Percutaneous endoscopic gastrostomy tube placement in a surgical training program
| Autor: | Carey P. Page, James B. Lowe, Harold V. Gaskill, Wayne H. Schwesinger, Jay S. Stauffer |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment macromolecular substances Risk Factors Percutaneous endoscopic gastrostomy Humans Medicine Laparoscopy Retrospective Studies Gastrostomy medicine.diagnostic_test business.industry technology industry and agriculture Internship and Residency Retrospective cohort study General Medicine Middle Aged Surgical training Surgery Treatment Outcome General Surgery Tube placement Clinical Competence business Residency training Cohort study |
| Zdroj: | The American Journal of Surgery. 174:624-628 |
| ISSN: | 0002-9610 |
| Popis: | Background This study examines the patterns of use of percutaneous endoscopic gastrostomy (PEG) and primary open gastrostomy (Gtube) performed in a residency training program in surgery. Methods A retrospective cohort study that assesses the indications and outcomes of 317 PEGs and 75 isolated Gtubes used for gastric access between 1987 and 1997. Results The demographics and risk factors of the patients receiving Gtube and PEG were comparable. The mean number of PEGs performed per resident is currently 13 per year (mean 5 over 10 years) with a 97% PEG success rate; an 88% success rate is demonstrated for placement of jejunal extensions. Conclusions PEGs are generally preferable to Gtubes as primary procedures. Surgical residents should become competent in PEG placement by performing adequate numbers of procedures with fully trained staff. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect