251 results match your criteria Gastrostomy Tube Replacement


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

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http://www.bmj.com/lookup/doi/10.1136/bcr-2018-225876
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http://dx.doi.org/10.1136/bcr-2018-225876DOI Listing
December 2018
25 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

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183074
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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.084DOI Listing
February 2019
19 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

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http://link.springer.com/10.1007/s00270-018-2060-7
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http://dx.doi.org/10.1007/s00270-018-2060-7DOI Listing
January 2019
1 Read

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

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

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

J Laparoendosc Adv Surg Tech A 2018 Jul 17. Epub 2018 Jul 17.

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

Introduction: 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

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http://www.liebertpub.com/doi/10.1089/lap.2018.0188
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http://dx.doi.org/10.1089/lap.2018.0188DOI Listing
July 2018
17 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

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http://dx.doi.org/10.3389/fped.2018.00164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994991PMC
June 2018
7 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

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http://dx.doi.org/10.5811/cpcem.2017.10.35930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965136PMC
February 2018
7 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

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http://dx.doi.org/10.1002/mds.27338DOI Listing
July 2018
12 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

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http://dx.doi.org/10.5546/aap.2018.eng.e315DOI Listing
April 2018
6 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 Jul;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

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

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

J Clin Gastroenterol 2019 Jan;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

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http://dx.doi.org/10.1097/MCG.0000000000000993DOI Listing
January 2019
16 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

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http://dx.doi.org/10.1002/ncp.10019DOI Listing
February 2018
6 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

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http://dx.doi.org/10.1097/PEC.0000000000001400DOI Listing
February 2018
7 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

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

Migrated Replacement Percutaneous Endoscopic Gastrostomy Tube Leading To Jejunoduodenal Intussusception.

Clin Gastroenterol Hepatol 2018 Apr 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.

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http://dx.doi.org/10.1016/j.cgh.2017.07.028DOI Listing
April 2018
7 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

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http://dx.doi.org/10.5811/westjem.2017.3.31796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468085PMC
June 2017
6 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

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http://dx.doi.org/10.1007/s12603-016-0796-9DOI Listing
November 2017
8 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

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040871PMC
May 2017
4 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

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http://dx.doi.org/10.20960/nh.693DOI Listing
March 2017
12 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

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http://dx.doi.org/10.1111/xen.12292DOI Listing
March 2017
38 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

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http://dx.doi.org/10.1155/2017/2090795DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292390PMC
January 2017
29 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

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https://linkinghub.elsevier.com/retrieve/pii/S00223468163054
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http://dx.doi.org/10.1016/j.jpedsurg.2016.11.010DOI Listing
February 2017
8 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

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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
3 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

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October 2017
44 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

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https://linkinghub.elsevier.com/retrieve/pii/S1744165X163006
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http://dx.doi.org/10.1016/j.siny.2016.09.003DOI Listing
April 2017
4 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

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http://dx.doi.org/10.1097/SGA.0000000000000187DOI Listing
June 2017
61 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

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http://dx.doi.org/10.1159/000446018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939666PMC
July 2016
25 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

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http://dx.doi.org/10.12968/bjcn.2016.21.Sup7.S28DOI Listing
September 2016
8 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

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http://dx.doi.org/10.1016/j.jpeds.2016.03.032DOI Listing
July 2016
20 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

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

Combined endoscopic gastrostomy ("Pull-Introducer Technique"): a new less traumatic technique for preterm and small for gestational age patients.

J Pediatr Surg 2016 Apr 20;51(4):688-90. Epub 2016 Jan 20.

Neonatology, Regional Hospital of Iquique, Iquique, Chile.

Introduction: The most common endoscopic gastrostomy technique is the "Pull-Through" or Gauderer-Ponsky technique. This is a transoral technique in which the internal bumper of the tube goes in through the esophagus. However this has been shown to be traumatic and often impossible in newborns and small for gestational age (SGA) patients, therefore a transabdominal technique must be used in this cases. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2016.01.003DOI Listing
April 2016
17 Reads

[Efficacy of percutaneous endoscopic gastrostomy in pediatric patients].

