267 results match your criteria Gastrostomy Tube Replacement


Early Buried Bumper Syndrome Treated by Bedside Replacement

Isr Med Assoc J 2020 05;22(5):315-319

Department of Gastroenterology, Galilee Medical Center, Nahariya, affiliated with the Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel.

Background: Buried bumper syndrome (BBS) mostly occurs as a late complication after percutaneous endoscopic gastrostomy (PEG) insertion; however, early BBS has been rarely reported, and the treatment of this condition is still unclear.

Objectives: To evaluate the Seldinger technique for treatment of early BBS after PEG insertion.

Methods: We report two cases of early BBS in two consecutive patients who underwent PEG insertion to maintain oral intake. Read More

View Article

Download full-text PDF

Source

Conservative recovery and replacement of a ruptured percutaneous endoscopic gastrostomy tube; a case report.

BMC Gastroenterol 2020 Mar 30;20(1):82. Epub 2020 Mar 30.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.

Background: Percutaneous Endoscopic Gastrostomy (PEG) feeding tubes are frequently placed in patients to provide enteral nutrition. We report a case of a complete rupture of a PEG tube intra-abdominally with associated peritonitis after more than a month of PEG placement and utilization. To our knowledge, this is a very rare case of a complete PEG rupture with the succeeding replacement and recovery of the fractured segments conservatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12876-020-01218-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106845PMC

Point-of-care ultrasound for confirmation of gastrostomy tube replacement in the pediatric emergency department.

Intern Emerg Med 2020 Mar 5. Epub 2020 Mar 5.

Ronald O. Perelman Department of Emergency Medicine, New York University School of Medicine, New York, NY, 10016, USA.

Gastrostomy tubes (G-tubes) are frequently used in children for feeding and nutrition. Complications related to G-tubes (and G-buttons) in children represent a common presentation to the emergency department (ED). G-tube replacement is usually performed by pediatric emergency medicine physicians. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11739-020-02294-3DOI Listing

A comparison of balloon and nonballoon gastrostomy tubes in children.

J Pediatr Surg 2020 May 30;55(5):852-854. Epub 2020 Jan 30.

Division of Pediatric General and Thoracic Surgery, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada. Electronic address:

Purpose: The purpose of this study was to compare primary outcomes following insertion of balloon and nonballoon gastrostomy tubes (G-tubes).

Methods: A retrospective chart review over a 5-year period comparing the need for emergency, radiologic, or operative interventions between balloon and nonballoon G-tube devices was performed.

Results: 145 patient charts were reviewed (46. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpedsurg.2020.01.018DOI Listing

Percutaneous endoscopic gastrostomy in children less than 10 kilograms: A comparative study.

Authors:
Osama A Bawazir

Saudi J Gastroenterol 2020 Mar-Apr;26(2):105-110

Department of Surgery, Faculty of Medicine in Umm Al-Qura University at Makkah, Makkah, Saudi Arabia.

Background/aim: Percutaneous endoscopic gastrostomy tube (PEG) has replaced the standard open surgical gastrostomy for enteral nutrition. However, several complications were reported, especially in children less than 10 kg. Our objective was to report the outcomes of percutaneous endoscopic gastrostomy in children according to their weight. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/sjg.SJG_525_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279074PMC
February 2020

Duodenal perforation after gastrostomy tube replacement: Case report and literature review.

Ci Ji Yi Xue Za Zhi 2019 Oct-Dec;31(4):280-282. Epub 2019 Sep 16.

Division of Colorectal Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.

Gastrostomy is commonly used to provide long-term enteral access for patients with feeding impairment. Routine replacement is a safe procedure, but it has various complications. We present a case of nasopharyngeal cancer, who visited the emergency department for gastrostomy tube dislodgement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/tcmj.tcmj_122_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6905241PMC
September 2019

Long-Term Gastrocolocutaneous Fistula after Endoscopic Gastrostomy: How Concerned Should We Be?

GE Port J Gastroenterol 2019 Oct 3;26(6):441-447. Epub 2019 Apr 3.

