Percutaneous Endoscopic Gastrostomy (PEG) in the palliative treatment of intestinal occlusions by peritoneal carcinomatosis improves quality of life

2000 ◽  
Vol 32 ◽  
pp. A115
Author(s):  
R. Cannizzaro ◽  
M.A. Annunziata ◽  
M. Fornasarig ◽  
N. Dal Bo ◽  
E. Bidoli ◽  
...  
2020 ◽  
Vol 29 (2) ◽  
pp. 547-549
Author(s):  
Martina Budel ◽  
Luca Martella ◽  
Laura Zambon ◽  
Isabella Morson ◽  
Giorgio Giorda ◽  
...  

AbstractThe Commentary reports on our experience in Centro di Riferimento Oncologico IRCCS Aviano about the integrated and combined treatment with percutaneous endoscopic gastrostomy and lanreotide in patients with bowel obstructions by ovarian cancer and peritoneal carcinomatosis. We treated patients with gynecological cancers and bowel obstruction with percutaneous endoscopic gastrostomy and, when patients were partially responsive, with lanreotide. We registered a constant overall benefit for the quality of life and for the control of symptoms, which is very important especially during the home care follow-up of terminal patients.


2017 ◽  
Vol 27 (2) ◽  
pp. 136-138 ◽  
Author(s):  
Yumiko Aruga ◽  
Ayako Saito ◽  
Yuji Aoki

Some patients with severe dysphagia need to undergo percutaneous endoscopic gastrostomy (gastrostomy feeding), which improves nutrition but leads them to feel they are not living like human beings. The KT (Kuchi-kara Taberu, or ingesting orally in Japanese) index was developed in order to comprehensively assess and intervene in problems with eating and swallowing. We present three cases where the KT index improved quality of life after gastrostomy feeding. Through continued nursing care using the KT index, the patient in Case 1 was able to eat orally again; the patient in Case 2 could eat a piece of jelly and communicate a little; and the patient in Case 3 was able to ingest a small amount of food orally, with support from her husband. Thus, the feeding support provided by the KT index radar chart improves quality of life, even after the implementation of gastrostomy feeding. Further studies are needed to investigate how the KT index best helps elderly patients with severe dysphagia live like human beings while taking into account the perspectives of patients and their family members.


2019 ◽  
Vol 178 (3) ◽  
pp. 64-68
Author(s):  
K. V. Golubev ◽  
E. E. Topuzov ◽  
V. V. Oleynik ◽  
S. V. Gorchakov

Neurogenic oropharyngeal dysphagia (NOD) was a frequent complication after a stroke, determining the further prognosis and quality of life, causing a number of serious complications. Patients with severe NOD was recommended enteral feeding through the nasogastric tube (NGT) with the subsequent formation of a percutaneous endoscopic gastrostomy (PEG). Prolonged use of NGT had its own complications – sinusitis, gastroesophageal reflux, aspiration pneumonia, etc., and therefore it should be limited in time. In various recommendations, the length of terms before the formation of the PEG remained controversial. The analysis of modern tactics of PEG in patients after severely developed NOD was performed on the basis of literature data.


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