Zhonghua Er Ke Za Zhi 2016 Feb;54(2):145-9

Department of Gastroenterology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510120, China.

Objective: To analyze the efficacy of percutaneous endoscopic gastrostomy (PEG) in pediatric patients.

Method: From October 2011 to October 2014, children in the gastrointestinal ward of Guangzhou Women and Children's Medical Center received PEG or jejunal tube PEG(JET-PEG). The success rate, operation time were recorded. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2016.02.015DOI Listing
February 2016
21 Reads

Gastric outlet obstruction: An unusual adverse event of percutaneous endoscopic gastrostomy.

Rev Esp Enferm Dig 2016 Jan;108(1):53-4

gastroenterology, Hospital Garcia de Orta. Portugal, Portugal.

Dear Editor, A 75-year-old woman living in a nursing home presented with a 24-hour history of abdominal cramping and vomiting. Medical history was remarkable for dementia and a percutaneous endoscopic gastrostomy (PEG) was performed 3 years earlier. The day before the admission the feeding tube was accidentally pulled out and a Foley catheter was placed in order to avoid stoma closure. Read More

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January 2016
11 Reads

Gastrostomy tube replacement by endoscopic cannulation of a narrowed previous tube site.

Trop Doct 2016 Oct 6;46(4):245-246. Epub 2016 Jan 6.

Professor and Head, Department of Gastroenterology, PGIMER and Dr RML Hospital, Delhi, India.

Percutaneous endoscopic gastrostomy is warranted when oral feeding is not feasible. Indications include central nervous system disorders, head trauma and occasionally malignancies of upper gastrointestinal tract. If tube replacement after accidental dislodgement is delayed, the track may become narrowed. Read More

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http://dx.doi.org/10.1177/0049475515624858DOI Listing
October 2016
4 Reads

Macrophage Phenotype Is Associated With the Regenerative Response in Experimental Replacement of the Porcine Esophagus.

Artif Organs 2016 Oct 15;40(10):950-958. Epub 2015 Dec 15.

Institute of Clinical Sciences, Department of Pediatric Surgery, University of Gothenburg, Gothenburg, Sweden.

A porcine model for bridging circumferential defects in the intrathoracic esophagus has been developed in order to improve the treatment of children born with long-gap esophageal atresia. The aim of this study was to identify factors beneficial for tissue regeneration in the bridging area in this model and to describe the histological progression 20 days after replacement with a silicone-stented Biodesign mesh. Resection of 3 cm of intrathoracic esophagus and replacement with a bridging graft was performed in six newly weaned piglets. Read More

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http://dx.doi.org/10.1111/aor.12652DOI Listing
October 2016
7 Reads

A Quality Improvement Initiative to Reduce Catheter Exchange Rates for Fluoroscopically Guided Gastrostomy Tubes.

J Vasc Interv Radiol 2016 Feb 4;27(2):251-9. Epub 2015 Dec 4.

Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Gray 290, 55 Fruit Street, Boston, MA 02114.

Purpose: To evaluate the effectiveness of a data-driven quality improvement initiative to reduce catheter exchange rates.

Materials And Methods: A single-institution retrospective analysis of all percutaneous radiologic gastrostomy (PRG) placement and replacement procedures between January 2010 and July 2015 was conducted. A statistical model predicting the risk for catheter exchange for any reason and exchanges specifically for tube malfunction was created; a quality improvement plan to reduce catheter exchanges was designed and implemented in June 2014. Read More

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http://dx.doi.org/10.1016/j.jvir.2015.10.015DOI Listing
February 2016
14 Reads

Improved method of gastrostomy tube replacement using a small-caliber transnasal endoscope.

