Christine M G Schammel, Steven D Trocha
BACKGROUND: Many patients with head and neck cancer (HNC) will require feeding tube placement for nutritional support using percutaneous endoscopic gastrostomy (PEG) tube. Rarely, HNC metastases have been reported at the PEG site, a morbidity associated with a poor outcome. METHODS: Along with a case report, an evaluation of PEG placement methods with metastases from the literature was completed along with a statistical analysis of the literature to determine PEG site metastases and method of placement correlations...
January 7, 2019: Head & Neck
Steven Clayton, Christopher DeClue, Trevor Lewis, Andrea Rodriguez, Kimberly Kolkhorst, Rashid Syed, Ambuj Kumar, Clifford Davis, Patrick Brady
OBJECTIVES: Percutaneous gastrostomy tube placement is performed in patients requiring long-term enteral nutrition. Although both endoscopic and fluoroscopic techniques may be used, there are inherent risks and potential complications associated with both procedures that are not generally known to referring physicians. The purpose of this study was to compare and contrast indications for placement and procedurally related complications between fluoroscopic and endoscopic gastrostomy tubes techniques at a tertiary care facility...
January 2019: Southern Medical Journal
Mohamed M Salem, Luis C Ascanio, Kimberly P Kicielinski, Richard P Cambria, Christopher S Ogilvy, Abdulrahman Y Alturki
BACKGROUND: Isolated cervical pseudoaneurysms of the internal carotid artery (ICA) in patients with Marfan syndrome are extremely rare. CASE DESCRIPTION: A 73-year-old female with Marfan syndrome and history of multiple aortic aneurysms presented to an outside hospital with dysphagia, a mass in her neck, dizziness, nausea, and vomiting. A computed tomography angiogram (CTA) showed bilateral cervical ICA pseudoaneurysms, more significant on the right side. A laryngoscopy demonstrated edematous vocal cords and significant mass effect on the right side...
December 24, 2018: World Neurosurgery
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