دانلود رایگان مقاله لاتین ریفلاکس معده از سایت الزویر
عنوان فارسی مقاله:
تاثیر جایگزین گاستروستومی اندوسکوپیک از راه پوست برای تغذیه لوله معده در بیماری ریفلاکس معده با ازوفاژیت فرسایشی
عنوان انگلیسی مقاله:
Influence of replacing percutaneous endoscopic gastrostomy for nasogastric tube feeding on gastroesophageal reflux disease with erosive esophagitis
سال انتشار : 2016
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مقدمه انگلیسی مقاله:
1. Introduction
Percutaneous endoscopic gastrostomy (PEG) is increasingly used for long-term enteral nutrition in different chronic disorders. In the United State, the placement of a PEG tube increased from 2.71 to 3.75 placements per 1000 hospitalized patents in 1993 to 2003, respectively [1]. Percutaneous endoscopic gastrostomy is generally regarded as safer than the traditional surgical gastrostomy. However, several complications have been documented such as peristomal wound infection, pneumonia, gastroesophageal reflux disease (GERD), buried bumper syndrome, gastroparesis and bleeding [2e4]. Gastroesophageal reflux disease is defined as “a disease comprising symptoms, end-organ effects and complications related to the reflux of gastric contents into the esophagus, oral cavity, and/or the lung” [5]. Several studies have provided conflicting evidences on the influence of PEG placement on GERD. In the absence of a gold standard method for diagnosing GERD, some investigators have only relied on clinical symptoms [6]. Other investigators have relied on the findings of pH metry [7e11] or scintigraphy [12,13], which cannot confirm the diagnosis of GERD. In addition, the follow-up period of these studies is short, ranging from 3 days to 9 weeks [8e11]. The influence of PEG on GERD remains an incompletely answered question. Endoscopy has excellent specificity for diagnosing GERD, especially when patients have GERD with erosive esophagitis (EE) [5]. In previous studies, patients have not received the same pre- and post-PEG endoscopic assessment for GERD [4,8]. In addition, most studies only evaluate the incidence of gastroesophageal reflux episodes after PEG [10e12]. However, gastroesophageal reflux episodes do not necessarily indicate EE. Distinguishing gastroesophageal reflux episode from EE is particularly important to avoid an over- or underdiagnosis of the disease and its complications. To the best of our knowledge, no study using endoscopy directly compares the occurrence rate and severity of EE in patients before and after converting NGT feeding to PEG. To elucidate the relation between PEG placement and EE, we performed a retrospective study with the data of pre- and post-PEG endoscopy to determine whether PEG placement would influence the occurrence and severity of EE in a long-term follow-up cohort.
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کلمات کلیدی:
Gastroesophageal Reflux (GER) - Stanford Children's Health www.stanfordchildrens.org/en/topic/default?id=gastroesophageal-reflux-ger-90... Gastroesophageal reflux is the return of acidic stomach juices, or food and fluids, .... Nasogastric tube feedings can be given in addition to, or instead of, what a ... Management of Feeding Tube Complications in the Long-Term Care ... www.managedhealthcareconnect.com/article/8614 Sep 5, 2008 - However, feeding tubes are associated with various complications that ... Although acid suppression may help with symptoms of reflux, it does ... Tube feeding - Part 1 - Reflux Infants Support Association Inc www.reflux.org.au/articles/feeding_tips/tube-feeding-part-1/ If your child is a feed refuser, tube feeding is not always the answer. Read our ... (NGT) or by gastric feeding where a small button is surgically placed through the ... Gastroesophageal Reflux After PEG - NEJM Journal Watch www.jwatch.org/jg200703300000003/2007/03/30/gastroesophageal-reflux-after-peg Mar 30, 2007 - Percutaneous endoscopic gastrostomy (PEG) is a nonoperative technique for placing feeding tubes and commonly is performed by ... Tube feeding, Ensure and reflux - ALS/MND Support Group Forums www.alsforums.com › ... › PEG Feeding Tube › PEG Recipes Jul 22, 2005 - 12 posts - 8 authors She is at the stage of switching to Ensure and tube feeding entirely. She has a big problem with acid reflux, especially from the Ensure. Tube feeding/reflux - Digestive Disorders / Gastroenterology - MedHelp www.medhelp.org/posts/Digestive...Gastroenterology/Tube-feeding-reflux/.../885028 patients with tube feeding associated reflux do better with prokinetic agents (agents that accelerate gastric emptying) such as cisapride (Propulsid) or ... Infant GERD, sleep feeding and Feeding tube - Infant - Acid Reflux www.healthcentral.com/acid-reflux/c/question/922658/106588/ Mar 18, 2010 - I have a question about using feeding tubes for babies who will only sleep feed. My baby boy (Varun, 15 weeks old) suffers from acid reflux and ... People also ask Can you aspirate on a feeding tube? What is GERR? How does a PEG tube work? What is Ger in babies? Feedback Searches related to tube feeding on gastroesophageal reflux ng tube causing reflux ng tube reflux ng tube anti reflux valve feeding tube for gerd symptoms of ger in infants most common complication of tube feeding ng tube acid reflux feeding tube in stomach elderly
