Pneumoperitoneum following percutaneous endoscopic gastrostomy
Autor: | Frederick A. Slezak, Joel A. Porter, Mark J Pidala |
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Rok vydání: | 1992 |
Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Punctures macromolecular substances Enteral administration Pneumoperitoneum Percutaneous endoscopic gastrostomy medicine Humans Endoscopy Digestive System Prospective Studies Prospective cohort study Intubation Gastrointestinal Aged Gastrostomy medicine.diagnostic_test business.industry Incidence medicine.disease Surgery Endoscopy body regions Panendoscopy Female business Abdominal surgery |
Zdroj: | Surgical Endoscopy. 6:128-129 |
ISSN: | 1432-2218 0930-2794 |
DOI: | 10.1007/bf02309084 |
Popis: | Percutaneous endoscopic gastrostomy (PEG) has had a significant impact on enteral alimentation in patients unable to maintain adequate oral caloric intake. PEG avoids the morbidity and mortality associated with the traditional feeding gastrostomies placed by celiotomy. Several authors have documented benign, self-limiting pneumoperitoneum following PEG placement. No study has addressed whether the timing of panendoscopy in relation to gastric puncture has an effect on the incidence of post-PEG pneumoperitoneum. The authors prospectively studied 30 patients undergoing PEG. Panendoscopy was either performed before or after gastric puncture, and each patient then had abdominal radiographs to determine the presence of pneumoperitoneum. Four of 16 patients (25%) having panendoscopy prior to gastric puncture had radiographic evidence of pneumoperitoneum compared to three of 14 patients (23%) having panendoscopy following gastric puncture. The authors conclude that the timing of panendoscopy in relation to gastric puncture does not significantly effect the incidence of post-PEG pneumoperitoneum. |
Databáze: | OpenAIRE |
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