O uso da gastrostomia percutânea endoscópica

Minicucci, Marcos F.; Silva, Giovanni Faria; Matsui, Mirna; Inque, Roberto Minoru Tani; Zornoff, Leonardo A. M.; Matsubara, Luiz Shiguero; Paiva, Sérgio Alberto Rupp de

doi:10.1590/s1415-52732005000400010

Cited by 5 publications

(6 citation statements)

References 26 publications

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“…Indication and use of an alternative feeding route was a safe option for the case at that moment, because enteral nutrition with the use of tubes and/or ostomy is indicated in the impossibility of oral intake (14) . Based on the clinical condition of the patient, he was referred to the Pediatric Gastroenterology Service with indication of endoscopic percutaneous gastrostomy owing to the need for enteral diet for a period longer than one month (15) .…”

Section: Discussionmentioning

confidence: 99%

Aspectos fonoaudiológicos em um caso de artrogripose de cabeça e pescoço pediátrico

Trindade

Freitas

Menzen

et al. 2018

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Arthrogryposis is a rare, multiple, congenital syndrome of non-progressive nature characterized by a series of genetic malformations, as well as stiffness and joint contractures. This is a clinical case study whose objective is to describe speech-language pathology disorders through the evaluation process in a case of arthrogryposis in Pediatrics. The medical records of a patient were analyzed from birth. A complete clinical evaluation of pediatric dysphagia was performed, establishing a diagnosis of severe oropharyngeal dysphagia evidenced by functional and structural impairments. Hearing loss was detected in association with this condition.

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Section: Discussionmentioning

confidence: 99%

Aspectos fonoaudiológicos em um caso de artrogripose de cabeça e pescoço pediátrico

Trindade

Freitas

Menzen

et al. 2018

CoDAS

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“…As sondas para ostomia alimentar têm maior durabilidade (29) e são indicadas para TNE a longo prazo, evitam complicações, como irritação nasal, decorrente do uso prolongado de sonda nasoenteral, estresse psicossocial em razão da autoimagem e podem ser introduzidas por via laparoscópica ou percutânea (27) . O monitoramento dos sinais e sintomas das complicações imediatas ou tardias, tais como traumas por perfuração, sangramento, infecção e migração (30) , obstrução, extravasamento de conteúdo alimentar e gástrico é voltado à equipe multidisciplinar, sobretudo, a médicos e enfermeiros (28,31) .…”

Section: Vias De Acesso Enteralunclassified

“…A perda de gastrostomia pode ocorrer em 46% dos casos em geral. Entretanto, podem ser minimizadas com a colocação de botons e supervisão periódica do tubo (31) . No presente estudo, o deslocamento foi observado em 5 (4,8%)…”

Section: Complicação Mecânica E Eventos Observadosunclassified

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Complicações da Terapia Nutricional Enteral (TNE) e fatores associados em pacientes hospitalizados

