A Case of Gastric Cancer with Peritoneal Dissemination in which the Quality of Life was Improved by Percutaneous Endoscopic Gastrostomy with Jejunal Extension: PEG-J

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.

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The Quality of Life of Advanced Head and Neck Cancer Patients Having Received Percutaneous Endoscopic Gastrostomy for Nutritional Support

The American Journal of Gastroenterology ◽

10.14309/00000434-201010001-01108 ◽

2010 ◽

Vol 105 ◽

pp. S401-S402

Author(s):

Elaine Posluns ◽

Lawrence Cohen ◽

Edith Stokes ◽

Katherine Vandenbussche ◽

Joanna Osborne ◽

...

Keyword(s):

Quality Of Life ◽

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Patients ◽

Percutaneous Endoscopic Gastrostomy ◽

Neck Cancer ◽

Nutritional Support ◽

Advanced Head ◽

Endoscopic Gastrostomy

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The relevance of the early terms of the formation of percutaneous endoscopic gastrostomy after a stroke complicated by severe neurogenic oropharyngeal dysphagia (review of the literature)

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2019-178-3-64-68 ◽

2019 ◽

Vol 178 (3) ◽

pp. 64-68

Author(s):

K. V. Golubev ◽

E. E. Topuzov ◽

V. V. Oleynik ◽

S. V. Gorchakov

Keyword(s):

Quality Of Life ◽

Gastroesophageal Reflux ◽

Percutaneous Endoscopic Gastrostomy ◽

Enteral Feeding ◽

Nasogastric Tube ◽

Oropharyngeal Dysphagia ◽

Review Of The Literature ◽

Subsequent Formation ◽

Endoscopic Gastrostomy

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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