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Trauma: Post Procedures Imaging Pearls - Educational Tools | CT Scanning | CT Imaging | CT Scan Protocols - CTisus
Imaging Pearls ❯ Trauma ❯ Post Procedures

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  • “PEG feeding has consistently demonstrated to be more effective and safe than nasogastric tube feeding, having also replaced surgical and radiological gastrostomy techniques for long term feeding. PEG is considered a minimally invasive procedure to ensure an adequate source for enteral nutrition in institutionalized and at home patients. Acute and chronic conditions associated with risk of malnutrition and dysphagia benefit from PEG placement: Beyond degenerative neuro-muscular disorders, an increasing body of evidence supports the advantages of PEG tubes in patients with head and neck cancer and in a wide range of situations in pediatric settings.”

    Percutaneous endoscopic gastrostomy: An update on its indications, management, complications, and care.
Lucendo AJ, Friginal-Ruiz AB.
Rev Esp Enferm Dig. 2014 Dec;106(8):529-39.
  • “PEG feeding provides the most valuable access for nutrition in patients with a functional gastrointestinal system. Its high effectiveness, safety and reduced cost underlie increasing worldwide popularity.”


    Percutaneous endoscopic gastrostomy: An update on its indications, management, complications, and care.
Lucendo AJ, Friginal-Ruiz AB.
Rev Esp Enferm Dig. 2014 Dec;106(8):529-39.
  • “The overall complication rate was 25 % (65 patients). Fifty-five patients (21 %) patients had minor complications. Ten patients (3.8 %) suffered a major complication, including peritonitis and major peri-PEG infection each in three patients (1.2 %), while oesophageal perforation, collection around the PEG insertion site requiring operative drainage, bleeding from the PEG insertion site and tumour seeding at the gastrostomy site were each seen in one (0.4 %) patient.”


    Complications of percutaneous endoscopic gastrostomy tube insertion in cancer patients: a retrospective study.
Mansoor H, Masood MA, Yusuf MA   
J Gastrointest Cancer. 2014 Dec;45(4):452-9
  • “Percutaneous endoscopic gastrostomy tube insertion is a useful means of providing enteral nutrition to patients with swallowing problems. Patients with head and neck cancer who are likely to develop dysphagia should be assessed promptly for PEG tube insertion before the start of radiation. Early recognition and prompt treatment of serious complications can avoid potential fatality associated with PEG tubes.”

    Complications of percutaneous endoscopic gastrostomy tube insertion in cancer patients: a retrospective study.
Mansoor H, Masood MA, Yusuf MA   
J Gastrointest Cancer. 2014 Dec;45(4):452-9
  • “The literature showed common routes of enteral access to include nasoenteral tube, gastrostomy and jejunostomy, while complications fall into four major categories: mechanical, e.g., tube blockage or removal; gastrointestinal, e.g., diarrhea; infectious e.g., aspiration pneumonia, tube site infection; and metabolic, e.g., refeeding syndrome, hyperglycemia. Although the type and frequency of complications arising from tube feeding vary considerably according to the chosen access route, gastrointestinal complications are without doubt the most common. Complications associated with enteral tube feeding can be reduced by careful observance of guidelines, including those related to food composition, administration rate, portion size, food temperature and patient supervision.”

    Gastroenteric tube feeding: techniques, problems and solutions.
Blumenstein I, Shastri YM, Stein J
World J Gastroenterol. 2014 Jul 14;20(26):8505-24

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