A Newly Developed Mask Facilitates Management during Percutaneous Endoscopic Gastrostomy Introduction in Patients with Respiratory Compromise

Since its introduction a few decades ago, the percutaneous endoscopic gastrostomy (PEG) has dramatically improved the quality of nutritional support in patients with swallowing dysfunctions. A feeding tube is deemed necessary almost exclusively for ALS patients to sustain adequate nutrition, maintai...

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Bibliographic Details
Published in:The American surgeon 2016-11, Vol.82 (11), p.298-300
Main Authors: Amano, Hizuru, Imamura, Kazuhiro, Hatao, Fumihiko, Shimizu, Toshio, Tobisawa, Shinsuke, Hayashi, Kentaro, Matsumoto, Jun, Adachi, Kensuke
Format: Article
Language:English
Subjects:
Adult
Amyotrophic lateral sclerosis
Anesthesia
Endoscopy
Enteral Nutrition - instrumentation
Equipment Design
Female
Gastrostomy - instrumentation
Gastrostomy - methods
Humans
Intubation
Male
Masks
Middle Aged
Noninvasive Ventilation
Ostomy
Patients
Positive-Pressure Respiration
Quality of life
Ventilation
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Summary:Since its introduction a few decades ago, the percutaneous endoscopic gastrostomy (PEG) has dramatically improved the quality of nutritional support in patients with swallowing dysfunctions. A feeding tube is deemed necessary almost exclusively for ALS patients to sustain adequate nutrition, maintain quality of life, and administer medications.2 In this respect, PEG is recommended in the early stages of the disease before a tracheostomy becomes necessary.2, 3 However, some patients have to undergo palliative PEG at a more advanced stage when they are usually managed using noninvasive positive pressure ventilation (NPPV).4 Patients at this stage often refuse a tracheostomy or emergent intubation, thus posing a formidable dilemma to physicians wishing to establish a palliative PEG.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481608201103