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Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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.
Here are some common surgical interventions for IBD:
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:

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Related Experiment Videos

In which cases surgical gastrostomy and jejunostomy techniques are inevitable?

K Bora Yilmaz1, L Dogan, M Akinci

  • 1Department of General Surgery, Ankara Diskapi Training and Research Hospital, Ankara, Turkey.

Journal of B.U.ON. : Official Journal of the Balkan Union of Oncology
|September 26, 2013
PubMed
Summary

Surgical gastrostomy and jejunostomy offer a safe and effective alternative for nutritional support in cancer patients when endoscopic methods are not feasible due to obstructions. These procedures demonstrate acceptable complication rates and improve treatment outcomes.

Related Experiment Videos

Area of Science:

  • Surgical oncology
  • Gastroenterology
  • Nutritional support

Background:

  • Endoscopic enteral access is often preferred for nutritional support in cancer patients.
  • Obstructions from tumors, obesity, or prior surgeries can preclude endoscopic approaches.

Purpose of the Study:

  • To evaluate the safety and efficacy of surgical gastrostomy and jejunostomy in cancer patients when endoscopy is unattainable.
  • To assess complication rates and treatment outcomes associated with these surgical procedures.

Main Methods:

  • Retrospective analysis of 109 cancer patients undergoing surgical gastrostomy/jejunostomy.
  • Data collected included operation details, anesthesia, tube types, complications, and follow-up.
  • Patients were analyzed for feasibility when endoscopic access was impossible.

Main Results:

  • 94% of patients had conditions (obstruction, obesity, prior surgery) making endoscopy impossible.
  • Procedure-related complications occurred in 20.7% of patients.
  • Early 30-day mortality was 11%, with a median follow-up of 3.6 months.

Conclusions:

  • Surgical gastrostomy/jejunostomy is a viable and safe option for nutritional support in cancer patients unsuitable for endoscopic procedures.
  • These surgical interventions yield acceptable complication rates and contribute to improved treatment outcomes.
  • Indications include obstructing cancers, obesity, and previous laparotomy.