Fluoroscopically guided percutaneous gastrostomy in patients with cystic fibrosis

McLoughlin, R F; O'Connor, G.; Dowsett, Julie; FitzGerald, M. X.; Gibney, R G

doi:10.1136/thx.49.5.519

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Limitations of percutaneous endoscopic gastrostomy in facilitating enteral nutrition in children: Review of the shortcomings of a new technique increased risks and prolonged anaesthetic. 12 Percutaneous endoscopic gastrostomy circumvents the continual psychodynamic traumas associated with trying to motivate children with malignancies who are cachetic, anorexic, nauseated and depressed to eat.…”

Section: Review Articlementioning

confidence: 99%

Limitations of percutaneous endoscopic gastrostomy in facilitating enteral nutrition in children: Review of the shortcomings of a new technique

Kimber

Beasley²

1999

J Paediatrics Child Health

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Percutaneous endoscopic gastrostomy (PEG) insertion became the preferred technique for facilitating enteral nutrition in children unable to take adequate caloric intake orally once its advantages over the standard Stamm gastrostomy became apparent. It has taken longer for some of its limitations and shortcomings to be recognized. Problems encountered during PEG insertion include: inability to enter the stomach with the trocar, oesophageal laceration, colonic perforation, gastro-colo-cutaneous fistula, peritonitis, subcutaneous emphysema, external migration of inner flange, wound infection, peristomal excoriation, symptomatic gastro-oesophageal reflux requiring later fundoplication, intestinal obstruction and haemorrhage. Many of these complications can be avoided by attention to technique.

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Section: Review Articlementioning

confidence: 99%

Limitations of percutaneous endoscopic gastrostomy in facilitating enteral nutrition in children: Review of the shortcomings of a new technique

Kimber

Beasley²

1999

J Paediatrics Child Health

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An overview of nutritional issues for the adult with cystic fibrosis

Dowsett

2000

Nutrition

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Decision‐Making for Enteral Feeding Administration: The Why Behind Where and How

Clevenger

Rodriguez

1995

Nut in Clin Prac

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Enteral nutrition has become the preferred route of nutrient administration. Because of vigorous attempts to deliver nutrient enterally in expanded patient groups, many different locations for enteral access have been advocated along with a variety of methods related to rate and pattern of delivery. Because all modes of delivery are not compatible with all sites of access and both need to be tailored to specific subsets of patients, confusion can develop regarding where and how enteral nutrients are best delivered and why. In an era when such a high priority has been placed on feeding through the enteral route, a review of the methods and rationale behind the ever-expanding choices of enteral access is timely.

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Fluoroscopically guided percutaneous gastrostomy in patients with cystic fibrosis

Abstract: The feasibility of fluoroscopically guided percutaneous gastrostomy in patients with cystic fibrosis is presented, highlighting differences between these and other patients undergoing the procedure.

Cited by 3 publications

References 8 publications

Limitations of percutaneous endoscopic gastrostomy in facilitating enteral nutrition in children: Review of the shortcomings of a new technique

Limitations of percutaneous endoscopic gastrostomy in facilitating enteral nutrition in children: Review of the shortcomings of a new technique

An overview of nutritional issues for the adult with cystic fibrosis

Decision‐Making for Enteral Feeding Administration: The Why Behind Where and How

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