Lege Artis Medicinae

[PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN CLINICAL PRACTICE]

TALLER András

JUNE 21, 2006

Lege Artis Medicinae - 2006;16(06)

[PEG (percutaneous endoscopic gastrostomy) has by now become a widely used method, especially to ensure long-term enteral nutrition. In developed countries nearly 1 in 1000 people have a PEG. Although the use of PEG increases year by year in Hungary, it is still performed too rarely or too late. PEG is an invasive but simple endoscopic technique that may be carried out even at the patient's bed. In cases when the routinely used oral route for oesophago-gastro-duodenoscopy is impossible one of the following alternative ways can be chosen: endoscopy via a laryngoscope, through the opened pharynx, through a large pharyngo-oesophageal fistula or transnasally. These allow the bypassing of stenoses and the placement of PEG. There are few absolute contraindications and complications occur rarely. Early treatment and follow-up of dermatitis is important since it may be the first sign of severe complications. PEG tubes may function for many years with proper maintenance. Feeding via PEG tubes is especially effective in head and neck malignancies or injuries and in neurological disorders. In surgery it can be used for the management of surgical complications or for decompression of the stomach and duodenum. PEG-feeding is common in geriatrics and in paediatrics, sometimes with questionable indications. If used with adequate indications, ethical considerations, wise forethought, and a decision made together with the patient and family, PEG may improve lifespan and quality of life, decrease complications and side effects of the therapy and owing to its cosmetic benefits it facilitates re-socialisation.]

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Lege Artis Medicinae

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Lege Artis Medicinae

[FUTURE CARRIER AND FAMILY PLANS OF 5TH-YEAR FEMALE MEDICAL STUDENTS]

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Lege Artis Medicinae

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Lege Artis Medicinae

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