CiiEM - Centro de Investigação Interdisciplinar Egas Moniz, Monte da Caparica, Portugal.

Percutaneous endoscopic gastrostomy (PEG) is a safe technique for long-term enteral feeding. The most common PEG-associated adverse events are minor. Gastrocolocutaneous fistula (GCCF) results from misplacement of the PEG tube through the colon. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000497248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6876587PMC
October 2019

Gastric Outlet Obstruction Due to Malposition of Replacement Gastrostomy Tube.

Clin Pract Cases Emerg Med 2019 Nov 30;3(4):442-443. Epub 2019 Sep 30.

Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania.

A 78-year old male presented to the emergency department after accidental dislodgement of his chronic gastrostomy tube. A replacement gastrostomy tube was passed easily through the existing stoma and flushed without difficulty. Confirmatory abdominal radiography demonstrated contrast in the proximal small bowel, but the patient subsequently developed epigastric pain and refractory vomiting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5811/cpcem.2019.7.43626DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861039PMC
November 2019

A Successful Percutaneous Endoscopic Gastrostomy Tube Feeding over Two Decades with No Complication: A Rare Case Report.

Cureus 2019 Aug 7;11(8):e5340. Epub 2019 Aug 7.

Internal Medicine, Interfaith Medical Center, Brooklyn, USA.

Percutaneous endoscopic gastrostomy (PEG) feeding is a common and widely performed procedure appropriate for long-term enteral nutrition in patients with multiple indications. We present the case of a 59-year-old woman with a PEG tube placed owing to complication following thyroid surgery approximately 20 years ago, representing the most extended duration of PEG tube feeding without any significant complication for chronic mechanical dysphagia. This case highlights the importance of PEG feeding, where this route can be used indefinitely in an appropriate clinical setting without complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.5340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778049PMC
August 2019
1 Read

Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement.

BMJ Case Rep 2019 Sep 4;12(9). Epub 2019 Sep 4.

Department of Surgery, Wayne State University, Detroit, Michigan, USA.

A 53-year-old man with dysphagia underwent uneventful placement of a percutaneous endoscopic gastrostomy (PEG) tube for long-term enteral feeding access. 11 hours after the procedure, it was discovered that he had accidentally dislodged the feeding tube. On physical examination, he was found to have a benign abdomen without evidence of peritonitis or sepsis. Read More

View Article

Download full-text PDF

Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2019-23072
Publisher Site
http://dx.doi.org/10.1136/bcr-2019-230728DOI Listing
September 2019
2 Reads

Outcomes of radiologically inserted gastrostomy versus percutaneous endoscopic gastrostomy.

J Med Imaging Radiat Oncol 2019 Oct 11;63(5):610-616. Epub 2019 Aug 11.

Royal Brisbane and Women's Hospital (RBWH), Brisbane, Queensland, Australia.

Introduction: Gastrostomy insertion either via radiological (radiologically inserted gastrostomy, RIG) or endoscopic (percutaneous endoscopic gastrostomy, PEG) approaches are widely practiced throughout Australia. The purpose of this study was to compare outcomes of inserted tubes and cost evaluation by both methods.

Methods: A retrospective cohort study conducted on all-cause gastrostomy insertions at a quaternary Australian Hospital, Royal Brisbane and Womens' Hospital (RBWH) between January 2012 and August 2015. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/1754-9485.12
Publisher Site
http://dx.doi.org/10.1111/1754-9485.12932DOI Listing
October 2019
3 Reads

Persistent Abdominal Distention After Endoscopic Percutaneous Endoscopic Gastrostomy Tube Replacement.

Gastroenterology 2020 02 5;158(3):e1-e2. Epub 2019 Aug 5.

Department of Gastroenterology, Ajou University Medical School, Suwon, Korea. Electronic address:

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00165085194118
Publisher Site
http://dx.doi.org/10.1053/j.gastro.2019.07.056DOI Listing
February 2020
1 Read

Head and neck soft tissue reconstruction with anterolateral thigh flaps with various components: Development of an algorithm for flap selection in different clinical scenarios.

Microsurgery 2019 Oct 31;39(7):590-597. Epub 2019 Jul 31.

