Everything you need to know about installation and care after surgery

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详细

Modern gastrostomy methods are minimally invasive and provide a quick recovery period while following the recommendations for care.

This article is about the key aspects related to gastrostomy – types of gastrostomies, indications and contraindications for surgery, as well as preoperative preparation and postoperative care.

The main reasons why a gastrostomy may need to be installed are described. Such as swallowing disorders, consciousness, and the need for prolonged probe feeding.

The postoperative care section describes in detail the recommendations for the care of the gastrostoma, including skin treatment, bandaging, prevention of complications and what should be paid attention to in the care of the gastrostoma.

Possible complications are discussed both during surgery and in the postoperative period. The article is for medical professionals and patients who need information about gastrostomy.

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作者简介

Anna Kozlova

Charity Fund "Live now"

编辑信件的主要联系方式.
Email: kozlova.anna.sergeevna.02@mail.ru
ORCID iD: 0009-0006-0996-529X

Academic Nurse, Medical specialist of the Charity Foundation "Live Now", Teacher of ANO "Attention and care", Member of the Association of professional participants in Hospice Care

俄罗斯联邦, Moscow

参考

  1. Vyborny M.I., Pakhomova A.Y., Kulikov D.V. et al. Endoscopically assisted puncture gastrostomy in adults and children. The clinic's experience. Moscow Surgical Journal. 2022; (4): 31–40.
  2. Petrovsky A.N., Popov A.Yu., Baryshev A.G. Percutaneous endoscopically assisted gastrostomy. Surgery. The N. I. Pirogov Magazine. 2019; (8): 69–73.
  3. Liu G., Hrabe J., Sanchez R. Colostomy as a definitive treatment in an ALS patient with acute colonic Pseudo-obstruction refractory to medical management, a case report. BMC Neurol. 2022; 22: 366.
  4. Gastrostoma in palliative pediatrics: 20 questions and answers on the care and treatment of complications / Ed. N.N. Savva. Moscow: Prospekt, 2015.
  5. Clinical recommendations of the Ministry of Health of the Russian Federation. Malnutrition: nutritional support and rehydration therapy in adult patients in need of palliative care. 2017
  6. Ivanov V.Yu., Sazonov D.V., Taimaskina T.M. Panchenkov D.N. Percutaneous endoscopic gastrostomy: possibility, especially effectiveness. Surgery in gastroenterology. 2015; (1, Special Iss.): 60–65.
  7. Zakharova M.N., Avdyunina I.A., Lysogorskaya E.V. et al. Recommendations for palliative care for amyotrophic lateral sclerosis. Neuromuscular diseases. 2014; (4): 4–11.
  8. National Institute for Health and Clinical Excellence. Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition, February 2006. Available from: http://www.nice.org.uk/CG32 [Last accessed 20th February 2013].
  9. Zemlyanoi A.B., Afinogenova A.G., Matveev S.A. the use of antiseptics in the treatment of wounds with a high risk of infection. Bulletin of the National medical and surgical center named after N.I. Pirogov. 2020; 15 (2): 129–137.

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1. JATS XML
2. Fig. 1. Types of gastrostomy tubes (bumper, balloon, low-profile)

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3. Fig. 2. Percutaneous endoscopic gastrostomy (PEG)

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4. Fig. 3. Gastrostomy: planned replacement of a bumper GFT with a balloon GFT

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5. Fig. 4. Direct puncture gastrostomy (DPG)

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6. Fig. 5. Direct puncture gastrostomy (DPG)

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7. Fig. 6. Postoperative dressing: correct on the left, incorrect on the right

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