PMID: 11900947Mar 20, 2002Paper

The use of a PEG tube in a burn centre

Burns : Journal of the International Society for Burn Injuries
B E KreisR W Kreis

Abstract

Patients with extensive burn injuries frequently require supplemental tube feeds in order to maintain caloric balance. Conventionally, nutrition is supplied via a naso-gastric tube (NGT). However, NGTs cause discomfort and numerous complications have been described, particularly following prolonged use. An alternative route to the gastro-intestinal tract comprises the percutaneous endoscopic gastrostomy (PEG) tube. This study describes by means of a retrospective analysis our experiences with the PEG tube in comparison with the NGT in a burn centre. Twelve burn patients, including two children and two patients with toxic epidermal necrolysis (TEN), were treated with a PEG tube. We could find no contra-indications to the placement of PEG tubes in this group. Placement of the tube through partial or full-thickness burn wounds did not give rise to complications. In a comparable group of 12 consecutive patients who were fed using a NGT, the NGT did give substantial discomfort to the patients and caused complications, especially in the patients with TEN. The complications that occurred during the use of a PEG tube were mainly caused by the small diameter, single-lumen design. Our experience suggests that the PEG tube is preferable t...Continue Reading

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Citations

Feb 22, 2003·Journal of the American College of Surgeons·Jeffrey R Saffle
Apr 8, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sunali GoyalRobert L Sheridan
Jun 26, 2007·Annals of Plastic Surgery·Vijay SinghStephen M Milner
Aug 10, 2005·The British Journal of Dermatology·T A ChaveP E Hutchinson
Jul 14, 2005·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·E M Windle
Jul 19, 2005·Clinics in Dermatology·Elisa PianigianiAndrea Andreassi
Sep 22, 2009·Burns : Journal of the International Society for Burn Injuries·Mario LissiaCorrado Rubino

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