Otorhinolaryngology - Head and Neck Surgery, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy.

Objectives: The antero-lateral thigh free flap (ALT) is conventionally designed as a fasciocutaneous flap (FALT). However, the thickness of the flap can be designed in at least in two more variants: myocutaneous (MYALT), and myofascial (MALT). The aim of this study was to evaluate the use of ALT flap as a universal solution for head and neck soft tissue reconstruction and development of an algorithm for flap selection in different clinical scenarios. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/micr.30495DOI Listing
October 2019
7 Reads

Complications and early mortality in percutaneous endoscopic gastrostomy placement in lombardy: A multicenter prospective cohort study.

Dig Liver Dis 2019 10 20;51(10):1380-1387. Epub 2019 Apr 20.

Clinica San Carlo, Paderno Dugnano, Italy.

Background: Percutaneous endoscopic gastrostomy (PEG) is the most common endoscopic procedure used to provide nutritional support.

Aim: To prospectively evaluate the mortality and complication incidences after PEG insertion or replacement.

Methods: All patients who underwent PEG insertion or replacement were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.dld.2019.03.024DOI Listing
October 2019
11 Reads

Buried bumper syndrome presenting with bleeding.

BMJ Case Rep 2018 Dec 10;11(1). Epub 2018 Dec 10.

Internal Medicine, Dubai Health Authority, Dubai, United Arab Emirates.

Buried bumper syndrome (BBS) is a relatively rare complication of percutaneous endoscopic gastrostomy (PEG) feeding. In this paper, we report the case of a 74-year-old man who attended the emergency department with bleeding from the PEG tube site that was later confirmed by endoscopy to be BBS. The treatment consisted of a PEG tube replacement with a 10-day course of antibiotics. Read More

View Article

Download full-text PDF

Source
http://www.bmj.com/lookup/doi/10.1136/bcr-2018-225876
Publisher Site
http://dx.doi.org/10.1136/bcr-2018-225876DOI Listing
December 2018
54 Reads

The Cambridge experience with buried bumpers.

J Pediatr Surg 2019 Feb 7;54(2):263-265. Epub 2018 Nov 7.

Department of Paediatric Surgery, Addenbrookes Hospital, Hills Road, Cambridge CB2 0QQ, UK. Electronic address:

Aim: Buried Bumper (BB) is a complication of percutaneous endoscopic gastrostomy (PEG) that leads to tube dysfunction and major morbidity. Although many techniques have been described to manage BB, none are universally adopted, and laparotomy remains the mainstay. We introduce a novel endoscopic technique in paediatric surgery that avoids laparotomy. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00223468183074
Publisher Site
http://dx.doi.org/10.1016/j.jpedsurg.2018.10.084DOI Listing
February 2019
37 Reads

Which G-Tube to Use in Pullers: Assessment of Pull Pressures on Skin Models to Determine Optimal Catheter Choice in Patients with Recurrent Pulled Gastrostomy Tubes.

Cardiovasc Intervent Radiol 2019 Jan 22;42(1):116-120. Epub 2018 Aug 22.

Division of Vascular and Interventional Radiology, Toronto General Hospital-University Health Network/University of Toronto, Toronto, ON, Canada.

Introduction: Pulled or dislodged gastrostomy catheters represent a common complication associated with percutaneous gastrostomy and are a common cause of recurrent visits in patients with altered mental status. We intended to perform an experiment to compare the pull forces required to dislodge different commonly used gastrostomy catheters.

Materials And Methods: We used a digital force gauge device to measure the pull forces required to dislodge three types of 20 French gastrostomy catheters in double-layer skin models. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00270-018-2060-7
Publisher Site
http://dx.doi.org/10.1007/s00270-018-2060-7DOI Listing
January 2019
6 Reads

How long do percutaneous endoscopic gastrostomy feeding tubes last? A retrospective analysis.

Postgrad Med J 2018 Aug 24;94(1114):469-474. Epub 2018 Jul 24.

Department of Gastroenterology, Dudley Group NHS Foundation Trust, Dudley, UK.

