Endoscopically assisted puncture gastrostomy in adults and children. Clinic experience
https://doi.org/10.17238/2072-3180-2022-4-31-40
Abstract
Introducion. Oral intake of nutrients is physiological. However, some patients cannot eat per os. In this regard, there is a need to find alternative options for the introduction of nutrition. In the presence of indications for long-term enteral nutrition, gastrostomy is most preferable.
The purpose of this paper is to show the experience of gastrostomy in adults and children in our clinic, as well as the relative simplicity and advantages of using endoscopically assisted gastrostomy with an assessment of the indications and possible complications.
Materials and methods of research. From July 2019 to October 2022, 50 endoscopically assisted puncture gastrostomies were performed at Ilyinskaya Hospital JSC, five of them in children.
Treatment results. In 97% of patients, gastrostomy tubes in the postoperative period retained their tightness, no obstruction of the canal was observed in 100% of cases. Minor complications were recorded in 8% of cases; large – 6%.
Conclusion. It is necessary to give preference to endoscopically assisted puncture gastrostomy by the Push method using low-profile balloon gastrostomy tubes, which is due to low invasiveness, safety, short duration of intervention and relative ease of its implementation.
About the Authors
M. I. Vyborniy
Ilyinskaya Hospital, JSC
Russian Federation
Russian Federation
Vyborniy Mikhail Igorevich – Candidate of Medical Sciences,
Deputy Chief Physician for Surgery, Head of the Department of
Minimally Invasive Surgery and Endoscopy
143421, 2 build. 2 Rublevskoe predmestie st., vil. Glukhovo, Krasnogorsk district, Moscow region
A. Yu. Pakhomova
Ilyinskaya Hospital, JSC
Russian Federation
Russian Federation
Pakhomova Anastasiya Yurievna – Endoscopist, Department of
Minimally Invasive Surgery and Endoscopy
143421, 2 build. 2 Rublevskoe predmestie st., vil. Glukhovo, Krasnogorsk district, Moscow region
D. V. Kulikov
Ilyinskaya Hospital, JSC
Russian Federation
Russian Federation
Kulikov Denis Valentinovich – Head of the Department of Pediatric Surgery
143421, 2 build. 2 Rublevskoe predmestie st., vil. Glukhovo, Krasnogorsk district, Moscow region
N. F. Shchapov
Ilyinskaya Hospital, JSC
Russian Federation
Russian Federation
Shchapov Nikolay Fedorovich – Candidate of Medical Sciences,
Leading surgeon of the Department of Pediatric Surgery
143421, 2 build. 2 Rublevskoe predmestie st., vil. Glukhovo, Krasnogorsk district, Moscow region
I. S. Sadikov
Ilyinskaya Hospital, JSC
Russian Federation
Russian Federation
Sadikov Igor Sergeevich – Endoscopist, Department of Minimally
Invasive Surgery and Endoscopy
143421, 2 build. 2 Rublevskoe predmestie st., vil. Glukhovo, Krasnogorsk district, Moscow region
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For citations:
Vyborniy M.I., Pakhomova A.Yu., Kulikov D.V., Shchapov N.F., Sadikov I.S. Endoscopically assisted puncture gastrostomy in adults and children. Clinic experience. Moscow Surgical Journal. 2022;(4):31-40. (In Russ.) https://doi.org/10.17238/2072-3180-2022-4-31-40
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