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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 33-35 
    ISSN: 1432-2218
    Keywords: Enteral nutrition ; Endoscopic gastrostomy ; Surgical gastrostomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A retrospective review of 78 patients who had undergone endoscopic gastrostomy and 22 patients who had undergone Stamm gastrostomy was carried out. The mean operative time for the Stamm gastrostomy group was 63 min, while that for the endoscopic gastrostomy group was 26 min. One operative complication — bleeding — requiring reoperation occurred in the Stamm gastrostomy group. The incidences of aspiration, pneumonia, wound infection, and mortality were significantly higher in the Stamm gastrostomy group. We conclude that percutaneous endoscopic gastrostomy is the preferred technique for long-term enteral nutrition.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 123-126 
    ISSN: 1432-2218
    Keywords: PEG ; PED ; Enteral nutrition ; Quality of life
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Surgeons are increasingly using endoscopy to place transabdominal feeding tubes for enteral nutrition or gastric decompression. A possible extension for the application of this new technique is the direct placement of the feeding tube into the duodenal bulb. Two patients are presented in whom percutaneous endoscopic duodenostomy was successfully performed, although percutaneous endoscopic gastrostomy was not possible. It shows that this new method is technically possible. In both patients the positive influence of this technique on the patient's quality of life could be shown using the Spitzer Quality of Life Index and the Karnofsky Performance Status. Enteral nutrition was maintained for more than 6 weeks.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 364 (1984), S. 495-495 
    ISSN: 1435-2451
    Keywords: Enteral nutrition ; Percutaneous endoscopic gastrostomy ; Enterale Ernährung ; Percutane endoskopische Gastrostomie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die percutane endoskopische Gastrostomie eignet sich für Patienten mit intaktem Gastrointestinaltrakt, die eine Langzeiternährung benötigen. Bei Endoskopie des Magens wird unter Insufflation die Bauchwand transilluminiert. Danach Lokalanaesthesie im linken oberen Abdominalbereich und Probepunktion des Magens. Ein 12 Ch. Foley-Katheter wird durch direkte Punktion des Magens über eine Split-Kanüle eingebracht. Nach Entfernen der Split-Kanüle und Blocken des Katheterballons wird dieser an der Bauchhaut mit leichtem Zug befestigt. Bisher traten bei 8 Patienten keine Komplikationen auf. Ein Patient konnte 1 Jahr über die Gastrostomie ernährt werden.
    Notes: Summary Patients who have an intact stomach and small bowel, and who need long-term enteral nutrition, can be nourished by percutaneous endoscopic gastrostomy. During endoscopy of the stomach, air is insufflated and the abdominal wall is transilluminated. Local anesthesia and test puncture of the stomach in the left upper abdomen are used. A 12 Charriére Foley catheter is introduced through direct puncture of the stomach with a split cannula. After blocking the catheter balloon, the catheter is fixed with slight tension to the skin of the abdominal wall. In eight patients no complications have occurred so far. One patient was fed through the gastrostomy for 1 year.
    Type of Medium: Electronic Resource
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