Background: Percutaneous endoscopic gastrostomy (PEG) tubes allow for long-term enteral feeding. Disk-retained PEG tubes may be suitable for long-term usage without planned replacement, but data on longevity are limited. We aimed to assess the rates and predictors of PEG longevity and post-PEG mortality. Read More

View Article

Download full-text PDF

Source
http://pmj.bmj.com/lookup/doi/10.1136/postgradmedj-2018-1357
Publisher Site
http://dx.doi.org/10.1136/postgradmedj-2018-135754DOI Listing
August 2018
8 Reads

Staged Thoracoscopic Repair of Long-Gap Esophageal Atresia Without Temporary Gastrostomy.

J Laparoendosc Adv Surg Tech A 2018 Dec 17;28(12):1510-1512. Epub 2018 Jul 17.

1 Department of Pediatric Surgery, University Children's Hospital of Krakow, Jagiellonian University Medical College, Kraków, Poland.

Primary repair of long-gap esophageal atresia (LGEA) continues to present a surgical challenge. The number of treatment options, including the use of native esophagus or esophageal replacement, shows the difficulty in the treatment and lack of one superior option. Until recently all children with LGEA required temporary gastrostomy before esophageal reconstruction. Read More

View Article

Download full-text PDF

Source
http://www.liebertpub.com/doi/10.1089/lap.2018.0188
Publisher Site
http://dx.doi.org/10.1089/lap.2018.0188DOI Listing
December 2018
49 Reads

Gastrostomy Tube Insertion in Pediatric Patients With Autosomal Recessive Polycystic Kidney Disease (ARPKD): Current Practice.

Front Pediatr 2018 4;6:164. Epub 2018 Jun 4.

Department of Pediatrics, University Hospital of Cologne, Cologne, Germany.

Autosomal recessive polycystic kidney disease (ARPKD) is a severe hepatorenal disorder of childhood. Early renal disease in ARPKD may require renal replacement therapy and is associated with failure to thrive resulting in a need for nasogastric tube feeding or gastrostomy. In ARPKD patients, the benefit of a gastrostomy in nutrition and growth needs to be weighed against the potential risk of complications of congenital hepatic fibrosis (CHF) and portal hypertension like variceal bleeding. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fped.2018.00164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994991PMC
June 2018
26 Reads

Gastric Outlet Obstruction Caused by Foley Catheter: A Complication when Substituting for Commercial Gastrostomy Tubes.

Clin Pract Cases Emerg Med 2018 Feb 9;2(1):35-38. Epub 2018 Jan 9.

Emory University, Department of Emergency Medicine, Atlanta, Georgia.

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. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5811/cpcem.2017.10.35930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965136PMC
February 2018
15 Reads

Long-term safety and efficacy of levodopa-carbidopa intestinal gel in advanced Parkinson's disease.

Mov Disord 2018 Jul 23;33(6):928-936. Epub 2018 Mar 23.

University of Cincinnati Academic Health Center, Cincinnati, Ohio, USA.

Background: Levodopa-carbidopa intestinal gel (designated as carbidopa-levodopa enteral suspension in the United States) provides stable plasma levodopa concentrations and reduces motor fluctuations in advanced Parkinson's disease patients through continuous delivery of levodopa via percutaneous endoscopic gastrojejunostomy. We report long-term safety and efficacy outcomes from an open-label phase 3 treatment program.

Methods: PD patients (n = 262) who completed a 12-week double-blind study and its 52-week open-label extension or a separate 54-week open-label study were enrolled in this ongoing phase 3 open-label, multinational study (NCT00660673). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/mds.27338DOI Listing
July 2018
42 Reads

Massive hemorrhage: a late complication of replacement percutaneous endoscopic gastrostomy: case report.

Arch Argent Pediatr 2018 Apr;116(2):e315-e318

Selcuk University Faculty of Medicine Department of Pediatric Surgery, Turkey.

