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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Ostomy Care01:24

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Related Experiment Video

Updated: Apr 18, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Gastrostomies in palliative care.

Ferraz Gonçalves1, Mónica Mozes, Isabel Saraiva

  • 1Unidade de Cuidados Continuados, Instituto Português de Oncologia, Rua Dr António Bernardino de Almeida, Porto, Portugal. ferrazg@ipoporto.min-saude.pt

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
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Gastrostomies in palliative care, primarily for dysphagia, had a median survival of 61 days. Complications occurred in 34% of feeding gastrostomies, with local pain being most common.

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Area of Science:

  • Palliative Care Medicine
  • Gastroenterology
  • Interventional Radiology

Background:

  • Gastrostomies are utilized in palliative care for nutritional support or bowel decompression.
  • Patient outcomes following gastrostomy in a palliative care setting require evaluation.

Purpose of the Study:

  • To assess the outcomes of patients who underwent gastrostomy between 1994 and 2005 at a palliative care unit.
  • To identify reasons for gastrostomy, associated complications, and survival rates.

Main Methods:

  • Retrospective audit of 154 patient charts.
  • Data collection on reasons for gastrostomy, procedures performed, complications, and survival.

Main Results:

  • Dysphagia due to cancer was the primary indication for feeding gastrostomy.
  • Interventional radiology performed 96% of gastrostomies.
  • Early complications (34%) included local pain; late complications occurred in 53 patients, with extrusion being common.
  • Median survival post-gastrostomy was 61 days.
  • 81% of patients died within the palliative care unit.

Conclusions:

  • Gastrostomy is predominantly performed for dysphagia in palliative care patients.
  • While generally safe, gastrostomies carry risks of complications and do not significantly prolong life in this population.
  • The majority of patients receiving gastrostomies in this setting die within the palliative care unit.