Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.26/18744
Título: Traqueoesophageal fistula patients fed through percutaneous endoscopic gastrostomy/gastrojejunostomy: nutritional status and clinical outcome
Autor: Santos, Carla Adriana
Pereira, Marta
Martins, Vera Santos
Fonseca, Jorge
Palavras-chave: Tracheoesophageal fistula
Nutrition
Gastrostomy
Gastrojejunostomy
PEG
Data: Ago-2015
Editora: Aula Médica Ediciones
Citação: Nutr Hosp. 2015;32(2):691-695
Resumo: "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."
Peer review: yes
URI: http://hdl.handle.net/10400.26/18744
DOI: 10.3305/nh.2015.32.2.9078
ISSN: 1699-5198
Versão do Editor: http://www.aulamedica.es/nh/pdf/9078.pdf
Aparece nas colecções:EM - Artigos Científicos

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