PEG in a patient with ascites and varices

Kynci, John A.; Chodash, Howard B.; Tsang, Tat-Kin

doi:10.1016/s0016-5107(95)70259-8

Cited by 17 publications

(7 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Various techniques have been tried to manage this problem successfully. Kynci et al 80 carried out largevolume ultrasound-guided paracentesis and use of diuretics, albumin, and Mannitol, before PEG. Venous Doppler ultrasound marked potential abdominal varices, and a PEG tube was placed successfully.…”

Section: Miscellaneous Peg Complicationsmentioning

confidence: 99%

Acute Complications Associated with Bedside Placement of Feeding Tubes

2006

View full text Add to dashboard Cite

Several types of feeding tubes can be placed at a patient's bedside; examples include nasogastric, nasointestinal, gastrostomy, and jejunostomy tubes. Nasoenteral tubes can be placed blindly at bedside or with the assistance of placement devices. Nasoenteric tubes can also be placed via fluoroscopy and endoscopy. Gastrostomy and jejunostomy tubes can be placed using endoscopic techniques. This paper will describe the indications and contraindications for different types of tubes that can be placed at the bedside and complications associated with tube placement. Complications associated with nasoenteral tubes include inadvertent malpositioning of the tube, epistaxis, sinusitis, inadvertent tube removal, tube clogging, tube-feeding-associated diarrhea, and aspiration pneumonia. Complications from percutaneous gastrostomy and jejunostomy tube placements include procedure-related mishaps, site infection, leakage, buried bumper syndrome, tube malfunction, and inadvertent removal. These complications will be reviewed, along with a discussion of incidence, cause, treatment, and prevention approaches.

show abstract

Section: Miscellaneous Peg Complicationsmentioning

confidence: 99%

Acute Complications Associated with Bedside Placement of Feeding Tubes

2006

View full text Add to dashboard Cite

show abstract

“…Ascites or peritoneal dialysis is a relative contraindication given potential for pericatheter leakage and life threatening peritonitis respectively. In these patients, paracentesis can provide assistance to make the procedure safe[57]. In peritoneal dialysis patients, the procedure should be discussed with patient’s nephrologist.…”

Section: Gastrostomy Tubementioning

confidence: 99%

Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology

Ray

Srinivasan

Tang

et al. 2017

WJR

View full text Add to dashboard Cite

Acute upper and lower gastrointestinal bleeding, enteral feeding, cecostomy tubes and luminal strictures are some of the common reasons for gastroenterology service. While surgery was initially considered the main treatment modality, the advent of both therapeutic endoscopy and interventional radiology have resulted in the paradigm shift in the management of these conditions. In this paper, we discuss the patient’s work up, indications, and complementary roles of endoscopic and angiographic management in the settings of gastrointestinal bleeding, enteral feeding, cecostomy tube placement and luminal strictures. These conditions often require multidisciplinary approaches involving a team of interventional radiologists, gastroenterologists and surgeons. Further, the authors also aim to describe how the fields of interventional radiology and gastrointestinal endoscopy are overlapping and complementary in the management of these complex conditions.

show abstract

“…Risks of PEG placement include leakage of moderate to severe ascites, puncture of varices, bleeding from coagulopathy, peritonitis, and poor tract healing 34 , 40 – 45 . In 1995, in a letter to the editor, Kynci et al 46 reported 1 successful case in which a PEG was placed in a patient with varices and ascites. Baltz et al 40 , 47 reported their experience in 26 decompensated cirrhotic patients who had undergone PEG placement over the course of 10 years.…”

Section: How Is En Delivered?mentioning

confidence: 99%

Enteral Nutrition in Chronic Liver Disease

Hasse

DiCecco

2015

Nut in Clin Prac

View full text Add to dashboard Cite

Malnutrition is prevalent in individuals with chronic liver disease and occurs as a result of inadequate nutrient intake, altered metabolism, and malabsorption. Although limited data show benefits of enteral nutrition (EN) in this population, patients with chronic liver disease often have inadequate oral intake and are potential candidates for EN. The goals of the EN, type and severity of liver disease, and access for EN will influence the decision to initiate EN. This paper summarizes EN studies in patients with liver disease and provides practical tips regarding patient selection, EN access, and EN formula choices. Two case studies illustrate the principles and challenges of providing EN to patients with cirrhosis. The paper concludes with suggested parameters for an EN feeding protocol and recommendations for future research. (Nutr Clin Pract. XXXX;xx:xx-xx)

show abstract

PEG in a patient with ascites and varices

Cited by 17 publications

References 2 publications

Acute Complications Associated with Bedside Placement of Feeding Tubes

Acute Complications Associated with Bedside Placement of Feeding Tubes

Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology

Enteral Nutrition in Chronic Liver Disease

Contact Info

Product

Resources

About