305 results match your criteria Gastrostomy Tube Replacement

Nasogastric Feeding Tube/Dobhoff Placement: A Multidisciplinary Approach to the Management of Malnutrition During Radiation Therapy in Patients With Head and Neck Cancer.

Cureus 2022 May 11;14(5):e24905. Epub 2022 May 11.

Radiation Oncology, Henry Ford Health System, Detroit, USA.

Background Radiation therapy (RT)-associated oral mucositis, xerostomia, thick mucoid saliva, nausea/vomiting, and loss of taste may result in significantly compromised oral intake in patients undergoing treatment for head and neck cancers (HNC). Feeding tube placement allows patients to receive enteral nutrition and continue the planned course of treatment. Objectives RT-associated oral mucositis, xerostomia, and loss of taste may result in significantly compromised oral intake in patients undergoing treatment for head and neck cancers. Read More

View Article and Full-Text PDF

Severe Gastrointestinal Bleeding Following Gastrostomy Tube Replacement: A Case of an Unusual Presentation of Enterocutaneous Fistula.

Cureus 2022 May 2;14(5):e24673. Epub 2022 May 2.

Gastroenterology and Hepatology, University of Connecticut Health, Farmington, USA.

Gastrostomy tubes are widely used and provide an alternative route of enteral feeding when oral intake is not feasible. Previously, a surgical laparotomy was required for its placement, but percutaneous endoscopic gastrostomy and fluoroscopy-guided percutaneous radiological gastrostomy (PRG) techniques have widely replaced the surgical approach given their less invasive nature. Although the complications that might follow these procedures are usually minor, more severe complications can rarely occur. Read More

View Article and Full-Text PDF

Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report.

BMC Gastroenterol 2022 Jun 3;22(1):283. Epub 2022 Jun 3.

Department of Pediatric Surgery, Dortcelik Children's Hospital, 16140, Bursa, Turkey.

Background: For infants who need long-term enteral feeding but are unable to maintain sufficient oral intake, feeding gastrostomy tube placement is required. The use of a Foley catheter as a replacement catheter in a Stamm gastrostomy is indicated in the absence of dedicated gastrostomy feeding tubes; however, this approach has been associated with many morbidities. In this report, an unusual case of an infant who underwent a major operation due to coiled spring jejunal intussusception caused by Foley catheter migration is described. Read More

View Article and Full-Text PDF

Effects of frailty on postoperative clinical outcomes of aneurysmal subarachnoid hemorrhage: results from the National Inpatient Sample database.

BMC Geriatr 2022 05 28;22(1):460. Epub 2022 May 28.

Department of Neurosurgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, No.1630 Dongfang Road, Shanghai, 200127, China.

Background: This study aimed to investigate the potential effect of preoperative frailty on postoperative clinical outcomes of patients with aneurysmal subarachnoid hemorrhage (aSAH).

Methods: Data of patients aged 18 years and older who were diagnosed with subarachnoid hemorrhage or intracerebral hemorrhage, underwent aneurysm repair surgical intervention from 2005 to 2014. A retrospective database analysis was performed based on U. Read More

View Article and Full-Text PDF

Factors affecting late complications of percutaneous endoscopic gastrostomy tube replacement.

Clin Nutr ESPEN 2022 06 26;49:378-384. Epub 2022 Mar 26.

Center of Excellence for Innovation and Endoscopy in Gastrointestinal Oncology, Chulalongkorn University, Bangkok, Thailand; Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. Electronic address:

Background: Late complications associated with percutaneous endoscopic gastrostomy (PEG) tube in patients are common occurrences. We aimed to identify risk factors associated with PEG-related late complications.

Methods: Patients who underwent PEG exchange were retrospectively collected from electronic medical records between January 2015 and November 2020. Read More

View Article and Full-Text PDF

How often should percutaneous gastrostomy feeding tubes be replaced? A single-institute retrospective study.

BMJ Open Gastroenterol 2022 04;9(1)

Surgical Oncology, Sheikh Khalifa Specialty Hospital, Ras Al Khaimah, UAE.

