Percutaneous endoscopic gastrostomy for long term enteral nutrition.

K. M. Mohandas, U. R. Dave, Santhi Swaroop Vege, D. C. Desai, V. Dhir, S. A. Pradhan, H. M. Bathena, N. M. Kavarana

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

BACKGROUND. Percutaneous endoscopic gastrostomy for long term enteral nutrition is often indicated in patients with head, neck and oesophageal cancer but despite its growing popularity elsewhere, it is not widely used in India. METHODS. Between March 1990 and July 1991, we performed percutaneous endoscopic gastrostomy in 54 patients. The primary sites of tumour were the hypopharynx (11), oral cavity (7), tongue (7), cricopharynx (7), oesophagus (16) and other sites (6). The indications were difficulty in swallowing following treatment (22), preoperative nutritional support (7) and terminal care (21). In 49 patients, it was performed by the 'pull' technique in the endoscopy room under local anaesthesia and mild sedation. Indigenously prepared tubes and blenderised foods were used. Fifteen patients underwent dilatation of the tumour prior to the gastrostomy. RESULTS. The procedure was successful in 50 (93%) patients. Three failures were caused by obstructing tumours and one by a previous gastric resection. Feeding was started 18 to 24 hours after the procedure in 48 patients. No major complications occurred but minor complications were seen in 11 (22%) patients. Fourteen patients had their gastrostomy tube removed after 2 to 6 months of use while 15 patients undergoing therapy or with persistent dysphagia were on gastrostomy feeds for 1 to 6 months. Of the 21 terminally ill patients, 8 died, 6 were lost to follow up and 7 were on feeds for 1 to 6 months. CONCLUSIONS. Percutaneous endoscopic gastrostomy is a simple, safe and effective method for long term enteral feeding. Indigenous tubes and home made blenderised foods are adequate substitutes for the more expensive commercial kits and enteral formulations.

Original languageEnglish (US)
Pages (from-to)52-55
Number of pages4
JournalThe National medical journal of India
Volume5
Issue number2
StatePublished - Mar 1992
Externally publishedYes

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Gastrostomy
Enteral Nutrition
Food
Terminally Ill
Hypopharynx
Neoplasms
Terminal Care
Nutritional Support
Lost to Follow-Up
Local Anesthesia
Esophageal Neoplasms
Deglutition
Head and Neck Neoplasms
Deglutition Disorders
Tongue
Esophagus
Endoscopy
Small Intestine
Mouth
Dilatation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mohandas, K. M., Dave, U. R., Vege, S. S., Desai, D. C., Dhir, V., Pradhan, S. A., ... Kavarana, N. M. (1992). Percutaneous endoscopic gastrostomy for long term enteral nutrition. The National medical journal of India, 5(2), 52-55.

Percutaneous endoscopic gastrostomy for long term enteral nutrition. / Mohandas, K. M.; Dave, U. R.; Vege, Santhi Swaroop; Desai, D. C.; Dhir, V.; Pradhan, S. A.; Bathena, H. M.; Kavarana, N. M.

In: The National medical journal of India, Vol. 5, No. 2, 03.1992, p. 52-55.

Research output: Contribution to journalArticle

Mohandas, KM, Dave, UR, Vege, SS, Desai, DC, Dhir, V, Pradhan, SA, Bathena, HM & Kavarana, NM 1992, 'Percutaneous endoscopic gastrostomy for long term enteral nutrition.', The National medical journal of India, vol. 5, no. 2, pp. 52-55.
Mohandas KM, Dave UR, Vege SS, Desai DC, Dhir V, Pradhan SA et al. Percutaneous endoscopic gastrostomy for long term enteral nutrition. The National medical journal of India. 1992 Mar;5(2):52-55.
Mohandas, K. M. ; Dave, U. R. ; Vege, Santhi Swaroop ; Desai, D. C. ; Dhir, V. ; Pradhan, S. A. ; Bathena, H. M. ; Kavarana, N. M. / Percutaneous endoscopic gastrostomy for long term enteral nutrition. In: The National medical journal of India. 1992 ; Vol. 5, No. 2. pp. 52-55.
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abstract = "BACKGROUND. Percutaneous endoscopic gastrostomy for long term enteral nutrition is often indicated in patients with head, neck and oesophageal cancer but despite its growing popularity elsewhere, it is not widely used in India. METHODS. Between March 1990 and July 1991, we performed percutaneous endoscopic gastrostomy in 54 patients. The primary sites of tumour were the hypopharynx (11), oral cavity (7), tongue (7), cricopharynx (7), oesophagus (16) and other sites (6). The indications were difficulty in swallowing following treatment (22), preoperative nutritional support (7) and terminal care (21). In 49 patients, it was performed by the 'pull' technique in the endoscopy room under local anaesthesia and mild sedation. Indigenously prepared tubes and blenderised foods were used. Fifteen patients underwent dilatation of the tumour prior to the gastrostomy. RESULTS. The procedure was successful in 50 (93{\%}) patients. Three failures were caused by obstructing tumours and one by a previous gastric resection. Feeding was started 18 to 24 hours after the procedure in 48 patients. No major complications occurred but minor complications were seen in 11 (22{\%}) patients. Fourteen patients had their gastrostomy tube removed after 2 to 6 months of use while 15 patients undergoing therapy or with persistent dysphagia were on gastrostomy feeds for 1 to 6 months. Of the 21 terminally ill patients, 8 died, 6 were lost to follow up and 7 were on feeds for 1 to 6 months. CONCLUSIONS. Percutaneous endoscopic gastrostomy is a simple, safe and effective method for long term enteral feeding. Indigenous tubes and home made blenderised foods are adequate substitutes for the more expensive commercial kits and enteral formulations.",
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AU - Vege, Santhi Swaroop

