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Percutaneous gastrostomy: troubleshooting complications

Lepore, M; Marks, DJ; Harbord, MW; (2016) Percutaneous gastrostomy: troubleshooting complications. British Journal of Hospital Medicine , 77 (6) C86-C90. 10.12968/hmed.2016.77.6.C86. Green open access

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Abstract

Percutaneous endoscopic gastrostomy was first described in 1980 (Gauderer et al, 1980), superseding surgical gastrostomy as a means of providing long-term enteral nutrition. Despite the commonality of this procedure, its associated morbidity and mortality rates are significant, with directly attributable rates of 1:30 and 1:150 respectively. Poor patient selection and poor management are the principal factors contributing to adverse outcomes. The 2004 National Confidential Enquiry into Patient Outcome and Death recorded that 19% of percutaneous endoscopic gastrostomy procedures performed were ‘futile or not indicated at all’. This article provides a practical approach to avoiding and treating complications associated with percutaneous endoscopic gastrostomy feeding.

Type: Article
Title: Percutaneous gastrostomy: troubleshooting complications
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.12968/hmed.2016.77.6.C86
Publisher version: http://doi.org/10.12968/hmed.2016.77.6.C86
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Catheter Obstruction, Cellulitis, Enteral Nutrition, Gastric Outlet Obstruction, Gastroscopy, Gastrostomy, Humans, Intestinal Perforation, Patient Selection, Peritonitis, Postoperative Complications, Postoperative Hemorrhage, Preoperative Care, Respiratory Aspiration of Gastric Contents
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School
URI: https://discovery.ucl.ac.uk/id/eprint/1509538
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