Objective: Percutaneous gastrostomy (PG) is a common procedure that enables long-term enteral nutrition. However, data on the durability of individual tube types are insufficient. We conducted this study to compare the longevities and features of different PG tube types. Read More

View Article and Full-Text PDF

Comparison of Pull and Introducer Techniques for Percutaneous Endoscopic Gastrostomy.

J Multidiscip Healthc 2022 5;15:733-741. Epub 2022 Apr 5.

Endoscopy Center, First Affiliated Hospital of Fujian Medical University, Fuzhou, People's Republic of China.

Objective: To compare indications, success rates and complications of pull [P] and introducer [I] techniques for percutaneous endoscopic gastrostomy (PEG).

Methods: In this retrospective study, inpatients who underwent primary PEG tube insertion between January 2015 and February 2020 at the Endoscopy Center of the First Affiliated Hospital of Fujian Medical University were included.

Results: A total of 103 inpatients were included in this study (P group, n = 67; I group, n = 36). Read More

View Article and Full-Text PDF

Complication rates associated with traction removal of percutaneous endoscopic gastrostomy tubes.

Br J Nurs 2022 Apr;31(7):S22-S26

Clinical Nurse Specialist Enteral Feeding, Leeds Teaching Hospitals NHS Trust.

Background: Percutaneous endoscopic gastrostomy (PEG) tubes are removed and/or replaced for reasons such as tube malfunction, degradation, patient's device preference, and when stopping enteral feeding.

Aims: To identify the types and rate of complications associated with traction removal of a PEG tube and if this is associated with the size of the PEG or length of time it had been in situ prior to removal.

Methods: This retrospective study looked at the tube removal/replacement reports written by the Enteral Feeding Nursing Service over an 8-year period at a large teaching hospital trust in the north of England. Read More

View Article and Full-Text PDF

Gastrojejunal (GJ) tube feeding: developing a service and evaluating associated complications in a paediatric surgical centre.

Pediatr Surg Int 2022 Jun 30;38(6):867-873. Epub 2022 Mar 30.

Royal Alexandra Children's Hospital, Eastern Road, Brighton, BN2 5BE, UK.

Introduction: Gastrojejunal (GJ) tubes are becoming an established alternative method of delivering nutrition to children who do not tolerate gastric feeding. However, there is limited literature surrounding patient outcomes, the longevity of tubes or complications. We aim to highlight the development and evaluation of a service to provide children with GJ tube feeding. Read More

View Article and Full-Text PDF

A Rarely Reported Case of Enterococcus faecalis Bacteremia Causing Infective Endocarditis and Osteomyelitis.

Cureus 2022 Feb 23;14(2):e22522. Epub 2022 Feb 23.

Cardiology, Brooklyn Hospital Center-Mount Sinai Heart, Brooklyn, USA.

Infective endocarditis (IE) is an infection of the heart valves or endocardium, usually due to the spread of infection through the blood. It can cause a varied range of symptoms, from being asymptomatic to reduced heart function, valvular abnormalities, embolization, or death. Enterococci are usually present as normal gut flora but can also cause bacteremia, urinary tract infections, or IE, especially in the elderly population. Read More

View Article and Full-Text PDF
February 2022

Modified laparoscopic gastrostomy tube placement in children: Does subcutaneous suture type matter?

J Pediatr Surg 2022 Jun 1;57(6):1145-1148. Epub 2022 Feb 1.

Division of Pediatric Surgery, Rady Children's Hospital, 3030 Children's Way #107, San Diego, CA 92123, United States of America; Division of Pediatric Surgery, Department of Surgery, University of California San Diego School of Medicine, 9300 Campus Point Drive, MC7400, La Jolla, CA 92037-7400, United States of America. Electronic address:

Background: Laparoscopic gastrostomy tube (GT) placement carries the risk of early tube dislodgement and is often modified with absorbable subcutaneously-tunneled transabdominal tacking sutures that can aid in tube replacement. However, these buried sutures may increase the risk of surgical site infection (SSI). This study sought to evaluate SSI rates associated with different types of transabdominal tacking sutures used in modified laparoscopic GT placement. Read More

View Article and Full-Text PDF

Percutaneous Endoscopic Gastrostomy Misplacement in the Transverse Colon of a Neurocognitively Compromised Patient.

