Preview

Innovative Medicine of Kuban

Advanced search

APPLICATION OF PERCUTANEOUS ENDOSCOPICALLY ASSISTED GASTROSTOMY IN MULTIFUNCTION HOSPITAL

Abstract

Background. Optimization of the process and improved efficiency of the prolonged compulsory enteroalimentation in the patients who require it for more than 4 weeks.

Materials and Methods. We analyzed the first experience of percutaneous endoscopically assisted gastrostomy in 32 patients. Patients were treated in the neurosurgical and neurologic department of Research Scientific Institute – Ochapovsky Regional Clinical Hospital no. 1 in Krasnodar.

Results. Application efficiency of percutaneous endoscopically assisted gastrostomy for prolonged enteral feeding in patients with combined trauma and neurological deficiency was shown. The greatest number of complications 3 (33.3%) was observed in the group of patients with cranio-cereberal traumas.

About the Authors

A. N. Petrovsky
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation

Cand. of Sci. (Med.), surgeon, surgical department no. 1



I. V. Vagin
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Surgeon, surgical department no. 1


S. L. Gobaeva
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Endoscopy  department  no. 2


A. Yu. Popov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Head of surgical department no. 1


A. G. Barishev
Scientific Research Institute – Ochapovsky Regional Clinic Hospital #1; Kuban State Medical University.
Russian Federation

Dr. of Sci. (Med.), assistant professor, head of the surgical department no. 1; deputy chief physician for surgery



References

1. Белевич В.Л., Струков Е.Ю., Бреднев А.О., Овчинников Д.В. Чрескожная эндоскопическая гастростомия – метод выбора для длительного энтерального питания. Новости хирургии. 2014. Т. 22. № 6. С. 750-754. [Belevich V.L., Strukov E.Y., Brednev A.O., Ovchinnikov D.V. Percutaneous endoscopic gastrostomy – the method of choice for long-term enteral nutrition. Novosti Khirurgii. 2014;22(6):750-754. (In Russ.)].

2. Вахонин А.Ю. Чрескожная эндоскопическая гастростомия: показания, техника выполнения, осложнения: автореф. дис... канд. мед. наук. Москва, 2009. 114 с. [Vakhonin A.Yu. Percutaneous endoscopic gastrostomy: indications, technique of performance, complications. Cand. med. sci. abstracts. diss. Moskow, 2009. 114 p. (In Russ.)].

3. Волков О.И. чрескожная эндоскопическая гастростомия Тихоокеанский медицинский журнал. 2004. №1. С. 75-76. [Volkov O.I. Transcutaneous endoscopic gastrostomy. Pacific Medical Journal.2004; 1: 75-76. (In Russ.)].

4. Завьялова А.Н., Гостимский А.В., Лисовский О.В., Гавщук М.В., Карпатский И.В., Погорельчук В.В., Миронова А.В. Энтеральное питание в паллиативной медицине у детей. Педиатр. 2017. Т. 8. №6. С. 105-113. [Zavyalova A.N., Gostimskii A.V., Lisovskii O.V., et al. Enteral nutrition in palliative medicine in children. Pediatrician. 2017;8(6):105-113. doi: 10.17816/PED86105-113].

5. Иванов Ю.В., Сазонов Д.В., Таймаскина М.Т., Панченков Д.Н. Чрескожная эндоскопическая гастростомия: возможности, особенности, эффективность. Доктор.Ру. 2015. №1(11). С. 60-65. [Iu. V. Ivanov1, 2, D. V. Sazonov1, M. T. Taimaskina1, D. N. Panchenkov1, 2 Percutaneous Endoscopic Gastrostomy: Options, Specific Issues, Efficacy. Doctor. Ru. 2015;1(11):60-65. (In Russ.)].

6. Кузьмин-Крутецкий М.И., Демко А.Е., Сафо-ев А.И., Аккалаева А.Э., Каримова Л.И. Чрескожная эндоскопическая гастростомия. Вестник хирур-гии им. И.И. Грекова. 2014. Т. 173. №3. С. 19-23. [Kuzmin-Krutetskiy M.I., Demko A.E., Safoev A.I., Akkalaeva A.E., Karimov L.I. Percutaneous endoscopic gastrostomy. Vestnik khirurgii imeni I.I. Grekova. 2014; 173(3):19-23. (In Russ.)].

