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Percutaneous Endoscopic Gastrostomy and Gastrostomy Tube Complications at a Rural Referral Hospital: Etiology and Outcomes Michelle Murray Dietitian Manning Rural Referral Hospital In fulfillment
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How to fill out percutaneous endoscopic gastrostomy
How to fill out percutaneous endoscopic gastrostomy?
01
Begin by ensuring proper patient positioning. The patient should be placed in a supine position with the head slightly elevated.
02
Administer local anesthesia to the gastrostomy site. This helps to minimize discomfort during the procedure.
03
Make a small incision in the abdominal wall, typically on the left upper quadrant. This is where the gastrostomy tube will be inserted.
04
Insert the endoscope through the incision and guide it into the stomach. This allows visualization of the internal structures for accurate tube placement.
05
Once the stomach is visualized, create a small opening or stoma on the gastric wall using a special instrument.
06
Insert the gastrostomy tube through the stoma and into the stomach. This tube will serve as a pathway for nutrition and medication delivery.
07
Secure the gastrostomy tube in place using a fixation device or sutures. This helps to prevent accidental dislodgement.
08
Connect the external portion of the gastrostomy tube to an appropriate feeding device or syringe for feeding or medication administration.
09
Ensure that the tube is functioning properly by checking for proper insertion, absence of leakage, and adequate drainage.
10
After the procedure, provide appropriate care and education to the patient and caregivers regarding tube maintenance, feeding techniques, and potential complications to watch out for.
Who needs percutaneous endoscopic gastrostomy?
01
Individuals who are unable to eat or drink adequately for an extended period of time due to various conditions such as:
1.1
Severe neurological disorders, such as stroke or amyotrophic lateral sclerosis (ALS), affecting swallowing ability.
1.2
Cancer or other malignancies affecting the gastrointestinal system, making it difficult to intake adequate nutrition orally.
1.3
Structural abnormalities in the esophagus or throat that hinder normal swallowing.
1.4
Severe malnutrition or digestive disorders that require long-term enteral nutrition support.
02
Patients who have failed or are unable to tolerate alternative feeding methods, such as nasogastric or orogastric tubes.
03
Individuals with a prognosis that indicates prolonged need for enteral feeding, where percutaneous endoscopic gastrostomy offers a more convenient and comfortable approach compared to temporary or intermittent feeding methods.
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What is percutaneous endoscopic gastrostomy?
Percutaneous endoscopic gastrostomy (PEG) is a procedure used to place a feeding tube into the stomach through the abdominal wall.
Who is required to file percutaneous endoscopic gastrostomy?
The medical professionals or healthcare providers performing the PEG procedure are required to document and file the necessary information.
How to fill out percutaneous endoscopic gastrostomy?
The PEG procedure must be documented with details including patient information, procedure details, and post-procedure care instructions.
What is the purpose of percutaneous endoscopic gastrostomy?
The purpose of PEG is to provide nutrition and hydration to patients who are unable to eat or drink orally.
What information must be reported on percutaneous endoscopic gastrostomy?
Information such as patient demographics, pre-procedure assessment, procedure details, complications, and post-procedure instructions must be reported.
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