Cureus 2022 Feb 9;14(2):e22063. Epub 2022 Feb 9.

School of Medicine, Ross University, Bridgetown, BRB.

Percutaneous endoscopic gastrostomy (PEG) tube placement is a widespread method of delivering sustained nutrition to individuals requiring long-term support. Multiple techniques exist to achieve this, and adverse events can arise if not done properly including but not limited to pneumoperitoneum and bowel perforation. Safeguard tactics exist to prevent these complications but they are not always successful. Read More

View Article and Full-Text PDF
February 2022

Ultrasound is safe and highly specific for confirmation of proper gastrostomy tube replacement in pediatric patients.

J Pediatr Surg 2022 Jan 31. Epub 2022 Jan 31.

Division of Pediatric Surgery, Le Bonheur Children's Hospital, 848 Adams Ave, Memphis, TN 38103, United States; College of Nursing, University of Tennessee Health Science Center, 874 Union Ave, Memphis, TN 38103, United States.

Background: Gastrostomy tube (GT) dislodgement is a common cause of Pediatric Emergency Department (PED) visits. Postoperative patients and those who require stoma dilation are more likely to have complications during emergent replacement. Although incorrect replacement can cause significant morbidity overall, the occurrence is infrequent. Read More

View Article and Full-Text PDF
January 2022

A Novel Approach to Percutaneous Endoscopic Gastrostomy Tube Replacement: Can You Save the Site?

Cureus 2021 Dec 26;13(12):e20718. Epub 2021 Dec 26.

Gastroenterology, Staten Island University Hospital, Northwell Health, Staten Island, USA.

Inadvertent removal or dislodgement is the most commonly encountered complication in patients with percutaneous endoscopic gastrostomy (PEG) tube. Once the gastrocutaneous fistula is formed, bedside tube replacement can be performed at the same site, within 24 hours of dislodgement. Usually, after this timeframe, the tract closes; hence, it is recommended to perform a replacement at a different site. Read More

View Article and Full-Text PDF
December 2021

PEG-J replacement for duodenal levodopa infusion in Parkinson's disease patients: a retrospective study.

BMC Neurol 2022 Jan 13;22(1):25. Epub 2022 Jan 13.

Movement Disorders Center Neurology Department, Perugia General Hospital University of Perugia, P.le Severi 1, 06132, Perugia, Italy.

Background: Reducing percutaneous endoscopic gastrostomies with jejunal extension tubes (PEG-J) related complications is vital to the long-term preservation of duodenal levodopa infusion (DLI) in advanced Parkinson's disease (APD). Here, we provide data on the frequency of complications for both the standard "pull" and the non-endoscopic, radiologic assisted, "push" replacement PEG-J techniques in APD.

Methods: We retrospectively identified all patients treated with DLI from October 2009 to January 2020 at the Movement Disorders Center. Read More

View Article and Full-Text PDF
January 2022

Misplacement of the PEG tube through the transverse colon, an uncommon but possible complication.

Rev Esp Enferm Dig 2022 05;114(5):296-297

Aparato Digestivo, Complejo Asistencial Universitario de León.

Misplacement of the Percutaneous Endoscopic Gastrostomy (PEG) tube through the transverse colon mainly by traction is an uncommon complication probably due to inadvertent puncture of colon during PEG placement, resulting in gastrocolocutaneous fistula. Stool drainage through the stoma is usually the only symptom. We report a 52-year-old male with Wernicke-Korsakoff syndrome and PEG tube placement 7 months earlier and replacement one month ago. Read More

View Article and Full-Text PDF

Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis.

Medicina (Kaunas) 2021 Nov 12;57(11). Epub 2021 Nov 12.

Department of Pediatrics, University Hospital of Split, 21 000 Split, Croatia.

When the human body is disabled to naturally ingest food through the mouth, enteral or parenteral nutritional support should be started. Percutaneous gastrostomy (PEG) is a flexible feeding tube that is inserted into the stomach through the abdominal wall in patients who will need long-term enteral nutrient intake. The aim of this study is to analyze clinical characteristic of children at the time of PEG placement as well as to determine indications, complications and outcomes associated with PEG at the Department of Pediatrics of the University Hospital of Split. Read More

View Article and Full-Text PDF
November 2021

Assessment of the effect of colored beverage on gastric returns after gastric tube replacement to enhance placement verification.

Nutr Clin Pract 2022 Apr 9;37(2):413-424. Epub 2021 Nov 9.

Sanford Research, Sioux Falls, South Dakota, USA.

Background: Verification of appropriate placement of newly replaced gastrostomy tubes is essential prior to use to avoid potentially serious adverse events.

Problem: A lack of standardized guidance regarding effective and practical means to verify placement exists. Aspiration or drainage of gastric-like contents is one mean suggested to help determine placement, yet when returns are minimal, this becomes challenging. Read More

View Article and Full-Text PDF

The Paired T-Fastener Technique: A Bolster-Free Gastropexy for Laparoscopic Gastrostomy Tube Placement.

J Laparoendosc Adv Surg Tech A 2021 Dec 22;31(12):1431-1435. Epub 2021 Oct 22.

Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.

Gastropexy during laparoscopic gastrostomy tube (GT) insertion can be technically challenging. T-fasteners are an effective method of gastropexy. However, the use of external bolsters requires an additional procedure for removal and may cause skin complications due to pressure necrosis. Read More

View Article and Full-Text PDF
December 2021

Direct endoscopic placement of percutaneous endoscopic gastrostomies with jejunal extension tubes (PEG-J) using ultra-thin endoscopes - long-term outcomes from a U.S. tertiary referral center.

Surg Endosc 2022 Jun 12;36(6):4233-4238. Epub 2021 Oct 12.

Department of Internal Medicine, Division of Gastroenterology & Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA, 52240, USA.

Introduction: Several techniques for PEG-J tube placement have been described, commonly requiring fluoroscopic guidance and/or fixation of the jejunostomy tube (J-tube) into the small intestine. We describe a modified technique for placing jejunostomy tubes under direct visualization through a PEG with the use of ultra-thin endoscopes and steel guidewire.

Methods: A retrospective study at a single tertiary academic center evaluating patients who underwent PEG-J placement between 2010 and 2020. Read More

View Article and Full-Text PDF

Scheduled percutaneous endoscopic gastrostomy tube replacement did not reduce PEG-related complications.

Scand J Gastroenterol 2021 11 21;56(11):1386-1390. Epub 2021 Aug 21.

Department of Gastroenterology, Galilee Medical Center, Nahariya, Israel.

Background: Percutaneous endoscopic gastrostomy (PEG) tube insertion is used for enteral nutrition. Each manufacturer has its own instructions for planned tube replacement. Accordingly, caregivers have adopted the policy of elective change at a fixed period of time (3-6 months). Read More

View Article and Full-Text PDF
November 2021

Per-oral image guided gastrojejunostomy insertion for levodopa-carbidopa intestinal gel in Parkinson's disease is safe and may be advantageous.

Parkinsonism Relat Disord 2021 08 29;89:34-37. Epub 2021 Jun 29.

North Bristol NHS Trust, Bristol, United Kingdom; University of Bristol, Bristol, United Kingdom.

Background: Procedural aspects and complications of gastrojejunostomy insertion are important considerations in the use of levodopa-carbidopa intestinal gel therapy (LCIG) and may limit uptake. We describe our experience of using per-oral image guided gastrojejunostomy (PIG-J) which avoids the need for endoscopy and routine sedation in percutaneous endoscopic gastrojejunostomy (PEG-J) and allows more secure tube placement than radiologically inserted gastrojejunostomy techniques.

