? Percutaneous Endoscopic Gastrostomy – Definition and Explanations

Introduction

A percutaneous endoscopic gastrostomy (to shorten GPE) denotes a treatment protocol (A care protocol is a medical document that confirms the good practice of an act…) consists of creation communication (Communication also applies to humans (intrapsychic, interpersonal communication, etc.) through the abdominal wall (a stoma). skin (Skin is an organ made up of several layers of tissue. It, among other things,…) andstomach (Stomach (in ancient Greek στόμαχος)…) surgically or percutaneously (endoscopically or radiologically).

A percutaneous gastrostomy makes it possible to place a prob (A space probe is an unmanned ship sent by humans to take a closer look…) (gastrostomy tube or Foley tube) at the level of the stoma. Connects to the probebelly (Abdomen refers to a part of the human body or the body of an animal.)at the level of the umbilicus or epigastrium and opens into the stomach, jejunum, or intestines.gut (The intestine is part of the digestive system that extends from the exit of the stomach to …) full (Hail is a type of precipitation that occurs especially in thunderstorms…).

History

Previously, laparotomy (surgical opening of the abdominal cavity) was performed using the so-called technique “percutaneous endoscopic” It first developed in children starting in the 1980s.

Contraindications

They are classic: the presence of a coagulation disorder, infection

Directions

A gastrostomy tube is used for the administration of nutritional products andwater (Water is a ubiquitous chemical compound on Earth, essential for everyone…) over a long period of time by the enteral route, i.e. at the level of the stomach or through the intestine (as opposed to the stomach) nutrition (Nutrition (Latin nutrire: to nourish) defines the processes through which an organism undergoes…) in cases parenteral (in a vein)). nutrition (Malnutrition refers to a pathological condition resulting from deficiency or…) or nutrition (Malnutrition is a pathological condition caused by food intake…) hard

Placement of a gastrostomy tube may also be indicated in the context of digestive obstructions to empty the stomach.

It often replaces a nasogastric tubepassed through the esophagus, often poorly tolerated for long periods of time to compensate for a deficiency in a person’s diet.

Gastrostomy is useful in many pathologies, especially in people suffering from cancer and neurological or disease. pneumonia (Pneumopathy is an infection of the lung tissue:) chronic inhalation.

Complications

The main complications are infectious: abscess (An abscess is a local collection of pus after necrosis in a cavity…) infection or infection of the stomach or abdominal wall point (graphic) puncture. Other complications may be related to use or education therapeutic (Therapeutics (from the Greek word therapist, to treat) is a part of medicine that…) of a person with a long-term catheter.

Techniques

Gastrostomy can be performed during surgery, but in most cases it is performed by a gastroenterologist during fiberoscopy, and sometimes by a radiologist. control (The word control can have several meanings. It can be used as a synonym for the words exam, of…) radiological. These last two methods are called percutaneous and are better tolerated, especially for debilitated patients. It can be done under intervention General anesthesia (General anesthesia, or GA, is a medical procedure whose primary purpose is to….)but generally well supported below local anesthesia (Consists of reversal of diffusion of local anesthetic…) for percutaneous methods, which are better tolerated in fragile patients. Before that, antibiotics are given to significantly reduce the risk of infectious complications.

During percutaneous endoscopic gastrostomy, a fiberscope is inserted into the stomach. The latter is inflated by insufflationweather (Air is a mixture of gases that make up the Earth’s atmosphere. It is odorless and…). Source light (Light is a collection of visible electromagnetic waves…)located at the end of the endoscope, directed towards the outer wall, and can then be visualized on the patient’s skin: an incision is made at this level, then anesthesia (The word anesthesia comes from the Greek (αισθησις:…) allows introducing a local, fiberscope-held metal guide. The latter is removed and the guide wire is attached to the gastrostomy catheter. Pulling the guide through the skin allows the catheter to pass into the esophagus, then into the stomach, and then through the skin incision. The bump on the tip prevents it from coming out absolutely (Completion or fully automatic, or anglicism completion or…).