Percutaneous feeding gastrostomy.
Percutaneous endoscopic gastrotomy tubes have been inserted in 50 patients with no mortality and minimal morbidity. The principal indications for their insertion were an inability to swallow (39 patients), a need for nutritional support (eight patients) and venting (three patients). The most common complication was peristomal wound infection (14 patients), the incidence of which was reduced significantly by the use of single-dose prophylactic antibiotic therapy. Percutaneous gastrostomies provide adequate nutrition with minimal morbidity in an acceptable way to both patients and those who care for them.
Hollands
M J
MJ
Department of Surgery, Westmead Hospital, NSW.
Fletcher
J P
JP
Young
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004750:Enteral Nutrition / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005069:Evaluation Studies as Topic; D005260:Female; D005774:Gastrostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control; D013997:Time Factors
D000900:Anti-Bacterial Agents