Figueredo¹

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This observational and retrospective study aimed to describe the profile of patients and the characteristics of the Enteral Nutrition Therapy (ENT), as well as to analyze the complications of this therapy and the associated factors in hospitalized adult patients. The study consisted of a sample of 214 patients, hospitalized between 2008 and 2009 at a university hospital in the city of São Paulo. Data were collected from medical records and of nutritional assessment sheets, using a form developed for the study. Results showed that: 1 a-) in relation to patient profiles and enteral nutrition therapyparticipants were predominantly male (55.6%), with an average age of 64.8 years, hospitalized in semi-intensive and intensive care units (66.8%); b-) Concerning enteral nutrition therapy, the average days of enteral nutrition was 13.2 days, and 43.5% of the patients received it for up to one week. As for the route of enteral access, nasoenteric feeding tube (96.3%) and continuous feeding administration (67.3%) were the most common. 2-) regarding the complications of ENT and the observed events-of the 214 patients of the sample, 200 had complications during the use of enteral nutrition. There was occurrence of gastrointestinal (90.5%), metabolic (55.0%), mechanical (41.5%) and pulmonary (13.0%) complications. The most frequently observed events among gastrointestinal complication were: abdominal distention (33.4%), constipation (17.5%) and high gastric residual volume (GRV) (14.6%). Among the metabolic complication, hyperglycemia (55.0%) was observed, with average of 174.2 mg/dL. The predominant events resulting from mechanical complication were unexpected withdrawal of enteral feeding tube (70.5%), followed by obstruction of enteral feeding tube (19.0%). As for pulmonary complication, pulmonary aspiration (13.0%) was the observed event. 5-) Concerning the method of infusion, there was significant association of continuous infusion with the following events observed in gastrointestinal complication: high GRV (p=0.000), constipation (p=0.010) and abdominal distension (p=0.037). Among the mechanical complication, there was significant association with intermittent infusion at the following events: unexpected withdrawal of enteral feeding tube (p=0.005) and displacement of enteral feeding tube (p=0.040). 6-) Regarding drug therapy, there was significant association of metabolic complication (hyperglycemia) and use of sedatives/opioids (p=0.000) and vasoactive drugs (p=0.000). This study evidenced that complications concomitant with ENT are very prevalent in this population (93.5%). Moreover, it was found that there is a high occurrence of observed events (617), with complications (400) presenting significant intersections with other variables described above. Therefore, research on the clinical conditions, treatments and care to the use of enteral feeding tubes should be constantly indicated, particularly for nurses who are responsible for the administration and monitoring of enteral nutrition.

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“…Complicações relacionadas à sonda de gastrostomia incluem obstrução por dieta ou medicamentos e ruptura do sistema de válvula e fechamento 123,124 . …”

Section: Técnica De "Tração" ("Pull Technique")unclassified

Modificação de dispositivo para gastrostomia endoscópica percutânea pela técnica de punção: utilização em pacientes com neoplasia maligna de cabeça e pescoço

Nappi¹

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permitiu participar de sua equipe e apoiou-me em todo momento de maneira incondicional, como grande amigo. Minha imensa gratidão pela oportunidade e ajuda profissional.Ao Prof. Dr. Fauze Maluf Filho, orientador desta tese, exemplo de dedicação e incentivo acadêmico, para quem devo as metas atingidas nesta última fase de minha formação acadêmica no Brasil. Meu eterno agradecimento pelo apoio, confiança, e tempo dedicado.Ao Prof. Dr. Paulo Sakai, chefe e professor, agradeço pelo incentivo científico, pela oportunidade e apoio na realização desta tese. Às funcionárias da secretaria Rosana e Suzidarley e às enfermeiras Graça, Telma e Roberta, fundamentais para a orientação e agendamento dos pacientes.Ao estatístico Demerson Poli, pela paciência na realização do estudo estatístico deste trabalho e pela disponibilidade e disposição em ajudar.Ao desenhista Marcos Retzer pela dedicação e colaboração na realização dos desenhos desta tese.Aos pacientes que participaram deste estudo, portadores de doença neoplásica, pela compreensão com minhas limitações. NORMALIZAÇÃO ADOTADAEsta tese está de acordo com as seguintes normas, em vigor no momento desta publicação: Referências: adaptado de International Committee of Medical Journals Editors

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O uso da gastrostomia percutânea endoscópica

Cited by 5 publications

References 26 publications

Aspectos fonoaudiológicos em um caso de artrogripose de cabeça e pescoço pediátrico

Aspectos fonoaudiológicos em um caso de artrogripose de cabeça e pescoço pediátrico

Complicações da Terapia Nutricional Enteral (TNE) e fatores associados em pacientes hospitalizados

Modificação de dispositivo para gastrostomia endoscópica percutânea pela técnica de punção: utilização em pacientes com neoplasia maligna de cabeça e pescoço

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