@article{discovery1509538,
            year = {2016},
         journal = {British Journal of Hospital Medicine},
           title = {Percutaneous gastrostomy: troubleshooting complications},
           pages = {C86--C90},
            note = {This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.},
          number = {6},
          volume = {77},
           month = {June},
            issn = {1750-8460},
          author = {Lepore, M and Marks, DJ and Harbord, MW},
             url = {http://doi.org/10.12968/hmed.2016.77.6.C86},
        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.},
        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}
}