[Indication and effectiveness of endoscopic percutaneous gastrostomy as a route of parenteral alimentation for the home care patient].
We are managing 8 home care patients who have a gastrostomy made using an endoscopic percutaneous technique as a route of parenteral alimentation. Based on our experience, the preconditions for an endoscopic percutaneous gastrostomy as a route of parenteral alimentation are 1. normal gastrointestinal function, 2. difficulty in swallowing, 3. possibility that the caregiver can manage the gastrostomy. When we performed an endoscopic percutaneous gastrostomy as a route of parenteral alimentation for 8 home care patients, we obtained the several advantages mentioned below. 1. Swallowing pneumonia was prevented. 2. Adequate amount of alimental liquid could be infused. 3. Patient could take a bath or shower with the gastrostomy, and good QOL was realized. 4. The home care patient with the gastrostomy could have a satisfactorily long life.
Ueda
T
T
Nishimuko Hospital.
Hida
S
S
Higasa
K
K
Shinomiya
S
S
Matsumoto
T
T
Fukuoka
K
K
Yamanaka
E
E
Ozaki
S
S
Takayama
E
E
D000368:Aged; D000369:Aged, 80 and over; D016099:Endoscopy, Gastrointestinal; D005774:Gastrostomy / Q000379:methods*; D018575:Home Care Services, Hospital-Based; D006801:Humans; D008875:Middle Aged; D010289:Parenteral Nutrition, Total