Thematische Bibliographien / PEG tube feeding

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Auswahl der wissenschaftlichen Literatur zum Thema „PEG tube feeding“

Autor: Grafiati

Veröffentlicht am 25. Juni 2021

Zuletzt aktualisiert am 1. Februar 2022

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Zeitschriftenartikel zum Thema "PEG tube feeding"

Matron, Rosemary Strange, und Murtle Degnan. „PEG tube feeding“. Nursing Older People 12, Nr. 7 (01.12.2000): 34. http://dx.doi.org/10.7748/nop.12.9.34.s23.

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Siau, Keith, Tom Troth, Elizabeth Gibson, Anita Dhanda, Lauren Robinson und Neil C. Fisher. „How long do percutaneous endoscopic gastrostomy feeding tubes last? A retrospective analysis“. Postgraduate Medical Journal 94, Nr. 1114 (24.07.2018): 469–74. http://dx.doi.org/10.1136/postgradmedj-2018-135754.

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BackgroundPercutaneous endoscopic gastrostomy (PEG) tubes allow for long-term enteral feeding. Disk-retained PEG tubes may be suitable for long-term usage without planned replacement, but data on longevity are limited. We aimed to assess the rates and predictors of PEG longevity and post-PEG mortality.DesignSingle-centred retrospective cohort study of patients with disk-retained (Freka) PEG tubes.MethodsAll patients undergoing PEG between 2010 and 2013 were identified, and retrospective analysis of outcomes until 2017 (median 1062 days) was performed. Time-to-event data were plotted using Kaplan-Meier curves, with predictors of survival derived from multivariate Cox-regression analyses.Results277patients were studied, with a median age of 74 years (IQR 59–82). PEG tube failure occurred in 17.4%, due to: buried bumper syndrome (7.0%), split/broken tube (6.3%), peristomal infection (1.8%) and dislodged tube (1.1%). PEG tube longevity was 95.1% (1 year) and 68.5% (5 year), with age <70 (HR 2.65, 95% CI 1.25 to 5.62, p=0.011) being predictive of PEG failure. Post-PEG mortality was 10.5% (30 day), 35.4% (1 year) and 59.7% (5 year). Age ≥70 was associated with mortality (HR 2.79, 95% CI 1.92 to 4.05, p<0.001), whereas PEG failure (HR 0.46, 95% CI 0.27 to 0.77, p=0.003) and elective PEG removal (HR 0.23, 95% CI 0.08 to 0.64, p=0.005) were associated with reduced mortality.Conclusions68.5% of PEG tubes remain intact after 5 years. Younger age was associated with earlier PEG failure, whereas younger age, PEG replacement and elective PEG tube removal were associated with improved survival. These data may inform future guidance for elective PEG tube replacements.

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Ireland, Lisa M., Ann E. Hohenhaus, John D. Broussard und Brenda L. Weissman. „A Comparison of Owner Management and Complications in 67 Cats With Esophagostomy and Percutaneous Endoscopic Gastrostomy Feeding Tubes“. Journal of the American Animal Hospital Association 39, Nr. 3 (01.05.2003): 241–46. http://dx.doi.org/10.5326/0390241.

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Esophagostomy feeding tubes were placed in 46 cats. Percutaneous endoscopic gastrostomy (PEG) feeding tubes were placed in 21 cats. Owner management and complications and facility of use were evaluated retrospectively by review of medical records and owner survey. Both tube types were equally effective for maintenance of body weight, ease of owner management, and complication rates. All of 12 owners surveyed were comfortable with PEG tube management. Ninety-six percent of 24 owners surveyed were comfortable with esophagostomy tube management. The esophagostomy tube can be placed less invasively, without specialized equipment, making it an excellent alternative to the PEG tube.

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Rustom, I. K., A. Jebreel, M. Tayyab, R. J. A. England und N. D. Stafford. „Percutaneous endoscopic, radiological and surgical gastrostomy tubes: a comparison study in head and neck cancer patients“. Journal of Laryngology & Otology 120, Nr. 6 (13.03.2006): 463–66. http://dx.doi.org/10.1017/s0022215106000661.

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A gastrostomy feeding tube has become the most acceptable method for long-term feeding support in patients with head and neck cancer. The aim of this study was to compare the complications of percutaneous endoscopically inserted gastrostomy (PEG) tubes, radiologically inserted gastrostomy (RIG) tubes and surgically inserted gastrostomy (open/laparoscopic) (SUR) tubes in head and neck cancer patients and also to compare the mortality rates of these patients.Seventy-eight head and neck cancer patients underwent gastrostomy tube insertion (40 PEG, 28 RIG and 10 SUR) during the period February 2002 to February 2005. There were no significant demographic differences between the three groups. Thirty-six patients (46 per cent) developed complications, 32 minor and four major. All three groups were similar in their rate of minor complications, with the dislodgement and blockage rate being lowest in the PEG group (p > 0.05). The mortality rate was 4 per cent within 30 days of gastrostomy tube insertion. There were no deaths in the PEG group, two deaths in the RIG group and one in the SUR group. The PEG tube was considered superior to the RIG and SUR gastrostomy tubes, had fewer complications and was safer. Thus, PEG tube insertion is our first choice for head and neck cancer patients.

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Beirne, J. Cliff, und Emma J. Woolley. „Percutaneous endoscopic gastrostomy (PEG) tube feeding“. Journal of Oral and Maxillofacial Surgery 52, Nr. 5 (Mai 1994): 531. http://dx.doi.org/10.1016/0278-2391(94)90385-9.

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Chime, Chukwunonso, Ahmed Baiomi, Kishore Kumar, Harish Patel, Anil Dev und Jasbir Makker. „Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube“. Case Reports in Gastrointestinal Medicine 2020 (11.02.2020): 1–4. http://dx.doi.org/10.1155/2020/7262514.

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Percutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there is bound to be complications. Some of the encountered complications include bleeding, site infection, tube migration, and inadvertent creation of fistula. We present our index patient admitted from a long-term care facility for feculent vomiting and fecal material through the PEG tube. Imaging and colonoscopy confirmed the presence of both a gastrocolic and a colocutaneous fistula, both closed endoscopically with an over-the-scope and through-the-scope clips, respectively. Feeding through a nasogastric tube was resumed after 48 hours, and by the second week of admission, the patient was discharged back to the facility after placement of a new PEG tube.

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Sánchez-Muñoz, Luis Angel, Hana Silvagni-Gutiérrez und Iciar Usategui-Martín. „Dementia and feeding problems: PEG feeding tube or not“. Medicina Clínica (English Edition) 153, Nr. 11 (Dezember 2019): e59-e60. http://dx.doi.org/10.1016/j.medcle.2019.01.045.

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FONSECA, Jorge, und Carla Adriana SANTOS. „PERCUTANEOUS ENDOSCOPIC GASTROSTOMY WITH JEJUNAL EXTENSION PLUS PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG-J PLUS PEG) IN PATIENTS WITH GASTRIC/DUODENAL CANCER OUTLET OBSTRUCTION“. Arquivos de Gastroenterologia 52, Nr. 1 (März 2015): 72–75. http://dx.doi.org/10.1590/s0004-28032015000100015.

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Background Stent palliation is the gold standard for gastric/duodenal cancer outlet obstruction. When stenting is impossible, feeding may be achieved through a gastrojejunostomy (PEG-J), but displacement of jejunal tube is frequent due to manipulation for feeding and drainage. Gastric outlet obstruction results on increased gastroesophageal reflux or extra-tube leakage. In order to reduce the jejunostomy tube manipulation and the gastric residuum, we created a second gastrostomy (PEG) dedicated to gastric drainage, reducing the PEG-J handling. Objective Our aim was evaluating of the usefulness of an added second gastrostomy in a PEG-J patient, for: 1. controlling symptomatic reflux and extra-tube leakage; 2. preventing jejunal tube dislocation. Methods We retrospectively evaluated patients were stent palliation of gastric/duodenal cancer outlet obstruction was not achieved, who were referred and underwent PEG-J. We selected four of these patients who needed a second PEG dedicated to gastric drainage, which was performed a few centimetres apart from the gastrojejunostomy. In order to achieve an efficient gastric drainage and provide the maximum comfort to the patient, the drainage PEG tube could be linked to an ileostomy bag. Results The four PEG-J cancer patients with longer survival developed symptoms associated with an important gastric residuum. After the drainage gastrostomy, symptoms subsided or vanished and there were no jejunal tube dislocations. Conclusions When stenting is not possible in patients with gastric/duodenal outlet obstruction due to cancer growing, feeding PEG-J plus drainage PEG may be an alternative, allowing duodenal/jejunal feeding and gastric drainage with minimal manipulation of the jejunal tube.

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Cmorej, Peter, Matthew Mayuiers und Choichi Sugawa. „Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement“. BMJ Case Reports 12, Nr. 9 (September 2019): e230728. http://dx.doi.org/10.1136/bcr-2019-230728.

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A 53-year-old man with dysphagia underwent uneventful placement of a percutaneous endoscopic gastrostomy (PEG) tube for long-term enteral feeding access. 11 hours after the procedure, it was discovered that he had accidentally dislodged the feeding tube. On physical examination, he was found to have a benign abdomen without evidence of peritonitis or sepsis. He was observed overnight with serial abdominal examinations and nasogastric decompression. In the morning, he was taken back to the endoscopy suite where endoscopic clips were employed to close the gastric wall defect and a PEG tube was replaced at an adjacent site. The patient was fed 24 hours thereafter and discharged from the hospital 48 hours after the procedure. Early accidental removal of a PEG tube in patients without sepsis or peritonitis can be safely treated with simultaneous endoscopic closure of the gastrotomy and PEG tube replacement, resulting in earlier enteral feeding and shorter hospital stay.

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Kishore, Anand. „Gastrocolic fistula as a complication of percutaneous endoscopic gastrostomy (PEG): a case report and review of literature“. International Surgery Journal 5, Nr. 7 (25.06.2018): 2653. http://dx.doi.org/10.18203/2349-2902.isj20182791.

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Gastrocolic fistula is a rare complication which is seen after percutaneous endoscopic gastrostomy (PEG). It usually manifest as a late complication. Interesting fact is that gastrocolic fistula is formed during the initial insertion of PEG tube itself but goes unrecognized. It becomes evident only when a tube replacement is done or when tube dislodgement occurs. We report a case where gastrocolic fistula was recognized after 1 month of tube feeding. Aim of our case report is to make clinicians aware of this rare condition and to have high clinical suspicion regarding possible complications of PEG even after a long period of uncomplicated feeding.

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Dissertationen zum Thema "PEG tube feeding"

Nilsson, Sanne. „0 per os : En analys av sjuksköterskors perspektiv på beslut att ge sondnäring till äldre individer med långt framskriden demenssjukdom“. Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-65564.

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Sväljsvårigheter uppstår hos individer med avancerad form av demens som en del av sjukdomsprocessen. Det ställer krav på hälso- och sjukvården att bemöta dessa symtom när individen själv saknar den kognitiva förmågan att fullt hävda sin autonomi avseende nutritionsbehandling. Frågan om sondnäring via sond eller PEG är en adekvat behandling för dessa patienter aktualiseras. Även om det rent utav är ett övergrepp och omvårdnaden istället bör ta en palliativ riktning. Sjuksköterskan betraktar ofta sin kunskap inom området som egna personliga preferenser och inte något som kan hänvisas till i ett kliniskt vårdsammanhang. Syftet med denna studie var att utforska sjuksköterskans etiska medvetenhet kring administrering av sondnäring till individer med avancerad form av demens. Studien genomfördes utifrån en kvalitativ design med en empiriskt utformad intervju, en litteraturöversikt samt en etisk analys utifrån sjuksköterskans möjliga handlingsalternativ i beslutandeprocessen. Slutsatser av denna studie består till en del av att sjuksköterskan bör agera som advokat för individens upplevda bästa och önskemål, ej stödja läkares beslut om administrering av sondnäring till dessa patienter samt bidra till en värdig död inom den palliativa domänen för individen med minsta möjliga lidande som resultat.
Swallowing difficulties occur as a part of the disease process in individuals with advanced dementia. Demands is set on the healthcare-staff to meet with these symptoms when the individual due to loss in cognitive function, lack a complete ability to claim autonomy regarding nutritional treatment. The issue arises regarding enteral feeding by PEG or NG-tube as a viable treatment option for these patients. Even if it is an encroachment and that the care instead should be performed from a palliative point of view. Registered nurses view their knowledge within the area as personal preferences that they cannot refer to in a clinical setting. The aim of this study was to explore the nurse´s ethical awareness regarding enteral nutrition to individuals with advanced dementia. The study was conducted from a qualitative approach with an empirical interview, a literature review and an ethical analysis concerning the nurse’s possible actions’ in the decision making-process. Conclusions of this study consists to a part of that the nurse should act as the patient’s advocate regarding from what’s perceived to be the best for the patient and the patient’s wishes. Also, not supporting the doctor’s decision of tube feeding to these patients’ and to contribute to a dignified death within the palliative domain, with least possible suffering as a result.

