Document Detail


Use of percutaneous endoscopic gastrostomy in acute dysphagic stroke.
MedLine Citation:
PMID:  19861770     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Percutaneous endoscopic gastrostomy (PEG) is a widely used method for insertion of gastrostomy tube for patients with dysphagia due neuromuscular disorders. Aim : this article highlights the role of PEG for such patients, how safe, effective than standard gastrostomy in providing long -term nutritional support for patients with dysphagic stroke. Methods: Over a four-year period (1995-1998), 27 patients had percutaneous endoscopic gastrostomy performed for neuromuscular dysphagia. A Wilson Cook (24G) gastrostomy tube was used and it was inserted with Ponsky-Gauderer pull technique. Results: All the patients tolerated the procedure well. Stroke (81%) was the most common indication for PEG. Major gastroscopic finding was found in eight patients (29%). Minor complication was seen in only three patients (11%). Conclusion PEG Feeding is safe, simple and effective procedure with no serious side effects. Patients and their relatives accept PEG better than nasogastric tube feeding. However, the ideal timing at which to institute gastrostomy feeding after dysphagic stroke is still not clear.
Authors:
K R Bola
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association     Volume:  7     ISSN:  1998-4049     ISO Abbreviation:  Saudi J Gastroenterol     Publication Date:  2001 May 
Date Detail:
Created Date:  2009-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9516979     Medline TA:  Saudi J Gastroenterol     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  59-61     Citation Subset:  -    
Affiliation:
Department of Medicine, Armed Forces Hospital, Al Khaod, Seeb, Sultanate of Oman, .
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