Methods: We describe a case series of 32 patients undergoing PIG-J insertion for LCIG therapy in a single centre. Read More

View Article and Full-Text PDF

An expanding role for interventional radiology: Medicare trends in fluoroscopic, endoscopic, and surgical enteric tube placement and maintenance from 2010 to 2018.

Clin Imaging 2021 Oct 18;78:201-205. Epub 2021 May 18.

University of Pittsburgh Medical Center (UPMC), Department of Radiology, PUH Suite 200, 200 Lothrop Street, Pittsburgh, PA 15213, United States of America.

Background: The purpose of this study is to provide an update on trends in physician volume and payments for enteric tube placement and maintenance procedures by method, provider specialty, and practice setting amongst Medicare beneficiaries from 2010 to 2018.

Materials And Methods: Claims from the Medicare Part B Physician/Supplier Procedure Summary Master File (PSPSMF) for the years 2010 to 2018 were extracted using current procedural terminology (CPT) codes for gastrostomy and jejunostomy placement, as well as conversion of gastrostomy to gastrojejunostomy, fluoroscopy guided and non-image guided replacement. Total volumes and provider reimbursement were analyzed by provider specialty and practice setting. Read More

View Article and Full-Text PDF
October 2021

Migrated PEG balloon causing acute pancreatitis.

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

Gastroenterology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Percutaneous endoscopic gastrostomy (PEG) is a common procedure for an unsafe swallow or inability to maintain oral nutrition. When a PEG tube needs replacement, a balloon gastrostomy tube is usually placed through the same, well formed and mature tract without endoscopy. We present a patient with a rare complication related to the balloon gastrostomy tube, to raise awareness and minimise the risk of this complication in the future. Read More

View Article and Full-Text PDF

Development and evaluation of a simulation-based mastery learning maintenance of certification course.

Gerontol Geriatr Educ 2021 Feb 25:1-10. Epub 2021 Feb 25.

Department of Medical Education , Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

To develop and evaluate a post-acute care simulation-based mastery learning (SBML) continuing medical education (CME)/maintenance of certification (MOC) procedure course. Pretest-posttest study of the SBML intervention. A 2-day post-acute care procedures course. Read More

View Article and Full-Text PDF
February 2021

Rectal Bleeding after Insertion of a Percutaneous Endoscopic Gastrostomy Tube.

Case Rep Gastroenterol 2020 Sep-Dec;14(3):637-643. Epub 2020 Nov 30.

Digestive Diseases, Liver Center and Advanced Endoscopy Center, King Abdullah Medical City, Makkah, Saudi Arabia.

Iatrogenic injury to an internal organ such as the stomach, colon, small bowel, or liver after percutaneous endoscopic gastrostomy (PEG) tube insertion is a rare complication. We present a case of rectal bleeding due to colon injury during PEG tube placement. This required urgent exploratory laparoscopic surgery with segmental resection of the transverse colon and replacement of the PEG tube. Read More

View Article and Full-Text PDF
November 2020

Safely replacing a percutaneous endoscopic gastrostomy tube using a portable X-ray system at a patient's home.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Department of General Medicine, Saga University Hospital, Saga, Japan

An 81-year-old woman who underwent percutaneous endoscopic gastrostomy (PEG) a year before, after cerebral infarction was receiving home medical care. The first accidental PEG tube removal occurred after clinic hours, and the home-care doctor visited her home to quickly reinsert the tube. After the narrowed fistula was dilated, the tube was reinserted with a guide wire. Read More

View Article and Full-Text PDF
January 2021

Endoscopic rescue of early percutaneous endoscopy gastrostomy tube dislodgement.

Surg Endosc 2021 04 4;35(4):1915-1920. Epub 2021 Jan 4.

Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Penn State Hershey Medical Center, Hershey, PA, USA.

Background: Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the most common methods for establishing durable enteral access. Early PEG dislodgement occurs in < 5% of cases but typically prompts urgent surgical intervention to reestablish the gastrocutaneous tract and prevent intra-abdominal sepsis. To date, there is a single case report in the literature where successful endoscopic "rescue" of an early dislodged PEG tube negated the need for operative intervention. Read More

View Article and Full-Text PDF