| Title: |
Title:
Percutaneous Endoscopic Gastrostomy：A Practical Overview on Its Indications, Placement Conditions,Management, and Nursing Care
|
| Author(s): |
Author(s):
Shuo-guo Li, Tan-you Dan, Rui-nuo Jia* , She-gan Gao* Department of Oncology, First Affiliated Hospital, Henan University of Science and Technology, Henan, China. Luoyang 471003, Henan, China
|
| Keywords: |
Keywords:
percutaneous
endoscopic
gastrostomy
;impaired
or
diminished
swallowing
ability
;in
the
gastrointestinal
nutrition
|
| CLC: |
CLC:
|
| DOI: |
DOI:
|
| Abstract: |
Abstract:
Percutaneous endoscopic gastrostomy (PEG) feeding represents the most effective and safest option for feeding patients with an impaired or diminished swallowing ability, despite having a functioning digestive system. In order to make it more widely used in clinical practice, this guideline aims to cover its indications, placement conditions, management, and nursing care. The use of PEG has evolved to be useful in many situations beyond degenerative neuromuscular disorders, with an increasing body of evidence supporting the advantages of PEG tubes in oncologic and pediatric patients. Risk factors for complications after PEG tube placement associated with malnutrition and several organic disorders. Patients suitable for PEG tube placement should be individually identified to implement the advantages of this technique while minimizing risk events. The safety of placing a PEG tube in patients under antibiotic prophylaxis in reducing peristomal infection. Percutaneous endoscopic gastrostomy-related complications are rare and mostly prevented by appropriate nursing care. Best medical practice and nursing care will ensure optimal performance leading to a wider acceptance, and greater utility of PEG by healthcare professionals, patients, and caregivers. Conclusion PEG feed as the most valuable access for patients with a functional gastrointestinal system who have abnormalities in swallowing mechanisms. |
| References: |
References:
[1]Ponsky JL..Percutaneous endoscopic gastrostomy: after 40 years.[J].Gastrointest Endosc. 2021 May;93(5):1086-1087.
[2]Bossola M, Antocicco M, Pepe G.Tube feeding in patients with head and neck cancer undergoing chemoradiotherapy: A systematic review.JPEN J Parenter Enteral Nutr. 2022 Aug;46(6):1258-1269.
[3]Shah I, Bhurwal A, Mehta H ,et al.Trends and outcomes of percutaneous endoscopic gastrostomy in hospitalized patients with malignant and nonmalignant ascites: a nationwide population study.[J].Ann Gastroenterol. 2020 Nov-Dec;33(6):656-660.
[4] Martinho-Grueber M, Kapoglou I, et al. Vacuum-Sponge Therapy Placed through a Percutaneous Gastrostomy to Treat Spontaneous Duodenal Perforation.[J]. Case Rep Gastroenterol. 2022 Mar 31;16(1):223-228.
[5]Jaafar MH, Mahadeva S, Tan KM,et al.Long‐Term Nasogastric Versus Percutaneous Endoscopic Gastrostomy Tube Feeding in Older Asians With Dysphagia:A Pragmatic Study[J].Nutr Clin Pract.,2019,34(2):280-289.
[6]Hitawala AA,Mousa OY. Percutaneous gastrostomy and jejunostomy [M]. Treasure Island (FL):StatPearls Publishing. 2022.
[7] Burgos R,Breton I,Cereda E,et al. ESPEN guideline clini-cal nutri tion in neurology [J].Clin Nutr,2018; 37( 1) : 354-96.
[8]LiuH,JiaoJ,ZhuM,et al.Nutritional status according to the short-form mini nutritional assessment(MNA-SF)and clinical characteristics aspredictors of length of stay,mortality,and readmissions among older inpatients in China:a national study [J].FrontNutr,2022,9:815578
[9]Chang A, Watcharamon C, Rattanasupa A, et al. Comparison of clinical outcomes between surgical gastrostomy and percutaneous endoscopic gastrostomy with introducer technique in patients with upper aerodigestive malignancies: a single-center analysis [J]. World J Surg, 2020, 44(9): 3070-3076.
[10]Dietrich CG, Schoppmeyer K. Percutaneous endoscopic gastrostomy-too often? too late? who are the right patients for gastrosto my? [J]. World J Gastroenterol, 2020, 26(20): 2464-2471.
[11]Welbank T, Kurien M. To PEG or not to PEG that is the question[J]. Proc Nutr Soc, 2021, 80(1): 1-8.
[12]Strijbos D,Keszthelyi D,Gilissen LPL,et al. Percutaneous endo-scopic versus radiologic gastrostomy for enteral feeding :A retro-spective analysis on outcomes and complications [J]. Endosc Int Open, 2019,7(11):E1487-E1495.
[13] Baile-Maxía S, Medina-Prado L, Bozhychko M, et al. Endoscopic ultrasound-guided percutaneous endoscopic gastrostomy [J]. Dig Endosc, 2020, 32(6): 984-988.
[14]Boeykens K, Duysburgh I. Prevention and management of major complications in percutaneous endoscopic gastrostomy [J]. BMJ Open Gastroenterol, 2021, 8(1): e000628
[15] Boeykens K, Duysburgh I, Verlinden W. Prevention and management of minor complications in percutaneous endoscopic gastrostomy[J].BMJ Open Gastroenterol. 2022 Jul;9(1):e000975.
[16]Tae CH, Lee JY, Joo MK,et al. Clinical practice guidelines for percutaneous endoscopic gastrostomy.[J].Gut Liver. 2024 Jan 15;18(1):10-26.
[17]Yilmaz G, Tanrikulu Y, Goksoy B.An Analysis of Percutaneous Endoscopic Gastrostomy Complications.[J].J Coll Physicians Surg Pak. 2022 Aug;32(8):1051-1055.
|
| Memo: |
Memo:
|