AU - Desai, D. C.

AU - Dhir, V.

AU - Pradhan, S. A.

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N2 - BACKGROUND. Percutaneous endoscopic gastrostomy for long term enteral nutrition is often indicated in patients with head, neck and oesophageal cancer but despite its growing popularity elsewhere, it is not widely used in India. METHODS. Between March 1990 and July 1991, we performed percutaneous endoscopic gastrostomy in 54 patients. The primary sites of tumour were the hypopharynx (11), oral cavity (7), tongue (7), cricopharynx (7), oesophagus (16) and other sites (6). The indications were difficulty in swallowing following treatment (22), preoperative nutritional support (7) and terminal care (21). In 49 patients, it was performed by the 'pull' technique in the endoscopy room under local anaesthesia and mild sedation. Indigenously prepared tubes and blenderised foods were used. Fifteen patients underwent dilatation of the tumour prior to the gastrostomy. RESULTS. The procedure was successful in 50 (93%) patients. Three failures were caused by obstructing tumours and one by a previous gastric resection. Feeding was started 18 to 24 hours after the procedure in 48 patients. No major complications occurred but minor complications were seen in 11 (22%) patients. Fourteen patients had their gastrostomy tube removed after 2 to 6 months of use while 15 patients undergoing therapy or with persistent dysphagia were on gastrostomy feeds for 1 to 6 months. Of the 21 terminally ill patients, 8 died, 6 were lost to follow up and 7 were on feeds for 1 to 6 months. CONCLUSIONS. Percutaneous endoscopic gastrostomy is a simple, safe and effective method for long term enteral feeding. Indigenous tubes and home made blenderised foods are adequate substitutes for the more expensive commercial kits and enteral formulations.

AB - BACKGROUND. Percutaneous endoscopic gastrostomy for long term enteral nutrition is often indicated in patients with head, neck and oesophageal cancer but despite its growing popularity elsewhere, it is not widely used in India. METHODS. Between March 1990 and July 1991, we performed percutaneous endoscopic gastrostomy in 54 patients. The primary sites of tumour were the hypopharynx (11), oral cavity (7), tongue (7), cricopharynx (7), oesophagus (16) and other sites (6). The indications were difficulty in swallowing following treatment (22), preoperative nutritional support (7) and terminal care (21). In 49 patients, it was performed by the 'pull' technique in the endoscopy room under local anaesthesia and mild sedation. Indigenously prepared tubes and blenderised foods were used. Fifteen patients underwent dilatation of the tumour prior to the gastrostomy. RESULTS. The procedure was successful in 50 (93%) patients. Three failures were caused by obstructing tumours and one by a previous gastric resection. Feeding was started 18 to 24 hours after the procedure in 48 patients. No major complications occurred but minor complications were seen in 11 (22%) patients. Fourteen patients had their gastrostomy tube removed after 2 to 6 months of use while 15 patients undergoing therapy or with persistent dysphagia were on gastrostomy feeds for 1 to 6 months. Of the 21 terminally ill patients, 8 died, 6 were lost to follow up and 7 were on feeds for 1 to 6 months. CONCLUSIONS. Percutaneous endoscopic gastrostomy is a simple, safe and effective method for long term enteral feeding. Indigenous tubes and home made blenderised foods are adequate substitutes for the more expensive commercial kits and enteral formulations.

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