Direct percutaneous endoscopic gastrostomy for nutritional support in patients with aerodigestive tract cancers

2021 ◽  
Author(s):  
Linda S Yang ◽  
Andrew CF Taylor ◽  
Alexander J Thompson ◽  
Paul V Desmond ◽  
Bronte A Holt
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Nutritional Support ◽  
Aerodigestive Tract ◽  
Endoscopic Gastrostomy

Perceptions of caregivers following percutaneous endoscopic gastrostomy in children with congenitally malformed hearts

2009 ◽  
Vol 19 (5) ◽  
pp. 507-510 ◽  
Author(s):  
Ramesh Srinivasan ◽  
Catherine O’Neill ◽  
Wendy Blumenow ◽  
A. Mark Dalzell
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Nutritional Support ◽  
Parental Perceptions ◽  
Nasogastric Feeding ◽  
Endoscopic Gastrostomy ◽  
Qualitative Survey ◽  
Gastrostomy In Children ◽  
Structured Questionnaire ◽  
Descriptive Qualitative

AbstractIntroductionWhile the usefulness of percutaneous endoscopic gastrostomy is clearly established in the nutritional support of children with neurodisability, the role in substituting for prolonged nasogastric feeding in children with congenitally malformed hearts is a relatively recent development. There are no previously published experiences of the perceptions of parents or those providing care following the insertion of percutaneous endoscopic gastrostomy in such children.MethodsDescriptive qualitative survey of parental perceptions using a semi-structured questionnaire.ResultsWe obtained completed 27 point semi-structured questionnaires from 38 providers of care for children with congenitally malformed hearts. Time taken to feed their children reduced significantly after the percutaneous endoscopic gastrostomy, from 30 to 60 minutes previously to 15 minutes subsequently. The frequency of feeding also reduced significantly, from 6 times a day to 4 to 5 times a day. Those providing care perceived significant reductions in pre-procedural symptoms, the ease of administering medications, and noted an enhanced level of happiness in their children. Of those providing care, 97% were highly satisfied with the procedure, with 15 parents (40%) wishing that the operation was done earlier, while the remainder considered it had been done at the appropriate time.ConclusionsThose caring for children with congenitally malformed hearts perceive significant improvements in the symptoms, wellbeing, and ease of administering medication for their children after percutaneous endoscopic gastrostomy. Of the group, 97% regarded the procedure as the appropriate means of assisting nutritional support.

Percutaneous Endoscopic Gastrostomy Tube in a Syncardia™ Total Artificial Heart

2016 ◽  
Vol 19 (1) ◽  
pp. 014
Author(s):  
Amit Prasad ◽  
Kai Singbartl ◽  
Jacqueline Boone ◽  
Behzad Soleimani ◽  
Mohamad Zeriouh ◽  
...  
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Nutritional Support ◽  
Artificial Heart ◽  
Left Ventricular ◽  
Total Artificial Heart ◽  
Ventricular Assist Devices ◽  
Percutaneous Endoscopic Gastrostomy Tube ◽  
Left Ventricular Assist Devices ◽  
Bridge To Transplant ◽  
Endoscopic Gastrostomy

As a bridge to transplant, the Syncardia™ total artificial heart (TAH) is an option for patients who are not candidates for left ventricular assist devices (LVAD) due to right ventricular failure. The need for nutritional support in these patients is essential for a favorable outcome. Low body mass indexes and albumin levels have been associated with increased morbidity and mortality in cardiac surgery patients [Alverdy 2003]. It is not uncommon for postoperative patients to have difficulty in consuming enough calories after surgery, which is further complicated by a hypermetabolic demand due to surgical stress. Enteral nutrition has typically been favored for gut mucosal integrity and bacterial flora [Alverdy 2003] [Engleman 1999]. We describe the need for prolonged enteral nutritional support in a TAH patient that was accomplished with a percutaneous endoscopic gastrostomy (PEG) tube.

scholarly journals The Improvement of Nutritional Support with Percutaneous Endoscopic Gastrostomy

2013 ◽  
Vol 11 (2) ◽  
pp. 120 ◽  
Author(s):  
Yoon Jong Seo ◽  
Jae Myung Cha ◽  
Joung Il Lee ◽  
Kwang Ro Joo ◽  
Hyun Phil Shin ◽  
...  
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Nutritional Support ◽  
Endoscopic Gastrostomy

scholarly journals Direct percutaneous endoscopic jejunostomy performed with gastroscope

2013 ◽  
Vol 04 (03) ◽  
pp. 090-092
Author(s):  
Ajay P. Choksi ◽  
Keyur C. Shah ◽  
Harshad K. Parekh
Keyword(s):  
Small Bowel ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Enteral Feeding ◽  
Nutritional Support ◽  
Feeding Tube ◽  
Endoscopic Gastrostomy ◽  
Gastric Feeding ◽  
Endoscopic Placement ◽  
Percutaneous Endoscopic Jejunostomy

AbstractWhile percutaneous endoscopic gastrostomy (PEG) is a well-known approach for achieving enteral feeding, direct percutaneous endoscopic jejunostomy (DPEJ) is a technique that allows endoscopic placement of percutaneous/transabdominal feeding tube directly into the jejunum. It offers a non-surgical alternative for postpyloric enteral feeding for long-term nutritional support when gastric feeding is not technically possible or is inappriopriate. Conventionally DPEJ is done with pediatric colonoscope or small bowel enteroscope. Here, we report a case where DPEJ was accomplished with gastroscope.

scholarly journals Attitudes of radiation oncologists to percutaneous endoscopic gastrostomy in patients with head and neck cancer and eating difficulties: A survey in China

2018 ◽  
Vol 46 (5) ◽  
pp. 1709-1716 ◽  
Author(s):  
Lingli Fan ◽  
Jie Li ◽  
Miao Xiang ◽  
Li Yuan ◽  
Yu Zhang ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Side Effects ◽  
Head And Neck ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Nutritional Support ◽  
Endoscopic Gastrostomy ◽  
Radiation Oncologists ◽  
Medical Disputes ◽  
Poor Understanding

Objective To investigate the attitudes of radiation oncologists towards using percutaneous endoscopic gastrostomy (PEG) to solve nutritional problems in patients with head and neck cancer (HNC) undergoing radiotherapy. Methods A self-reported questionnaire was developed and used to assess the willingness of radiation oncologists from 26 hospitals throughout several provinces in China to use the nutritional method. Results Of the 433 radiation oncologists who were contacted and returned questionnaires, 361 were completed correctly and used in the study (83.4% completion rate). Years of working and degree of understanding PEG were significantly related to the willingness of oncologists to use PEG in patients with HNC. Radiation oncologists who were willing to accept PEG training were more willing to use PEG. Main reasons for unwillingness to use PEG were poor understanding of the operation or cost and fear of side effects causing medical disputes. Conclusions The findings of the survey suggest that attitudes of radiation oncologists in China towards using PEG in patients with HNC requiring nutritional support may be improved by providing accessible training in the technique.

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