The efficacy and limitations of percutaneous endoscopic gastrostomy
W. R. Jarnagin, Q. Y. Duh, S. J. Mulvihill, J. A. Ridge, T. R. Schrock and L. W. Way
Department of Surgery, University of California, San Francisco.
We analyzed 64 percutaneous endoscopic gastrostomy procedures performed by
us between 1986 and 1990. Thirty patients had neurologic disease; 16 had
head and neck cancers; eight had other malignancies; two had acquired
immunodeficiency syndrome; and eight had other problems. Seven patients
died within 30 days of complications (n = 4) or the primary illness (n =
3). Mean follow-up was 6 months; an additional patient died of aspiration
and eight others died of their underlying illness. There were 19
complications (32%). Four wound complications occurred. Nine patients
developed aspiration pneumonia within 3 days of the procedure, four of whom
died in the hospital. Of the 24 patients with a history of aspiration, nine
experienced aspiration during or after percutaneous endoscopic gastrostomy.
Patients with a history of aspiration were more likely to have
perioperative aspiration pneumonia, and patients who experienced aspiration
were more likely to die.
DPEJ Tube Placement Prevents Aspiration Pneumonia in High-Risk Patients
Panagiotakis et al.
Nutr Clin Pract 2008;23:172-175.
ABSTRACT
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Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: its indications and limitations
Pearce and Duncan
Postgrad. Med. J. 2002;78:198-204.
ABSTRACT
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Practice Parameter: The Care of the Patient with Amyotrophic Lateral Sclerosis (An Evidence-Based Review): Report of the Quality Standards Subcommittee of the American Academy of Neurology
Miller et al.
Neurorehabil Neural Repair 1999;13:93-107.
Practice parameter: The care of the patient with amyotrophic lateral sclerosis (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology
Miller et al.
Neurology 1999;52:1311-1311.
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Laparoscopic Gastrostomy and Jejunostomy: Safety and Cost With Local vs General Anesthesia
Duh et al.
Arch Surg 1999;134:151-156.
ABSTRACT
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Outcomes of Surgical, Percutaneous Endoscopic, and Percutaneous Radiologic Gastrostomies
Cosentini et al.
Arch Surg 1998;133:1076-1083.
ABSTRACT
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