Percutaneous endoscopic gastrostomy (PEG) is used as an alternative to enteral/nasoenteral feeding in situations where long-term oral feeding is ineffective or not tolerated. It is mostly preferred in patients with neurological conditions and also to support nutrition in patients with congenital heart diseases, cystic fibrosis, inflammatory bowel disease, and various oropharyngeal diseases. Although it is easily applicable compared to many invasive procedures, it has complications ranging from wound infection to death. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5546/aap.2018.eng.e315DOI Listing
April 2018
10 Reads

Aspiration Therapy As a Tool to Treat Obesity: 1- to 4-Year Results in a 201-Patient Multi-Center Post-Market European Registry Study.

Obes Surg 2018 07;28(7):1860-1868

Endoscopia Digestiv, Centro Medico Teknon, Carrer Vilana, 12, 08022, Barcelona, Spain.

Purpose: The objective of this post-market study was to evaluate long-term safety and efficacy of aspiration therapy (AT) in a clinical setting in five European clinics.

Materials And Methods: The AspireAssist® System (Aspire Bariatrics, Inc. King of Prussia, PA) is an endoscopic weight loss therapy utilizing a customized percutaneous endoscopic gastrostomy tube and an external device to aspirate approximately 30% of ingested calories after a meal, in conjunction with lifestyle counseling. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11695-017-3096-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018576PMC
July 2018
22 Reads

To Pull or to Scope: A Prospective Safety and Cost-effectiveness of Percutaneous Endoscopic Gastrostomy Tube Replacement Methods.

J Clin Gastroenterol 2019 01;53(1):e37-e40

Center for Advanced Endoscopy, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Background: Percutaneous endoscopic gastrostomy (PEG) tubes are routinely used as an effective method for providing enteral nutrition. The need for their exchange is common.

Goals: We aimed to examine the comparative safety and cost-effectiveness of PEG percutaneous counter-traction "pulling" approach or by endoscopically guided retrieval. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MCG.0000000000000993DOI Listing
January 2019
21 Reads

Enteral Access Devices: Types, Function, Care, and Challenges.

Authors:
Linda M Lord

Nutr Clin Pract 2018 Feb;33(1):16-38

University of Rochester Medical Center, Rochester, New York, USA.

Enteral access feeding devices are placed in patients who have a functional and accessible gastrointestinal (GI) tract but are not able to consume or absorb enough nutrients to sustain adequate nutrition and hydration. For many individuals, enteral nutrition support is a lifesaving modality to prevent or treat a depleted nutrient state that can lead to tissue breakdown, compromised immune function, and poor wound healing. Psychological well-being is also affected with malnutrition and dehydration, triggering feelings of apathy, depression, fatigue, and loss of morale, negatively impacting a patient's ability for self-care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ncp.10019DOI Listing
February 2018
13 Reads

Use of Point-of-Care Ultrasound to Guide Pediatric Gastrostomy Tube Replacement in the Emergency Department.

Pediatr Emerg Care 2018 Feb;34(2):145-148

The presentation of a pediatric patient to the emergency department for a malfunctioning or dislodged gastrostomy tube (G-tube) is not uncommon. As such, these tubes are often replaced at the bedside. Improper placement can result in a number of complications, including perforation, fistula tract formation, peritonitis, and sepsis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PEC.0000000000001400DOI Listing
February 2018
15 Reads

Risk Factors for a Persistent Gastrocutaneous Fistula Following Gastrostomy Device Removal: A Tertiary Center Experience.

J Indian Assoc Pediatr Surg 2017 Oct-Dec;22(4):220-225

Department of Paediatric Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.

Aim: The aim of this study is to identify the risk factors for a persistent gastrocutaneous fistula (GCF) after gastrostomy device (GD) removal in children.

Materials And Methods: A retrospective analysis of 59 patients that underwent GD insertion and removal over an 11-year period (2005-2015). Patients were divided into two Groups (A and B) according to persistence or closure of the gastrocutaneous tract. Read More

View Article

Download full-text PDF

Source
http://www.jiaps.com/text.asp?2017/22/4/220/214445
Publisher Site
http://dx.doi.org/10.4103/jiaps.JIAPS_205_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615896PMC
October 2017
17 Reads

Migrated Replacement Percutaneous Endoscopic Gastrostomy Tube Leading To Jejunoduodenal Intussusception.

