- Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass. [Journal Article]
- AJAm J Case Rep 2019 Jul 10; 20:993-997
- CONCLUSIONS: </strong> Few cases of gallstone ileus following biliointestinal bypass have been described in the literature. We report a new case and also propose few tips and tricks for cholelithiasis and gallstone ileus prevention after biliointestinal bypass.
- Jejunostomy-technique and controversies. [Journal Article]
- JVJ Vis Surg 2019; 5
- Malnutrition is quite common in patients with esophageal cancer, and can be secondary to tumor related dysphagia or treatment side effects. Traditionally, open feeding jejunostomy tube was performed …
Malnutrition is quite common in patients with esophageal cancer, and can be secondary to tumor related dysphagia or treatment side effects. Traditionally, open feeding jejunostomy tube was performed in all patients undergoing surgical treatment of esophageal cancer. With the advent of minimally invasive approaches, placement of the jejunostomy tube can be currently accomplished with either robotic or laparoscopic assistance. Here, we discuss the technical aspects as well as the pros and cons of a minimally invasive jejunostomy feeding tube placement.
- A Practical Management Approach to Gastroparesis. [Review]
- IMIntern Med J 2019 Jul 17
- Gastroparesis is a syndrome characterised by delayed gastric emptying in the absence of mechanical obstruction. Symptoms can include early satiety, abdominal pain, bloating, vomiting, and regurgitati…
Gastroparesis is a syndrome characterised by delayed gastric emptying in the absence of mechanical obstruction. Symptoms can include early satiety, abdominal pain, bloating, vomiting, and regurgitation which cause significant morbidity in addition to nutritional deficits. There is a higher prevalence in diabetics and females, but the incidence in the Australian population has not been well studied. Management of gastroparesis involves investigating and correcting nutritional deficits, optimising glycaemic control, and improving gastrointestinal motility. Symptom control in gastroparesis can be challenging. Nutritional deficits should be addressed initially through dietary modification. Enteral feeding is a second line option when oral intake is insufficient. Home parenteral nutrition is rarely used, and only accessible through specialised clinics in the outpatient setting. Prokinetic medication classes that have been used include dopamine receptor antagonists, motilin receptor agonists, 5-HT4 receptor agonists, and ghrelin receptor agonists. Anti-emetic agents are often used for symptom control. Interventional treatments include gastric electrical stimulation, gastric per-oral endoscopic myotomy, feeding jejunostomy, and gastrostomy/jejunstomy for gastric venting and enteral feeding. In this article we propose a framework to manage gastroparesis in Australia based on current evidence and available therapies. This article is protected by copyright. All rights reserved.
- Management of Cancer-Associated Intestinal Obstruction in the Final Year of Life. [Journal Article]
- JPJ Palliat Care 2019 Jul 16; :825859719861935
- CONCLUSIONS: Management of IO has changed over time with the increased use of stents and gastrostomy tubes and decreased use of surgery.
- Treatment Utilization and Socioeconomic Disparities in the Surgical Management of Gastroparesis. [Journal Article]
- JGJ Gastrointest Surg 2019 Jul 10
- CONCLUSIONS: Marked racial and economic disparities exist in surgical distribution of care for gastroparesis, potentially driven by differences in utilization of care.
- Delayed Diagnosis of Buried Bumper Syndrome When Only the Jejunostomy Extension is Used in a Percutaneous Endoscopic Gastrostomy-jejunostomy Levodopa-carbidopa Intestinal Gel Delivery System. [Case Reports]
- CCureus 2019 Apr 30; 11(4):e4568
- Direct intrajejunal levodopa-carbidopa intestinal gel (LCIG) administered through a percutaneous endoscopic gastrostomy (PEG) with a jejunal extension tube (PEG-J) is an FDA-approved modality for tre…
Direct intrajejunal levodopa-carbidopa intestinal gel (LCIG) administered through a percutaneous endoscopic gastrostomy (PEG) with a jejunal extension tube (PEG-J) is an FDA-approved modality for treatment of patients with advanced Parkinson's disease (PD). Buried bumper syndrome (BBS) is a rare complication associated with PEG tubes inserted for drug administration or enteral feeding. The syndrome is diagnosed endoscopically revealing burial of the internal bumper in the gastric wall, causing numerous serious complications. When only the J extension of a PEG-J is used to deliver medications, and the G tube is not utilized, a delay in the diagnosis of BBS can occur. This is likely as the small caliber J extension tube remains patent and functional. We present the case of an elderly patient with advanced PD on LCIG therapy, who presented with a dislodged J-tube from a PEG-J system. Endoscopy revealed BBS that had likely developed prior to dislodgment of J-extension and despite a conservative approach, the internal bumper needed to be surgically extracted to prevent further complications.
- Increased Needs for Copper in Parenteral Nutrition for Children in the Neonatal Intensive Care Unit With an Ostomy. [Journal Article]
- NCNutr Clin Pract 2019 Jul 03
- CONCLUSIONS: Providing 20 μg/kg/day of Cu in PN to neonates with ostomies is insufficient to prevent Cu deficiency. Further studies are warranted to determine an optimal dosage of parenteral Cu to prevent Cu deficiency.
- A comparative study of risk of pneumonia and mortalities between nasogastric and jejunostomy feeding routes in surgical critically ill patients with perforated peptic ulcer. [Journal Article]
- PlosPLoS One 2019; 14(7):e0219258
- CONCLUSIONS: Our study indicates that there are no differences in mortalities and pneumonia occurrence using nasogastric or feeding jejunostomy in surgical critically ill PPU patients underwent surgery. However, further studies are required.
- What Every Bariatric Surgeon Should Know: How to Relieve Obstruction at the Jejuno-jejunostomy After Roux-en-Y Gastric Bypass. [Journal Article]
- OSObes Surg 2019 Jun 26
- CONCLUSIONS: A high-level of suspicion is required to suspect, diagnose and treat post-RYGB complications. A bariatric on-call rota with appropriately trained personnel is essential.
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- Enteral feeding tubes: an overview of nursing care. [Journal Article]
- BJBr J Nurs 2019 Jun 27; 28(12):748-754
- This article provides a brief overview of the most common types of enteral feeding tubes, their placement and the problems that may be encountered in the care of patients with tubes in situ. It is im…
This article provides a brief overview of the most common types of enteral feeding tubes, their placement and the problems that may be encountered in the care of patients with tubes in situ. It is important that nurses are aware of safety aspects around the insertion and maintenance of feeding tubes, and acquaint themselves with safety guidelines and local policies to ensure that patients do not come to any harm. They must also ensure that they have appropriate training to make certain that they are competent.