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Mark, Lindsay. „The Role of the Speech Language Pathologist in the Treatment of Patients with Percutaneous Endoscopic Gastrostomy Tubes“. Cleveland State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=csu1624292292143869.

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何崇德. „The serviceability of the PEG feeding tube“. Thesis, 2000. http://ndltd.ncl.edu.tw/handle/09970213192284269918.

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碩士
國立成功大學
醫學工程研究所
88
Percutaneous Endoscopic Gastrostomy (P.E.G.) was researched and developed by Ponsky et al. in 1980. At the present time, it has not been much used in Taiwan, while it has been widespread in Europe and America. The reason why it has not been used widespreadly in Taiwan is due to the fact that medical insurance policy is not willing to cover it and the patients have to pay their own bill. So, if we can cut down the cost of the P.E.G. kit that ranges for 5,500 to 6,500 NT; then, P.E.G. should be used widespreadly by Taiwan patients. By the way, we can use a nasogastric tube and other substitute materials to construct a P.E.G. tube; then, the cost P.E.G. placement will be cheaper and widespread. The primary purpose of this study is to compare the serviceability of the lab-made P.E.G. tube with the commercial P.E.G. kit. Furthermore, this study was done in Lanyu Small Ear pigs in vivo with the two kinds of the tubes. Then we site the lab-made and commercial P.E.G. kits in the pig’s stomach by the Ponsky-Gauderer “pull” type, the most common method of operation. For certain days later, we took off the P.E.G. tube and recorded the pull force for removal. Secondly, we compare the serviceability of the lab-made P.E.G. tube with the different size of bolster both in vitro and in vivo. The results indicate as followings: (1) The serviceability of the lab-made P.E.G. tube is the same with commercial P.E.G. kit. During the five days, the pull force for removal decreases with the placement day, whether the lab-made or the commercial P.E.G. tubes. After five days later, the force doesn’t change too much. (2) As to the serviceability of the lab-made P.E.G. tube, there are significant differences between different size of bolster. (3) The main factor of the pull force for removal of the P.E.G. tube is the maturity of the fistula. With the immature fistula, the muscle of the abdominal wall will have stronger tension, then the P.E.G. tube is not easier to removal. The tube is easier to removal with the mature fistula, but there are no immediate complications.

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Buchteile zum Thema "PEG tube feeding"

Raine, Tim, George Collins, Catriona Hall, Nina Hjelde, James Dawson, Stephan Sanders und Simon Eccles. „Procedures“. In Oxford Handbook for the Foundation Programme, 523–78. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198813538.003.0017.

