| Theme | The Present State of Percutaneous Endoscopic Gastrostomy (PEG) | |
|---|---|---|
| Title | Management of Percutaneous Endoscopic Gastrostomy (PEG) and Late Complications | |
| Publish Date | 2013/09 | |
| Author | Yorihiro Nishiyama | Nishiyama Clinic |
| Author | Akihiko Itou | Kusatsu General Hospital, Shiga Japan |
| Author | Keiko Yamada | Kusatsu General Hospital, Shiga Japan |
| [ Summary ] | Late complications are those which are not common but serious, and others which are not serious but very common and can cause trouble with management of in home or institutional care. Serious complications are as follows : 1) accidental removal of catheters (self catheter removal), 2) buried bumper syndrome, 3) gastric ulcers, and 4) misplacement of catheters. These types of complications, require an emergency contact network. Common complications include the following : 1) complications with skin around the fistula, 2) leakage around the fistula, 3) occlusion of the catheter, 4) vomiting, 5) constipation/diarrhea, and 6)aspirational pneumonia. These conditions require appropriate treatment as they often become chronic. In order to avoid late complications causing decreased quality of life in PEG patients, and to avoid discrepancies between care institutions, we handle these problems by making use of several kinds of equipment, while enlightening others concerning regional cooperation. |
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