Acta Otolaryngol 2016 7;136(2):195-8. Epub 2015 Nov 7.

a Department of Gastroenterology , Peking University Third Hospital , Beijing , PR China.

Conclusion: Gastrostomy tube replacement using a new approach through the abdominal-wall stoma with a small-caliber trans-nasal endoscope is feasible, fast, and safe compared with the trans-oral approach.

Objectives: To evaluate the feasibility of a new technique using a trans-nasal endoscope for gastrostomy tube replacement.

Methods: Between June 2005 and December 2013 in the Peking University Third Hospital, 69 patients underwent gastrostomy tube replacement using the trans-oral approach (conventional method) or a small-caliber trans-nasal endoscope inserted through the abdominal-wall stoma (new method). Read More

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http://dx.doi.org/10.3109/00016489.2015.1103382DOI Listing
October 2016
47 Reads

Perforation of intramural gastric metastasis during preoperative chemotherapy in a patient with thoracic esophageal squamous cell carcinoma.

Int J Surg Case Rep 2015 21;17:23-7. Epub 2015 Oct 21.

Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama 2630 Sugitani, Toyama City, Toyama 930-0194, Japan.

Introduction: Perforation of intramural metastasis to the stomach (IMS) from esophageal cancer during chemotherapy has not been reported.

Presentation Of Case: A 68-year-old male consulted our hospital due to appetite loss. He was diagnosed with advanced esophageal squamous cell carcinoma in the lower thoracic esophagus along with a large IMS in the upper stomach. Read More

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http://dx.doi.org/10.1016/j.ijscr.2015.10.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701806PMC
January 2016
17 Reads

Feeding tube replacement: not always that simple!

Autops Case Rep 2015 Jan-Mar;5(1):49-52. Epub 2015 Mar 30.

Surgery Division - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil .

Although surgical gastrostomy is not a technically troublesome surgery, the procedure may be accompanied by unfavorable outcomes. Most complications occur early in the post-operative period and include feeding tube dislodgment, stomal infection, peritonitis, and pneumonia. The authors report the case of an 83-year-old man who underwent a surgical gastrostomy because of a swallowing disorder after an ischemic stroke. Read More

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http://dx.doi.org/10.4322/acr.2014.050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608172PMC
October 2015
4 Reads

Gastrostomy Tube Replacement Using Foley's Catheters in Children.

J Med Assoc Thai 2015 Apr;98 Suppl 3:S41-5

Objective: To study the complications from gastrostomy tube replacement using Foley ' catheters.

Material And Method: This is a retrospective descriptive study that included children (aged 0-15 years), who had their gastrostomy tubes replaced during 1 October 2006 and 30 September 2011.

Results: There were 353 gastrostomy tube replacements in total. Read More

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April 2015
3 Reads

Percutaneous endoscopic gastrostomy in amyotrophic lateral sclerosis.

Am J Med Sci 2015 Aug;350(2):95-7

Internal Medicine Residency Training Program The University of Alabama at Birmingham (KBR), Birmingham, Alabama; Department of Anesthesiology (MCP), The University of Alabama at Birmingham, Birmingham, Alabama; and Division of Gastroenterology and Hepatology (CMW, SP), The University of Alabama at Birmingham, Birmingham, Alabama.

Background: Percutaneous endoscopic gastrostomy (PEG) tube placement is recommended in amyotrophic lateral sclerosis (ALS) patients with dysphagia to provide reliable access for medications and nutrition. It is preferably done while forced vital capacity (FVC) is greater than 50% of predicted to reduce risk of postprocedural respiratory complications. Percutaneous radiologic gastrostomy has been shown to have higher success rates and lower complication rates compared with PEG. Read More

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http://dx.doi.org/10.1097/MAJ.0000000000000517DOI Listing
August 2015
13 Reads

Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) - The Importance of Nutritonal Support in Patients with Head and Neck Cancers (HNCs) or Neurogenic Dysphagia (ND).

