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作 者:Anand Rajan Peerapol Wangrattanapranee Jonathan Kessler Trilokesh Dey Kidambi James H Tabibian
机构地区:[1]Department ofGastroenterology,Olive View-UCLA Medical Center,Sylmar,CA 91342,United States [2]Department ofGastroenterology,City of Hope Medical Center,Duarte,CA 91010,United States [3]Department ofMedicine,Keck School of Medicine of USC,Los Angeles,CA 90033,United States [4]Department ofInterventional Radiology,City of Hope Medical Center,Duarte,CA 91010,United States [5]Department ofGastroenterology,UCLA-Olive View Medical Center,Sylmar,CA 91342,United States
出 处:《World Journal of Gastrointestinal Surgery》2022年第4期286-303,共18页世界胃肠外科杂志(英文版)(电子版)
摘 要:Gastrostomy tube placement is a procedure that achieves enteral access for nutrition,decompression,and medication administration.Preprocedural evaluation and selection of patients is necessary to provide optimal benefit and reduce the risk of adverse events(AEs).Appropriate indications,contraindications,ethical considerations,and comorbidities of patients referred for gastrostomy placement should be weighed and balanced.Additionally,endoscopist should consider either a transoral or transabdominal approach is appropriate,and radiologic or surgical gastrostomy tube placement is needed.However,medical history,physical examination,and imaging prior to the procedure should be considered to tailor the appropriate approach and reduce the risk of AEs.
关 键 词:GASTROSTOMY GASTROPEXY ENTEROSTOMY DECOMPRESSION Enteral nutrition ENDOSCOPY
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