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  Citation Number 1
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İkinci basamak hastanede perkütan endoskopik gastrostomi deneyimlerimiz
2018
Journal:  
Endoskopi Gastrointestinal
Author:  
Abstract:

Giriş ve Amaç: Perkütan endoskopik gastrostomi, herhangi bir nedenle oral yoldan beslenemeyen ve gastrointestinal sistemi sağlam olan hastalarda enteral beslenmenin sağlandığıgüvenli gastrostomi çeşididir. Bu çalışmadaki amacımız 2. basamak hastanemizdeki perkütan endoskopik gastrostomi takılma endikasyonlarını, işlem sonrası erken ve geç dönem komplikasyonlarını ve takipleri ile ilgili verileri sunmaktır. Gereç ve Yöntem: Bitlis Devlet Hastanesi endoskopi ünitesinde Eylül 2016-Ekim 2017 tarihleri arasında perkütan endoskopik gastrostomi tüpü takılan hastalar retrospektif olarak incelendi. Bulgular: Çalışmaya 26 olgu dahil edildi. Olguların yaş ortalaması 64,23 (18-101) idi. Olguların 13'ü erkek ve 13'ü kadın idi. Olguların 11'ine (%42,3) serebrovasküler hastalık, 5'ine (%19,23) demans, 3'üne (%11,53) amyotrofik lateral skleroz, 1'ine (%3,84) nöro-Behçet, 1'ine (%3,84) hidrosefali, 1'ine (%3,84) akromegali, 1'ine (%3,84) elektrik yanığı, 1'ine (%3,84) Erb-Duchanne Musküler distrofisi, 1'ine (%3,84) serebral palsi ve 1'ine (%3,84) epidural kanama nedeniyle perkütan endoskopik gastrostomi yapıldı. Olguların ortalama takip süresi 137,65 (4-388) gündür. 2 (%11,53) olguda erken dönem komplikasyon gözlendi. Bir olguda batın içi serbest hava ve bir olguda da üst gastrointestinal sistem kanaması gözlendi, ek olarak bir hastamızda, uyumsuzluk nedeniyle perkütan endoskopik gastrostomi kanülünü çekerek çıkardığı gözlendi. İşleme bağlı mortalite gözlenmemiştir. 1 aylık mortalite oranımız %3,8 ve 3 aylık mortalite oranımız ise %26,9'dur. Sonuç: Perkütan endoskopik gastrostomi enteral beslenme amacıyla yapılan gastrostominingüvenilir yoludur. 2. basamak hastanelerde de güvenle uygulanabilir.

Keywords:

Our experience of percutaneous endoscopic gastrostomy in the second stage hospital
2018
Author:  
Abstract:

Introduction and Purpose: Percutaneous endoscopic gastrostomy is a safe variety of gastrostomy in which enteral nutrition is provided in patients with no oral nutrition for any reason and with a solid gastrointestinal system. Our purpose in this study is to provide data on the indications of the percutaneous endoscopic gastrostomy in our 2nd stage hospital, the early and late period complications and follow-up. Instruments and Methods: Patients infected with percutaneous endoscopic gastrostomy tube in the endoscopic unit of Bitlis State Hospital between September 2016-October 2017 were examined retrospectively. The results: 26 facts were included. The average age of the cases was 64.23 (18-101) 13 were men and 13 were women. Of the cases 11 (42.3%), cerebrovascular disease, 5 (19,23) dementia, 3 (11,53%) amyotrophic lateral sclerosis, 1 (3.84) neurobehet, 1 (3.84) hydrosphaly, 1 (3.84) acromegaly, 1 (3.84) electric burning, 1 (3.84) Erb-Duchanne Muscle Dystrophy, 1 (3.84) cerebral palsy and 1 (3.84) epidural bleeding were performed by percutaneous endoscopic gastrostomy. The average tracking time of cases is 137.65 (4-388) days. 2 (11.53) cases of early period complications were observed. In one case, there was an in-the-west free air and in one case there was an upper gastrointestinal system bleeding, in addition, in one of our patients, it was observed that the percutaneous endoscopic gastrostomy canals were removed due to incompatibility. Mortality related treatment has not been observed. The one-month mortality rate is 3.8% and the three-month mortality rate is 26.9%. The result: Percutaneous endoscopic gastrostomy is a gastrostomining reliable way made for enteral nutrition. The 2nd stage can also be applied safely in hospitals.

Keywords:

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Endoskopi Gastrointestinal

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 311
Cite : 73
Endoskopi Gastrointestinal