7. Разумовский А.Ю., Гераськин А.В., Обыденнова Р.В., Куликова Н.В. Лечение химических ожогов пи-щевода у детей. Хирургия. Журнал им. Н.И. Пирогова. 2012. №1. С. 43-48. [Razumovskiy A.Yu., Geras’kin A.V., Obidennova R.V., Kulilova N.V. The treatment of chemical burns of the esophagus in children. Khirurgiia. Zurnal imeni N.I. Pirogova. 2012;1:43-48. (In Russ.)].

8. Хорошилов И.Е. Эндоскопическая гастростомия: 35 лет применения в клинике. Гастроэнтерология Санкт-Петербурга. 2015. № 3-4. С. M17-M17a. [Khoroshilov I.E. Endoscopic gastrostomy: 35 years of use in the clinical. Gastroenterology of St. Petersburg. 2015;3-4:M17-M17a. (In Russ.)].

9. Гузь А.О., Захаров А.С., Карев А.В. Имплантационный метастаз рака гортани после наложения чрескожной эндоскопической гастростомы. Сибирский онкологический журнал. 2017. Т. 16. №3. С. 104-107. [Guz A.O., Zaharov A.S., Garev A.V. Implantation metastasis cancer of the larynx after percutaneous endoscopic gastrostomy. Siberian Journal of Oncology. 2017;16(3):104-107. DOI: 10.21294/1814-4861-2017-16-3-104-107].

10. Badosa L.E., Tahull B.M., Casas V.N., Elguezabal Sangrador G., Faz Méndez C., Herrero Meseguer I., Izquierdo González À., López Urdiales R., Oca Burguete F.J., Tubau Molas M., Vilarasau Farré C., Llop Talaveron J.M. Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay. Nutr Hosp. 2017 Jul 28;34(4):907-913.

11. Correia M.I., Permanb M.I., Waitzberg D.L. Hospital malnutrition in Latin America: A systematic review. Clinical Nutrition. 2017;36:958-967. DOI: 10.1016/j.clnu.2016.06.025

12. Curtis L.J., Bernier P., Jeejeebhoy K., Allard J., Duerksen D., Gramlich L., Laporte M., Keller H.H. Costs of hospital malnutrition. Clin Nutr. 2017;36(5):1391-1396.

13. Gauderer M.W., Ponsky J.L., Izant R.J. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg.1980;15:872-875. [PMID: 6780678]

14. Hogan R.B., DeMarco D.C., Hamilton J.K., Walker C.O., Polter D.E. Percutaneous endoscopic gastrostomy-to push or pull. A prospective randomized trial. Gastrointest. Endosc. 1986;32:253-258 [PMID: 3743977]

15. Kozarek R.A., Ball T.J., Ryan J.A. When push comes to shove: a comparison between two methods of percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1986;81:642-646 [PMID: 3090872]

16. Moriana M., Civera M., Artero A., Real J.T., Caro J., Ascaso J.F., Martinez-Valls J.F. Validity of subjective global assessment as a screening method for hospital malnutrition. Prevalence of malnutrition in a tertiary hospital. Endocrinol Nutr. 2014;61(4):184-9.

17. Parrish R.A., Cohen J. Temporary tube gastrostomy. Am Surg. 1972;38(3):168-71. [PMID: 4536750]

18. Rahnemai-Azar A.A., Rahnemaiazar A.A., Naghshizadian R., Kurtz A., Farkas D.T. Percutaneous endoscopic gastrostomy: Indications, technique, complications and management. World J Gastroenterol. 2014;20(24):7739-7751.

19. Russell T.R., Brotman M., Norris F. Percutaneous gastrostomy. A new simplified and cost-effective technique. Am J Surg. 1984;148:132-137 [PMID: 6430111]

20. Said M.R., Rani A.R., Raja Ali R.A., Ngiu C.S. Abdominal wall necrotising fasciitis: A rare but devastating complication of the percutaneous endoscopic gastrostomy procedure. Med J Malaysia.2017;72(1): 77-79.

21. Vanek V.W. Ins and outs of enteral access. Part 3: long-term access--jejunostomy. Nutr Clin Pract.2003; 18(3):201-20. [PMID:16215037]


Review

For citations:


Petrovsky A.N., Vagin I.V., Gobaeva S.L., Popov A.Yu., Barishev A.G. APPLICATION OF PERCUTANEOUS ENDOSCOPICALLY ASSISTED GASTROSTOMY IN MULTIFUNCTION HOSPITAL. Innovative Medicine of Kuban. 2018;(3):6-10. (In Russ.)

Views: 364


ISSN 2541-9897 (Online)