1. Percutaneous gastrostomy: troubleshooting complications
- Author
-
Daniel Marks, Marcus Harbord, and Mario Lepore
- Subjects
Catheter Obstruction ,medicine.medical_specialty ,medicine.medical_treatment ,Peritonitis ,Postoperative Hemorrhage ,Surgical gastrostomy ,Preoperative care ,03 medical and health sciences ,Enteral Nutrition ,Postoperative Complications ,Respiratory Aspiration of Gastric Contents ,0302 clinical medicine ,Percutaneous gastrostomy ,Percutaneous endoscopic gastrostomy ,Gastroscopy ,Preoperative Care ,medicine ,Humans ,030212 general & internal medicine ,Gastrostomy ,Gastric Outlet Obstruction ,business.industry ,Patient Selection ,Mortality rate ,Cellulitis ,Gastric outlet obstruction ,General Medicine ,medicine.disease ,Surgery ,Parenteral nutrition ,Intestinal Perforation ,030211 gastroenterology & hepatology ,business - 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.
- Published
- 2016
- Full Text
- View/download PDF