Publication
Traqueoesophageal fistula patients fed through percutaneous endoscopic gastrostomy/gastrojejunostomy: nutritional status and clinical outcome
| dc.contributor.author | Santos, Carla Adriana | |
| dc.contributor.author | Pereira, Marta | |
| dc.contributor.author | Martins, Vera Santos | |
| dc.contributor.author | Fonseca, Jorge | |
| dc.date.accessioned | 2017-08-03T15:44:30Z | |
| dc.date.available | 2017-08-03T15:44:30Z | |
| dc.date.issued | 2015-08 | |
| dc.description.abstract | "BACKGROUND: tracheoesophageal fistula (TEF) may result from cancer or mechanical ventilation. Endoscopic Gastrostomy or Gastrojejunostomy (PEG/PEG-J) is used for nutritional support. OBJECTIVE: in TEF-patients, evaluating nutritional status when PEG is performed, safety of PEG/PEG-J and clinical outcome. METHODS: from the files of PEG/PEG-J feed TEF-patients we collected: clinical data, Body Mass Index, albumin, transferrin and cholesterol when gastrostomy was performed, and clinical outcome globally and according with the TEF cause: Group 1: complication of mechanical ventilation, Group 2: cancer. RESULTS: twelve patients, 18-91 years (median: 53), 11 PEG, one PEG-J: six complications of ventilation (neurological diseases), 6 cancers. Mean period from TEF diagnosis until gastrostomy: 2 months in Group 1, 10 months in Group 2. In the day of the gastrostomy, patients presented with malnutrition parameters, most strikingly in the cancer group. Group 1: died a single patient, 3 closed the TEF, resuming oral intake, 2 are still PEG-feed. All cancer patients died (7 months after gastrostomy). One needed a jejunal extension to create a PEG-J. No more complications. CONCLUSION: PEG/PEG-J was safe in TEF-patients, but cancer patients underwent gastrostomy too late. In TEF-patients, PEG/PEG-J should be considered in a regular basis, earlier in the disease evolution, before established malnutrition." | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Nutr Hosp. 2015;32(2):691-695 | pt_PT |
| dc.identifier.doi | 10.3305/nh.2015.32.2.9078 | pt_PT |
| dc.identifier.issn | 1699-5198 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/18744 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Aula Médica Ediciones | pt_PT |
| dc.relation.publisherversion | http://www.aulamedica.es/nh/pdf/9078.pdf | pt_PT |
| dc.subject | Tracheoesophageal fistula | pt_PT |
| dc.subject | Nutrition | pt_PT |
| dc.subject | Gastrostomy | pt_PT |
| dc.subject | Gastrojejunostomy | pt_PT |
| dc.subject | PEG | pt_PT |
| dc.title | Traqueoesophageal fistula patients fed through percutaneous endoscopic gastrostomy/gastrojejunostomy: nutritional status and clinical outcome | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 695 | pt_PT |
| oaire.citation.startPage | 691 | pt_PT |
| oaire.citation.title | Nutricion Hospitalaria | pt_PT |
| oaire.citation.volume | 32(2) | pt_PT |
| rcaap.embargofct | Política de copyright da editora | pt_PT |
| rcaap.rights | restrictedAccess | pt_PT |
| rcaap.type | article | pt_PT |