Transcutaneous endoscopic gastrostomy: indications, technique, complications and results


  • T. V. Bukharin Medical Centre «Universal Clinic «Оberig», Kyiv, https://orcid.org/0000-0001-9194-6093
  • V. A. Yakovenko Medical Centre «Universal Clinic «Оberig», Kyiv, Scientific-Practical Centre of prophylactic and Clinical Medicine of the State Affairs Management, Kyiv, Bogomolets National Medical University, Kyiv http://orcid.org/0000-0002-2419-6971
  • Yu. V. Flomin Medical Centre «Universal Clinic «Оberig», Kyiv, https://orcid.org/0000-0002-7123-3659
  • N. A. Mеndel Medical Centre «Universal Clinic «Оberig», Kyiv, Shupyk National Medical Academy of Postgraduate Education, Kyiv https://orcid.org/0000-0001-9507-7817
Keywords: transcutaneous endoscopic gastrostomy; indications; contraindications; morbidity; technique of performance; treatment of patients

Abstract

Objective. To analyze the literature data, summarized together with own experience of the transcutaneous endoscopic gastrostomy (TEG) performance.

Маterials and methods. TEG was conducted in 2011 - 2018 yrs to 105 patients in the «Оberig» Clinic. The results, indications, the procedure conduction technique, peculiarities of the patients’ treatment, and complications were analyzed.

Results. The TEG conduction was technically successful in all observations. In total 5 (4.8%) complications (95% доверительный интервал (ДИ) 1.6 – 10.8) were noted: insufficiency of the gastrostoma sutures with complication by peritonitis (1), pneumoperitoneum (1), bleeding from abdominal wall (1), infiltrate of the anterior abdominal wall soft tissues (1), a gastrostomy bumper migration into gastric wall (1). A 30-days lethality was absent.

Conclusion. TEG is a secure, feasible miniinvasive procedure, which is indicated in patients, who need durable enteral feeding or prolonged gastric decompression. Strict following of all technical stages of the gastrostomy operation performance, as well as the indications and contraindications rules, a correct postoperative care for stoma are mandatory.

References

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Author Biographies


T. V. Bukharin, Medical Centre «Universal Clinic «Оberig», Kyiv,

Tymofii V. Bukharin - endoscopist surgeon

Department of Endoscopy and Minimally Invasive Surgery

Medical Center "Oberig"

03057, Ukraine, Kyiv, Zoologichna Street, 3, corpus «B»,

+38(050)-287-75-99

t.bukharin@oberig.ua; timofeybukharin1977@gmail.com

https://orcid.org/0000-0001-9194-6093


V. A. Yakovenko, Medical Centre «Universal Clinic «Оberig», Kyiv, Scientific-Practical Centre of prophylactic and Clinical Medicine of the State Affairs Management, Kyiv, Bogomolets National Medical University, Kyiv

Vladyslav O. Yakovenko – MD, PhD,

Head Department of Endoscopy and Minimally Invasive Surgery

Medical Center "Oberig"

03057, Ukraine, Kyiv, Zoologichna Str, 3, corpus «B»,

 +38(050)-381-81-30

yvladislav@ukr.net

http://orcid.org/0000-0002-2419-6971


Yu. V. Flomin, Medical Centre «Universal Clinic «Оberig», Kyiv,

Yuriy V. Flomin – MD, PhD, Stroke and Neurorehabilitation Unit

Medical Center "Oberig".

03057, Ukraine, Kyiv, Zoologichna Street, 3, corpus «B»,

+38(050)300-21-09.

Y.flomin@oberig.ua, flomin.yuriy@gmail.com

https://orcid.org/0000-0002-7123-3659


N. A. Mеndel, Medical Centre «Universal Clinic «Оberig», Kyiv, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Mykola A. Mendel – MD, PhD, Associate Professor

Department of General and Emergency Surgery

Shupyk National Medical Academy of Postgraduate Education,

Head of the Department of General and Abdominal Surgery

Medical Center "Oberig".

03057, Ukraine, Kyiv, Zoologichna Street, 3, corpus «B», 

+38(050)469-62-21

 nickmendel1@gmail.com  O

http://orcid.org/0000-0001-9507-7817

Published
2018-08-30
How to Cite
Bukharin, T. V., Yakovenko, V. A., Flomin, Y. V., & MеndelN. A. (2018). Transcutaneous endoscopic gastrostomy: indications, technique, complications and results. Klinicheskaia Khirurgiia, 85(8), 21-25. https://doi.org/10.26779/2522-1396.2018.08.21
Section
General Problems of Surgery