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This chapter explores procedures, including practical procedures, laboratories, achievement of core foundation skills, blood and injections, taking blood (venepuncture), femoral stab, blood tubes, IV cannulation, taking blood in children, arterial blood gas (ABG), SC/IM injections, IV injections, cardiology, ECGs and cardiac monitors, exercise tolerance test, chemical cardioversion (adenosine), cardioversion and defibrillation, central lines, thrombolysis, respiratory, pleural tap, chest drain (Seldinger method), endotracheal intubation (adult), laryngeal mask airway (LMA), urology, urethral catheterization, replacing a suprapubic catheter, gastroenterology, replacing a PEG feeding tube, nasogastric (NG) tubes, ascitic tap (abdominal paracentesis), neurology, lumbar puncture (LP), normal vaginal delivery, joint aspiration and injection, local anaesthetic (LA), suturing, and reduction of fractures and dislocations.

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„DUST IN LIVESTOCK BUILDINGS AS A CARRIER OF ODOURS J. HARTUNG Institute for Animal Hygiene of the Hannover School of Veterinary Medicine, Blinteweg 17p, 3000 Hannover 71, FRG Summary The dust of animal houses originates mainly from the feed (80-90%), the bedding material, the manure (2-8%),and the animals (2-12%) themselves. It consists substanticaily of organic matter. The factors determining the amount of dust in confinements include animal activity, temperature,rel-ative humidity, ventilation rate, stocking density and volumetric air-space per animal, feeding method, and na ture of the feed. This dust originating from various sources can carry gases, vapours and odours. The analysis of dust-borne trace gases is usually done by solvent ex traction followed by gas chromatography. At least 60 com pounds belonging to different chemical groupings were i-dentified in the dust from animal houses. Volatile fatty acids and phenolic/indolic compounds were found to con tribute mostly to the strong, typical odour of animal houses. Main components in these groups are acetic acid and p-cresol, respectively. In the dust from pig houses qualitatively and quantitatively nearly the same volatile fatty acids and phenols are found than in the air or in the slurry. One m3 of the exhaust air from a 500 head pig fattening unit can contain dust-borne 6.27 pg volatile fatty acids and 2.76 yg phenolic/indolic compounds. The concentration of odours on the dust particles seems to be much greater than in an equal volume of air. Filtering the dust from the exhaust air can reduce the odour emission from animal houses up to 65%. Another way to reduce the dust-borne odour emission is to avoid the release of dust in the animal house by wet feeding, vacuum cleaning or showeri ng. 1. INTRODUCTION Dust in animal houses is an atmospheric contaminant of the environment of the animals (1). It is an important carrier of microorganisms (2), (3), (4), and can influence the perform ance and health of animal (5), (6), (7), and man (8),(9),(10). In addition the dust of animal houses was supposed to play an essential role in the transport of trace gas and odour inside and in spreading of odorous gases outside of the animal house (11), (12), (13), (14). This paper reports on the aspects of dust formation in livestock buildings, the material composition of the dust, the“. In Odour Prevention and Control of Organic Sludge and Livestock Farming, 335. CRC Press, 1986. http://dx.doi.org/10.1201/9781482286311-129.

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Konferenzberichte zum Thema "PEG tube feeding"

Lemos Garcia, J., R. Vale Rodrigues, S. Mão-de-Ferro, S. Ferreira, M. Serrano, S. Faias, J. Castela et al. „Effect of Percutaneous Endoscopic Gastrostomy (Peg) Tube Feeding on Nutritional Status in Patients Undergoing Chemoradiotherapy for Oesophageal Cancer“. In ESGE Days 2021. Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1724528.

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Leedom, D. H., und S. Acharya. „Large Eddy Simulations of Film Cooling Flow Fields From Cylindrical and Shaped Holes“. In ASME Turbo Expo 2008: Power for Land, Sea, and Air. ASMEDC, 2008. http://dx.doi.org/10.1115/gt2008-51009.

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Large Eddy Simulations (LES) of cylindrical, laterally diffused, and console holes are performed, and the resulting flow field data is presented. The motivation for performing LES is to enable more accurate simulations and to obtain a better understanding of the flow physics associated with complex hole shapes. The simulations include the coolant delivery tube and the feeding plenum chamber, and are performed for a specific mass flow rate of coolant per unit width of blade. A crossflow inlet is used on the plenum, and the resulting asymmetric flow characteristics are investigated. Coolant delivery tube flow fields are investigated in detail. Results show qualitative agreement with reported trends of improved film coverage with diffused and console holes.

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