Clin Gastroenterol Hepatol 2018 04 2;16(4):A29-A30. Epub 2017 Aug 2.

Division of Gastroenterology and Hepatology, Department of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cgh.2017.07.028DOI Listing
April 2018
13 Reads

Replacement of Dislodged Gastrostomy Tubes After Stoma Dilation in the Pediatric Emergency Department.

West J Emerg Med 2017 Jun 19;18(4):770-774. Epub 2017 Apr 19.

Kaiser Permanente Medical Center, Department of Emergency Medicine, Fontana, California.

Introduction: A dislodged gastrostomy tube (GT) is a common complaint that requires evaluation in the pediatric emergency department (ED) and, on occasion, will require stoma dilation to successfully replace the GT. The objective of this study was to describe the frequency that stoma dilation is required, the success rate of replacement, complications encountered, and the techniques used to confirm placement of the GT after dilation.

Methods: We conducted a retrospective medical record review of children 0-18 years who presented to the pediatric ED from February 2013 through February 2015 with a dislodged GT that required stoma dilation by pediatric emergency physicians with serially increasing Foley catheter sizes prior to successful placement of the GT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5811/westjem.2017.3.31796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468085PMC
June 2017
11 Reads

Predictive Factors Associated with Oral Intake Ability in Gastrostomy Patients Under Long-Term Care.

J Nutr Health Aging 2017 ;21(6):715-720

Enri Nakayama, Nihon University School of Dentistry, Japan,

Objective: To determine the physical indicators associated with oral intake status and swallowing function in gastrostomy patients under long-term care.

Design: Cross-sectional study.

Setting: Thirty-one hospitals that perform gastrostomy insertion, replacement and management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12603-016-0796-9DOI Listing
November 2017
18 Reads

Palliative Chemotherapy: Does It Only Provide False Hope? The Role of Palliative Care in a Young Patient With Newly Diagnosed Metastatic Adenocarcinoma.

J Adv Pract Oncol 2017 May-Jun;8(4):382-386. Epub 2017 May 1.

Butler Health System, Palliative Care Division, Butler, Pennsylvania.

A 48-year-old female with recent diagnosis of adenocarcinoma of unknown origin and metastatic disease to the peritoneum initially presented to a nearby academic hospital with abdominal pain. She underwent exploratory laparotomy with tumor debulking surgery at that time. Shortly thereafter, she was readmitted to the same hospital with evidence of partial small bowel obstruction and treated conservatively with bowel rest, nasogastric (NG) tube placement, and intravenous (IV) fluid administration. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040871PMC
May 2017
10 Reads

Catheter traction and gastric outlet obstruction: a repeated complication of using a Foley catheter for gastrostomy tube replacement.

Nutr Hosp 2017 Mar 30;34(2):499-501. Epub 2017 Mar 30.

.

Background: Percutaneous endoscopic gastrostomy (PEG) is a safe procedure and major morbidity is unusual. However, the number of PEG fed patients is increasing all over the world and complications may become more and more frequent.

Case Report: We describe a 73 years old woman with persistent vomit after replacement of the standard PEG tube with a Foley catheter. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.20960/nh.693DOI Listing
March 2017
29 Reads

Gastrostomy tube placement for long-term oral drug administration in non-human primates.

Xenotransplantation 2017 03 3;24(2). Epub 2017 Mar 3.

Xenotransplantation Research Center, Seoul National University Graduate School, Seoul, Korea.

Background: Non-human primates (NHPs) are often used as recipients in preclinical transplantation research that in most cases involves administration of various drugs including immunosuppressants. Long-term oral drug administration, particularly tacrolimus, is challenging in the transplant recipient NHPs. Oral drug administration method using the mixture of drug and fruit juice has been used in NHPs, but this is not always effective in all monkeys. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/xen.12292DOI Listing
March 2017
56 Reads

Replaceable Jejunal Feeding Tubes in Severely Ill Children.

Gastroenterol Res Pract 2017 23;2017:2090795. Epub 2017 Jan 23.

