Percutaneous endoscopic gastrostomy pegenteral tube care policy this procedural document supersedes. Scribd is the worlds largest social reading and publishing site. Clean the skin insertion site and under the plastic flange at least three times per day. Why a peg comparison between peg and surgical gastrostomy tubes shows no difference in morbidity and mortality although peg is less expensive and quicker to insert1 comparison between peg and rig show similar complication rate 10% vs. Morbilidad y mortalidad asociadas 1 2 3 con gastrostomia. Unlimited access to the largest elibrary of professional videos, images, documents, courses. Gastric leak, caused by staple line disruption or gastric perforation, is one of the most dreaded complications following bariatric surgery. The trust discourages the retention of hard copies of policies and can only guarantee that the. Catania mani della mafia sulla gestione dei rifiuti. Morbilidad y mortalidad asociadas con gastrostomia endoscopica. Percutaneous endoscopic gastrostomy peg 1 of 6 video. While an estimated 61,000 peg tubes were placed in 1988, an estimated.
Percutaneous endoscopic gastrostomy peg and enteral. Peg stands for percutaneous endoscopic gastrostomy, a procedure in. Percutaneous endoscopic gastrostomy pegenteral tube. Retrospective analysis of 299 patients undergoing peg tube placement between january 2006 and december 2008 revealed 57 oncology patients. Used for percutaneous endoscopic placement to provide enteral nutrition to patients requiring nutritional support. The procedure does not require a general anesthetic, although mild sedation is typically used. Rischi incendio e gestione della sicurezza tg canale 2. The reported incidence of leakage varies depending on type of surgery, from 2. Percutaneous endoscopic gastrostomy peg and enteral feeding luis s. The standard percutaneous endoscopic gastrostomy peg kits silicone domebolstered peg tube available in multiple french sizes with two external bolster options to accommodate physician and patient needs. Following are descriptions of common endoscopic procedures for screening, diagnosis and treatment of problems in the gi tract.
Peg tubes may also be extended into the small bowel. This product has been designed to administer food directly into the gastric cavity in patients unable to feed by mouth, patients with gastroesophageal reflux and upper gastrointestinal tract malformations, gastroesophageal surgery patients and temporary or permanent gastrostomy patients. Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Asge member endoscopists are physicians who are specially trained to perform gi procedures. Percutaneous endoscopic gastrostomy peg allows longterm tube feeding. Percutaneous endoscopic gastrostomy peg tube basic care. Marsano professor of medicine director of nutrition, jewish hospital director of hepatology and liver transplant division of gastroenterology, hepatology and nutrition university of louisville and louisville vamc 2012. For more information about asge, visit what is a peg. The most common indications for peg are neurologic conditions associated with impaired swallowing and neoplasms of the oropharynx, larynx and esophagus. Percutaneous endoscopic gastrostomy in advanced head and. Percutaneous endoscopic gastrostomy peg 4 of 6 video. A 78 yearold female that has impaired her swallowing due to a parkinson disease. Percutaneous endoscopic gastrostomy peg tube basic care guide a peg tube is a tube inserted surgically into the stomach through the abdomen. This product line is serviced by the following clinical divisions.
Safety of pulltype and introducer peg placement in oncology patients with headneck or oesophageal malignancies is unknown. Gastrostomia, yeyunostomia, ileostomia linkedin slideshare. Clinical nutrition 2005 24, 848861 consensus statement espen guidelines on arti. Lapproccio integrativo e lapproccio relazionalesimbolico libri pdf gratis 0633. Refer to package insert provided with the product for complete indications for use, contraindications, warnings, precautions, and adverse events prior to using. Percutaneous endoscopic gastrostomy performed as proposed by gauderer et al. Lapproccio integrativo e lapproccio relazionalesimbolico libri pdf. Federal law usa restricts these devices to sale by or on the order of a physician. A percutaneous endoscopic gastrostomy peg is an endoscopic procedure for placing a tube into the stomach.
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