Lepore, M;
Marks, DJ;
Harbord, MW;
(2016)
Percutaneous gastrostomy: troubleshooting complications.
British Journal of Hospital Medicine
, 77
(6)
C86-C90.
10.12968/hmed.2016.77.6.C86.
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Abstract
Percutaneous endoscopic gastrostomy was first described in 1980 (Gauderer et al, 1980), superseding surgical gastrostomy as a means of providing long-term enteral nutrition. Despite the commonality of this procedure, its associated morbidity and mortality rates are significant, with directly attributable rates of 1:30 and 1:150 respectively. Poor patient selection and poor management are the principal factors contributing to adverse outcomes. The 2004 National Confidential Enquiry into Patient Outcome and Death recorded that 19% of percutaneous endoscopic gastrostomy procedures performed were ‘futile or not indicated at all’. This article provides a practical approach to avoiding and treating complications associated with percutaneous endoscopic gastrostomy feeding.
| Type: | Article |
|---|---|
| Title: | Percutaneous gastrostomy: troubleshooting complications |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.12968/hmed.2016.77.6.C86 |
| Publisher version: | http://doi.org/10.12968/hmed.2016.77.6.C86 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Catheter Obstruction, Cellulitis, Enteral Nutrition, Gastric Outlet Obstruction, Gastroscopy, Gastrostomy, Humans, Intestinal Perforation, Patient Selection, Peritonitis, Postoperative Complications, Postoperative Hemorrhage, Preoperative Care, Respiratory Aspiration of Gastric Contents |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/1509538 |
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