Department of Pediatric Surgery, University Children's Hospital Basel, Spitalstrasse 33, 4056 Basel, Switzerland.

Long-term enteral nutrition in chronically ill, malnourished children represents a clinical challenge if adequate feeding via nasogastric or gastrostomy tubes fails. We evaluated the usefulness and complications of a new type of surgical jejunostomy that allows for easier positioning and replacement of the jejunal feeding tube in children. We surgically inserted replaceable jejunal feeding tubes (RJFT) connected to a guide thread which exited through a separate tiny opening of the abdominal wall. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/2090795DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292390PMC
January 2017
48 Reads

Multicentre survey on the current surgical management of oesophageal atresia in Belgium and Luxembourg.

J Pediatr Surg 2017 Feb 14;52(2):239-246. Epub 2016 Nov 14.

Department of Paediatric Surgery/Gastro-intestinal Surgery, Princess Elisabeth Children's Hospital, Ghent University Hospital, Ghent, Belgium.

Introduction: The surgical management of oesophageal atresia (OA) differs between pediatric surgical teams without consensus. We aimed to describe the current practice of OA treatment in Belgium and Luxembourg and compare this to the literature.

Materials And Methods: A questionnaire was created and sent to all 18 hospitals (14 pediatric surgical units) performing OA surgery in Belgium and Luxembourg. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00223468163054
Publisher Site
http://dx.doi.org/10.1016/j.jpedsurg.2016.11.010DOI Listing
February 2017
12 Reads

The Buried Bumper Syndrome: External Bumper Extraction after Radial Mini Incisions and Replacement through an Adjacent Tract.

Authors:
M A Benatta

Case Rep Med 2016 14;2016:5379291. Epub 2016 Nov 14.

Gastroenterology Department, Military Universitary Hospital, Oran, Algeria; Gastroenterology Department, Military Universitary Hospital, Constantine, Algeria; Digestive Endoscopy Unit, Central Hospital of Army, Algiers, Algeria.

Although considered as a safe method to provide long-term nutritional support, percutaneous endoscopic gastrostomy (PEG) may be complicated by a buried bumper syndrome (BBS), a life-threatening condition. Removal of the PEG tube with its buried bumper and reinsertion of a new PEG tube is often necessary. Since its description in 1988, less than 50 cases of BBS managed by external extraction of the buried bumper have been reported. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/crim/2016/5379291/
Publisher Site
http://dx.doi.org/10.1155/2016/5379291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5124682PMC
November 2016
9 Reads

Gastric tube esophageal reconstruction in children with esophageal atresia and caustic stricture Study of clinical value based on 25 single-center. Centre experience.

Ann Ital Chir 2016 ;87:589-594

Aim: The aim of this study was estimation of clinical value of gastric tube esophagoplasty in children based on one single center experience.

Methods: Forty-nine patients with diagnosis of EA (n=22) and caustic esophageal injury (n=27) had undergone reverse gastric tube esophagoplasty during 25 years at our institution. Almost all EA patients received initially gastrostomy and cervical esophagostomy. Read More

View Article

Download full-text PDF

Source
October 2017
71 Reads

Chronic kidney disease in the neonate: etiologies, management, and outcomes.

Authors:
Jason Misurac

Semin Fetal Neonatal Med 2017 04 10;22(2):98-103. Epub 2016 Oct 10.

Pediatric Nephrology, University of Iowa Children's Hospital, Iowa City, IA, USA. Electronic address:

Neonatal chronic kidney disease (CKD) occurs with an estimated incidence of 1 in 10,000 live births, whereas the incidence of neonatal end-stage renal disease (ESRD) is about 7.1 per million age-related population. The most frequent etiologies are renal hypoplasia/dysplasia, posterior urethral valves, and other congenital anomalies of the kidney and urinary tract. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S1744165X163006
Publisher Site
http://dx.doi.org/10.1016/j.siny.2016.09.003DOI Listing
April 2017
10 Reads

Foley Catheters as Temporary Gastrostomy Tubes: Experience of a Nurse-Led Service.

