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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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Published in: | The American surgeon 2016-11, Vol.82 (11), p.298-300 |
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container_title | The American surgeon |
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creator | Amano, Hizuru Imamura, Kazuhiro Hatao, Fumihiko Shimizu, Toshio Tobisawa, Shinsuke Hayashi, Kentaro Matsumoto, Jun Adachi, Kensuke |
description | 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. |
doi_str_mv | 10.1177/000313481608201103 |
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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.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481608201103</identifier><identifier>PMID: 28206915</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>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</subject><ispartof>The American surgeon, 2016-11, Vol.82 (11), p.298-300</ispartof><rights>2016 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Nov 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c333t-3a1031b99ad8cba9f21e4551077938764239e64688421ca43a668ad152b30bc83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28206915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amano, Hizuru</creatorcontrib><creatorcontrib>Imamura, Kazuhiro</creatorcontrib><creatorcontrib>Hatao, Fumihiko</creatorcontrib><creatorcontrib>Shimizu, Toshio</creatorcontrib><creatorcontrib>Tobisawa, Shinsuke</creatorcontrib><creatorcontrib>Hayashi, Kentaro</creatorcontrib><creatorcontrib>Matsumoto, Jun</creatorcontrib><creatorcontrib>Adachi, Kensuke</creatorcontrib><title>A Newly Developed Mask Facilitates Management during Percutaneous Endoscopic Gastrostomy Introduction in Patients with Respiratory Compromise</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>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. 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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 |
title | A Newly Developed Mask Facilitates Management during Percutaneous Endoscopic Gastrostomy Introduction in Patients with Respiratory Compromise |
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