#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Treatment of eating disorders in geriatric patients with PEG in the centre of long-term care in Motol University Hospital


Authors: MUDr. Martina Nováková;  MUDr. Martina Ocelková
Authors‘ workplace: Centrum následné péče FN Motol Praha
Published in: Geriatrie a Gerontologie 2020, 9, č. 1: 34-41
Category: Case Reports

Overview

PEG isthe most preferred mini-
-invasive method for keeping the nutrition in patients whose natural way failed. It is more comfortable for patient than any other ways of tube feeding, for example nasogastrico nasojejunal tube (NGT, NJT). Using NGT is not tolerated so well, because itirritates mucosa, make spressure damages and bleeding ulcers, smaller diameter is logged more frequently. The principle of PEG is an insertion of the gastrosto-
mic tube into stomach. The basic condition of succesful insertion and function of PEG is passable gastrointestinal tract. This article summarize sour experience with geriatric patients with PEG in the Centre of long-term care in Motol University Hospital. Mentioned cases compare useful PEG utilization to question ablecase, where we should prefer the ethical principles and patients comfort in final stages of disease without stressful invasive procedures.

Keywords:

stroke – dementia – dysphagia – percutaneous endoscopic gastrostomy (PEG) – enteralnutrition – oral nutrition – senior citizen – geriatricdeterioration – dyingwith dignity


Sources

1. DeLegge M. Gastrostomytubes: Placement and routine care. [online]. Poslední revize 19. 9. 2018. Dostupné z: https://www.uptodate.com/contents/gastrostomy-tubes-placement-and-routine-care

2. DeLegge M. Gastrostomytubes: Complications and their management. [online]. Poslední revize: 5. 3. 2019. Dostupné z: ttps://www.uptodate.com/contents/gastrostomy-tubes-complications-and-their-management

3. DeLegge M. Gastrostomytubes: Uses, patient selection, and efficacy in adults. [online]. Poslední revize: 27. 8. 2018. Dostupné z: https://www.uptodate.com/contents/gastrostomy-tubes-uses-patient-selection-and-efficacy-in-adults

4. Mitchell S. Care of patients with advance ddementia. [online]. Poslední revize: 22. 11. 2019. Dostupné z: https://www.uptodate.com/contents/care-of-patients-with-advanced-dementia

5. Jatoi    A, Loprinzi    Ch. The role of parenteral and enteral/oral nutritional support in patients with cancer. [online]. Poslední revize: 31. 1. 2019. Dostupné z: https://www.uptodate.com/contents/the-role-of-parenteral-and-enteral-oral-nutritional-support-in-patients-with-cancer

6. Lembo A. Oropharyngealdysphagia: Etiology and pathogenesis. [online]. Poslední revize: 17. 8. 2018. Dostupné z: https://www.uptodate.com/contents/oropharyngeal-dysphagia-etiology-and-pathogenesis

7. Goldsmith T,    Cohen A. Swallowing disorders and aspiration in palliative care: Assessment and strategies for management. [online]. Poslední revize:    9. 10. 2018. Dostupné z: https://www.uptodate.com/contents/swallowing-disorders-and-aspiration-in-palliative-care-assessment-and-strategies-for-management

8. Kroupa R, Kohout P, Cyrany J, et al. Perkutánní endoskopická gastrostomie – doporučený postup České gastroenterologické společnosti ČLS JEP, 2019. [online]. Dostupné z: http://www.csgh.info/cs/clanek/perkutanni-endoskopicka-gastrostomie-doporuceny-postup-ceske-gastroenterologicke-spolecnosti-cls-jep-11030

9. Kordulová P, Hakenová R. Péče o PEG a řešení jejich komplikací. [online pdf]. Dostupné z: https://www.medicinapropraxi.cz/pdfs/med/2017/05/10.pdf

10. Ponsky J. The Developement of PEG: Howitwas. [online]. Poslední revize: 15. 3. 2011. Dostupné z: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136860/

11. Kianička B, Žák J, Bareš M. Využití perkutánní endoskopické gastrostomie – přehled indikací, popis techniky a současné trendy v neurologii. [online]. Dostupné z: https://www.prolekare.cz/casopisy/ceska-slovenska-neurologie/2012-2-7/vyuziti-perkutanni-endoskopicke-gastrostomie-prehled-indikaci-popis-techniky-a-soucasne-trendy-v-neurologii-37557

12. Kohout P, Beneš Z, Antoš Z, et al. Perkutánní endoskopická gastrostomie – zkušenosti Centra pro PEG v letech 2002–2008. [online]. Dostupné z: https://www.prolekare.cz/casopisy/prakticky-lekar/2008-12/perkutanni-endoskopicka-gastrostomie-zkusenosti-centra-pro-peg-v-letech-2002-2008-1979

13. Sahin S, Topinkova E, Wirth R, et al. Use of gastrostomies in usual practice in the Czech Republic, Germany and Turkey. Eur Geriatr Med 2013; 4(2): 122–128.

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#