Gastroenterol Nurs 2016 Jul-Aug;39(4):273-7

Adli Metussin, MRCP, is Senior Medical Officer, Endoscopy Unit, Division of Gastroenterology and Hepatology, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam. Rusanah Sia, Dip Nursing, is PEG Nurse, Endoscopy Unit, Division of Gastroenterology and Hepatology, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam. Suriawati Bakar, Dip Nursing, is Senior Nursing Officer, Endoscopy Unit, Division of Gastroenterology and Hepatology, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam. Vui Heng Chong, FAMS, FRCP, is Consultant Gastroenterologist, Endoscopy Unit, Division of Gastroenterology and Hepatology, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam.

Percutaneous endoscopic gastrostomy tube is the modality of choice for long-term enteral nutrition. In the event that replacement tubes are not available, urinary catheters can be used to maintain patency of the gastrostomy tract. This study reports our experience in a nurse-led service using Foley catheters as temporary gastrostomy tubes and the associated complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SGA.0000000000000187DOI Listing
June 2017
85 Reads

The Challenging Buried Bumper Syndrome after Percutaneous Endoscopic Gastrostomy.

Case Rep Gastroenterol 2016 May-Aug;10(2):224-32. Epub 2016 May 26.

Trauma Surgery Section, Department of Surgery, Hamad General Hospital (HGH), Doha, Qatar.

Buried bumper syndrome (BBS) is a rare complication developed after percutaneous endoscopic gastrostomy (PEG). We report a case of a 38-year-old male patient who sustained severe traumatic brain injury that was complicated with early BBS after PEG tube insertion. On admission, bedside PEG was performed, and 7 days later the patient developed signs of sepsis with rapid progression to septic shock and acute kidney injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000446018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939666PMC
July 2016
50 Reads

Nasogastric tube feeding: a safe option for patients?

Authors:
Trish Williams

Br J Community Nurs 2016 Jun-Jul;Suppl Nutrition:S28-31

Nutrition specialist Nurse, Kettering General Hospital.

This article will show that fine-bore nasogastric tube feeding can be facilitated for patients when long term percutaneous endoscopic gastrostomy (PEG) or radiologically inserted gastrostomy (RIG) options are not suitable. How the safe replacement of these tubes is facilitated, and what instructions the patient and the nursing home are given to support patient care and safety are also discussed. The decision to support this type of feeding must be completely individualised, considering home and external support agencies available to each patient. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12968/bjcn.2016.21.Sup7.S28DOI Listing
September 2016
18 Reads

Emergency Department Visits and Readmissions among Children after Gastrostomy Tube Placement.

J Pediatr 2016 07 11;174:139-145.e2. Epub 2016 Apr 11.

Medical College of Wisconsin/Children's Hospital of Wisconsin, Milwaukee, WI.

Objectives: To define the incidence of 30-day postdischarge emergency department (ED) visits and hospital readmissions following pediatric gastrostomy tube (GT) placement across all procedural services (Surgery, Interventional-Radiology, Gastroenterology) in 38 freestanding Children's Hospitals.

Study Design: This retrospective cohort study evaluated patients <18 years of age discharged between 2010 and 2012 after GT placement. Factors significantly associated with ED revisits and hospital readmissions within 30 days of hospital discharge were identified using multivariable logistic regression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpeds.2016.03.032DOI Listing
July 2016
53 Reads

Analysis of risk factors contributing to morbidity from gastrojejunostomy feeding tubes in children.

J Pediatr Surg 2016 Jun 2;51(6):1005-9. Epub 2016 Mar 2.

Department of Surgery, Section of Pediatric Surgery, University of Michigan Health System, Ann Arbor, MI. Electronic address:

Purpose: The purpose of this study was to define morbidity from gastrojejunostomy tube (GJT) placement in children.

Methods: A retrospective single-center 5-year review of GJT placement in children was performed. Age, weight, prior surgery, indication, type of GJT, and complications (GJT replacement, wound complications, and perforation) were recorded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpedsurg.2016.02.072DOI Listing
June 2016
41 Reads