Import Substitution Possibilities in Palliative Medicine
| Autor: | Aleksander V. Gostimskii, Georgiy O. Bagaturiya, Oleg V. Lisovskii, Igor V. Karpatskii, Ivan A. Gostimskiy, Maksim V. Gavschuk, Artem V. Kosulin, Ekaterina E. Aladjeva, Anna N. Zavyalova |
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| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Pediatrician (St. Petersburg). 9:72-76 |
| ISSN: | 2587-6252 2079-7850 |
| DOI: | 10.17816/ped9172-76 |
| Popis: | Nutrition is an important problem of palliative care. If oral feeding is not possible, percutaneous endoscopic gastrostomy (PEG) is the method of choice. The wide application of the procedure is limited by the cost of single-use sets produced in other countries. The aim of the study was to review methodic of the PEG and to find an opportunity to reduce its cost. A reusable device was developed for the application of the PEG with use of a Pétzzer catheter. Approbation of the device and methodic was carried out in experiment with 10 rabbits. In 2 cases animals died on the 5th and 6th day after the operation because of acute pneumonia and enterocolitis, complications from the operating wound and gastrostomy were absent. Remaining 8 rabbits were withdrawn from the experiment on the 10-13 day after the operation. In 3 cases purulent infection of the postoperative wound and formation of abscesses of abdominal cavity were revealed, while the gastrostomic fistula was without any signs of failure. In 5 cases were no complications. The gastrostomic fistula was placed next to laparotomic wound and was not complicated in all cases. All the described complications are considered to features of laparotomy and postoperative period in animals. The constructed analogue of the PEG allow significantly reduce costs and increase the economic efficiency of minimally invasive gastrostomy, reduce dependence on foreign materials. Encouraging results obtained in animal experiments allow testing of the technique in clinical settings. |
| Databáze: | OpenAIRE |
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