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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

151
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
151
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

191
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...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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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
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Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

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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...
324
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

180
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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[Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy].

Chung Hyun Tae1, Ju Yup Lee2, Moon Kyung Joo3

  • 1Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.

The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|September 25, 2023
PubMed
Summary

As swallowing difficulties increase, percutaneous endoscopic gastrostomy (PEG) offers an alternative to long-term nasogastric tubes. This guideline provides evidence-based recommendations for PEG procedures, improving patient care.

Keywords:
EndoscopyGastrostomyGuideline

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Clinical Practice Guidelines

Context:

  • Aging populations face rising incidences of dysphagia, necessitating enteral nutrition.
  • Nasogastric tubes are common but associated with complications and reduced quality of life for long-term use.
  • Percutaneous endoscopic gastrostomy (PEG) provides an endoscopic, percutaneous alternative for enteral feeding when needed for over four weeks.

Purpose:

  • To establish the first Korean clinical guidelines for Percutaneous Endoscopic Gastrostomy (PEG).
  • To offer evidence-based recommendations for physicians on PEG indications, antibiotic prophylaxis, feeding protocols, techniques, and management.
  • To standardize and improve the safety and efficacy of PEG procedures in Korea.

Summary:

  • This guideline details the indications for PEG, emphasizing its role as an alternative to nasogastric tubes for prolonged enteral nutrition.
  • It covers crucial aspects including prophylactic antibiotic use, optimal timing for initiating enteral nutrition, and various tube placement techniques.
  • The guideline also addresses the management of potential complications, tube replacement strategies, and criteria for tube removal, all based on current clinical evidence.

Impact:

  • Aims to enhance the quality of life for patients requiring long-term enteral nutrition.
  • Provides a standardized framework for clinicians, potentially reducing PEG-related complications.
  • Establishes a benchmark for endoscopic procedures in Korea, promoting best practices in gastrointestinal care.