| Theme |
Gastrointestinal Complications in Dialysis Patients |
| Title |
Managements and care for percutaneous endoscopic gastrostomy |
| Author |
Hitoshi Shimao |
Department of Gastroenterological Surgery, Kitasato University East Hospital |
| Author |
Yasumi Matsubara |
Department of Nursing, Kitasato University East Hospital |
| [ Summary ] |
In Japan, the number of PEG cases has increased from 1995, and the number of related complications has also risen. Thus, the importance of care for this condition has been recognised. As a principle of PEG care, daily inspection and disinfection of the fistula is necessary in the period soon after an operation for early finding and treatment of complications. In the late stages, washing and cleaning rather than disinfection is adequate. Rising the catheter with vinegar after administration of nutrition is useful to prevent contamination. To treat fistulitis, which are the most frequent complication, giving antibiotics and intravenus alimentation is an effective therapy. Patients with a berried bumper syndrome are treated by removing the catheter. Prevention is the best treatment for this symdrome. Complications from changing catheters sometimes produce serious conditions. Confirming the position of the catheter is necessary. |