Tract disruption and external displacement following gastrostomy tube exchange in adults

JPEN. Journal of Parenteral and Enteral Nutrition
John K DiBaiseTisha Lunsford

Abstract

Anecdotal reports, mostly in children, indicate that disruption of the gastrostomy tract may occur during gastrostomy tube exchange and cause serious complications. The aim of our study was to determine the rate of tract disruption occurring in adults requiring long-term enteral nutrition who had an original gastrostomy tube replaced and to evaluate factors contributing to this complication. We retrospectively reviewed the medical records of all patients who underwent replacement of their gastrostomy tube over a 3-year period. Information was collected relating to patient demographics, underlying diagnosis, method of insertion and tube type used for initial gastrostomy tube and subsequent tube replacement, staff involved in tube replacement, patient nutritional status at the time of tube change, and the number of days from initial tube placement to replacement. For comparative purposes, the patients were divided into 2 groups: those with tract disruption and those without tract disruption. A total of 182 tube changes in 108 adults were performed; 55 were initial tube changes. Four (7.3%) tract disruptions occurred, all with skin-level replacement devices and only with the initial replacement of the original gastrostomy tube. Th...Continue Reading

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Citations

Sep 29, 2011·Annals of the Royal College of Surgeons of England·A S Pang
Jan 19, 2013·World Journal of Gastrointestinal Endoscopy·Varut Lohsiriwat
Nov 19, 2013·Gastrointestinal Endoscopy·Daniel E FreedbergRichard M Rosenberg
Feb 7, 2012·The American Journal of Emergency Medicine·Cory D ShowalterNathan Timm
Feb 3, 2012·ANZ Journal of Surgery·Ah San Pang, Jee Ming Low
Nov 7, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Joseph I BoullataUNKNOWN ASPEN Safe Practices for Enteral Nutrition Therapy Task Force, American Society for Parenteral and Enteral Nutrition
Dec 18, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Konstantinos TriantafyllouGeorge D Dimitriadis
Sep 29, 2011·Annals of the Royal College of Surgeons of England·P Holland, D Machin
Nov 10, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Carol McGinnisValerie Reed

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Methods Mentioned

BETA
dissection
sedation

Software Mentioned

SPSS
Statistical Package for the Social Sciences

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