Chirurgia (Bucur) 2015 Mar-Apr;110(2):129-36

Background: We evaluated the effectiveness and safety of prophylactic PEG performed for the enteral nutrition support during the oncological treatment of patients with HNCs and as a part of the management of neurological patients experiencing neurogenic dysphagia.

Methods: In 2013 we followed up on a group of 23 HNC patients subjected to prophylactic PEG. We assessed the duration of the procedure, intraprocedural incidents and their causes, time to tube-refeeding and discharge after intervention, post interventional analgesia, early and late complications,toleration, costs and postoperative course of these patients after radical surgery maintaining PEG in place. Read More

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August 2015
19 Reads

Early percutaneous endoscopic gastrostomy tube dislodgment.

Am J Nurs 2015 Jun;115(6):26-31; quiz 32, 46

Jamie Marie O'Rear is a first-year general surgery resident at the University of Illinois Metropolitan Group Hospital Residency in Surgery Program, Chicago. Joseph A. Prahlow is a forensic pathologist at South Bend Medical Foundation and a professor of pathology and laboratory medicine at the Indiana University School of Medicine-South Bend. Contact author: Joseph A. Prahlow, The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

Overview: The authors present a case of early percutaneous endoscopic gastrostomy tube dislodgment, attempted replacement, and subsequent sepsis that resulted in the patient's death. Gastrostomy techniques, complications, preventive strategies, and proper tube management are addressed. Read More

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http://dx.doi.org/10.1097/01.NAJ.0000466312.00767.59DOI Listing
June 2015
6 Reads

Foker Technique for the Management of Pure Esophageal Atresia: Long-Term Outcomes at a Single Institution.

Eur J Pediatr Surg 2016 Apr 16;26(2):215-8. Epub 2015 Mar 16.

Department of Pediatric Surgery, University Hospital Case Medical Center, Ohio, United States.

Introduction: We present the short- and long-term outcomes in the management of pure long-gap esophageal atresia (LGEA) using the Foker technique (FT) of esophageal elongation by external axial traction at a single institution.

Methods: All patients undergoing esophageal atresia (EA) repair with FT over a 10-year period were included in the study. Demographic data, birth weight, gestational age, associated anomalies, management, and short- and long-term outcomes were studied. Read More

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http://dx.doi.org/10.1055/s-0035-1546757DOI Listing
April 2016
5 Reads

Development and evaluation of a home enteral nutrition team.

Nutrients 2015 Mar 5;7(3):1607-17. Epub 2015 Mar 5.

Solent NHS Trust/University of Southampton, Highfield, Southampton, SO17 1BJ, UK.

The organisation of services to support the increasing number of people receiving enteral tube feeding (ETF) at home varies across regions. There is evidence that multi-disciplinary primary care teams focussed on home enteral nutrition (HEN) can provide cost-effective care. This paper describes the development and evaluation of a HEN Team in one UK city. Read More

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http://www.mdpi.com/2072-6643/7/3/1607
Publisher Site
http://dx.doi.org/10.3390/nu7031607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377869PMC
March 2015
6 Reads

Gastrostomy Intraperitoneal Bumper Migration in a Three-Year-Old Child: A Rare Complication following Gastrostomy Tube Replacement.

Case Rep Gastroenterol 2014 Sep 5;8(3):381-6. Epub 2014 Dec 5.

Division of Pediatric General Surgery, Regina Margherita Children's Hospital, Turin, Italy.

Feeding gastrostomy is used worldwide for adults and children with feeding impairment to obtain long-term enteral nutrition. Percutaneous endoscopic gastrostomy insertion is considered the gold standard, but after the first months requires gastrostomy tube replacement with a low-profile button. The replacement is known as an easy procedure, but several minor and major complications may occur during and after the manoeuvre. Read More

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https://www.karger.com/Article/FullText/369964
Publisher Site
http://dx.doi.org/10.1159/000369964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280460PMC
September 2014
21 Reads