Slides - University of Utah - School of Medicine

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Percutaneous Gastrostomy: Indications and Contraindicatons Indications Contraindications •! Altered consciousness •! Oropharyngeal/esophageal CA •! Gastric decompression •! Neurological swallowing dysfunction •! Facial trauma •! Catabolic states –! Burns, HIV, CF •! Absolute –! Coagulation disorders •! Relative –! Poor survival –! Dementia –! Massive ascites –! Severe obesity –! Peritoneal dialysis/ metastases –! Disease <strong>of</strong> gastric/abdominal wall
Initial Placement & Adjunct Procedures •! GI Endoscopic Procedures •! IR Radiographic Procedures •! OR Surgical Procedures –!Adjunct Procedure – Nissen Fundoplication
Page 1 and 2: Enteral Feeeding Update: 2013 John
Page 3 and 4: Enteral Nutrition Nutrition Support
Page 5 and 6: Enteral Nutrition Delivery Systems
Page 7 and 8: Enteral Feeding Tubes •! NET - Na
Page 9 and 10: When •! When unable to use oral r
Page 11 and 12: NET Outcomes: Complications •! Na
Page 13: •! Inadvertent NET removal ~ 40%
Page 17 and 18: PEG Replacement
Page 19 and 20: Buried Bumper Syndrome Too much ten
Page 21 and 22: Neoplastic seeding to skin
Page 23 and 24: Jejunal Feeding: Options •! Nasoj
Page 25 and 26: EN Formula Selection • Initial de
Page 27 and 28: PEG Tube Types b d f h Replacement
Page 29 and 30: Percutaneous Gastrostomy: Outcomes
Page 31 and 32: PEG ethics •! Enteral feeding aim
Page 33 and 34: To PEG or not to PEG

Slides - University of Utah - School of Medicine

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