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[Percutaneous endoscopic gastrostomy. Personal experiences with Russell's method]
B Werth1, B Meyer, C Beglinger
1Abteilung für Gastroenterologie, Kantonsspital Basel.
Schweizerische Medizinische Wochenschrift
|April 29, 1989
Summary
Endoscopic percutaneous gastrostomy offers a safe and effective alternative to nasal feeding tubes for patients with swallowing difficulties. This minimally invasive procedure provides essential enteral nutrition with fewer complications.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Nutritional Support
Context:
- Nasally placed enteral feeding tubes are common for long-term nutrition in patients with swallowing disorders.
- These tubes can cause aesthetic issues and complications like esophagitis, bleeding, or aspiration.
- Endoscopic techniques for gastrostomy placement offer a less invasive alternative.
Purpose:
- To evaluate the safety and efficacy of endoscopically assisted percutaneous gastrostomy.
- To compare this method with traditional nasally placed feeding tubes.
- To assess complication rates and patient outcomes.
Summary:
- The study reports on 46 endoscopically controlled percutaneous gastrostomies in 38 patients using the Russell method.
- Common indications included cerebrovascular diseases and oropharyngeal malignancies.
- The procedure was successful in 38 of 40 patients, with one serious and two minor complications.
Impact:
- Endoscopically assisted percutaneous gastrostomy is a simple, safe, and effective method for enteral nutrition.
- It provides a viable alternative for patients requiring long-term tube feeding.
- This technique may reduce complications associated with traditional feeding tubes.