Öz
Giriş
ve Amaç: Perkütan endoskopik gastrostomi uygulaması uzun
yıllardır enteral nutrisyon için kullanılan bir yöntemdir. Perkütan endoskopik
gastrostomi kateteri kendiliğinden çıktığı veya hasta tarafından çıkarıldığı
durumlarda aynı yol üzerinden uygulanan Foley kateter ile de enteral
nutrisyonun devamı sağlanabilmektedir. Biz de perkütan endoskopik gastrostomi kateteri
yerine Foley kateter kullanımını retrospektif olarak değerlendirmeyi hedefledik.
Gereç ve Yöntem: 2016-2019 yılları
arası İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Gastroenteroloji
endoskopi ünitesinde perkütan endoskopik gastrostomi kateteri takılmış ve
sonrasında perkütan endoskopik gastrostomi kateteri istenmeden çıktığında Foley
kateter takılan hastalar gelişen komplikasyonlar ve Foley kateterin kullanım
süresi açısından retrospektif olarak değerlendirildi. Bulgular: Çalışmaya verilerine ulaşılabilen 17 hasta dahil edildi.
8 hastada Foley kateterde tıkanma, balonun sönmesi, migrasyona bağlı ileus ve ülser
kanaması komplikasyonları gelişti. Komplikasyon gelişmeyen 9/17 hasta grubunda Foley
kateter ile takip süresi medyan 6 hafta (1-74 hafta) olarak saptandı. Sonuç: Perkütan endoskopik gastrostomi kateteri
yerine Foley kateter kullanımı özellikle yaşam beklentisi çok kısa, endoskopik işlem riski yüksek olan hastalarda
uygulanabilecek daha az invaziv, pratik ve ekonomik bir yöntemdir. Ancak
hastalar komplikasyonlar açısından yakından takip
edilmelidir.
Anahtar Kelimeler
Kaynakça
- 1-Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980;15:872-5.
- 2- Gauderer MW. Percutaneous endoscopic gastrostomy-20 years later: a historical perspective. J Pediatr Surg 2001;36:217-9.
- 3-Rahnemai-Azar AA, Rahnemaiazar AA Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol 2014;20:7739-51.
- 4- Kadakia SC, Cassaday M, Shaffer RT. Prospective evaluation of Foley catheter as a replacement gastrostomy tube. Am J Gastroenterol 1992;87:1594-7.
- 5- Kadakia SC, Cassaday M, Shaffer RT. Comparison of Foley catheter as a replacement gastrostomy tube with commercial replacement gastrostomy tube: a prospective randomized trial. Gastrointest Endosc 1994;40:188-93.
- 6-Metussin A, Sia R, Bakar S, Chong VH. Foley catheters as temporary gastrostomy tubes: Experience of a nurse-led service. Gastroenterol Nurs 2016;39:273-7.
- 7- Cassaday M1, Kadakia SC, Yamamoto K, Parker A. Foley feeding catheter migration into the small bowel. J Clin Gastroenterol 1992;15:242-4
- 8- Shah AM, Shah N, DePasquale JR. Replacement gastrostomy tube causing acute pancreatitis: Case series with review of literature. JOP. J Pancreas (Online) 2012;13:54-7.
Öz
Background
and Aims: Percutaneous enteral gastrostomy has long been the
preferred method for providing enteral
nutrition. In cases where the percutaneous enteral
gastrostomy catheter is removed spontaneously or by
the patient, continuity of enteral nutrition can be maintained via the
same route using a Foley catheter. We aimed to
retrospectively evaluate patient outcomes following the use of a Foley catheter
instead of a percutaneous enteral gastrostomy catheter.
Material and Methods: Patients
who underwent percutaneous enteral gastrostomy catheter insertion at the
gastroenterology endoscopy unit of İstanbul Kanuni Sultan Suleyman Training and
Research Hospital between 2016 and 2019, and patients
who had a Foley catheter inserted after the percutaneous enteral gastrostomy
catheter was inadvertently removed were included in
this study. Patients were retrospectively evaluated for the complications and
duration of the use of the Foley catheter. Results: A total of 17 patients,
whose data could be retrieved, were included in the
study. In eight patients, complications including occlusion of Foley
catheter, deflation of catheter balloon, ileus due to migration, and ulcer
bleeding were reported. In patients without complications (9/17) the median
follow up period with a Foley catheter was 6 weeks (range 1–74 weeks). Conclusion: Use of a Foley instead of percutaneous
enteral gastrostomy catheter is a less invasive, practical, and economical
method, especially for
patients with low life expectancy and high endoscopic procedure risks. However,
patients should be followed up closely for complications.
Anahtar Kelimeler
Kaynakça
- 1-Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980;15:872-5.
- 2- Gauderer MW. Percutaneous endoscopic gastrostomy-20 years later: a historical perspective. J Pediatr Surg 2001;36:217-9.
- 3-Rahnemai-Azar AA, Rahnemaiazar AA Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol 2014;20:7739-51.
- 4- Kadakia SC, Cassaday M, Shaffer RT. Prospective evaluation of Foley catheter as a replacement gastrostomy tube. Am J Gastroenterol 1992;87:1594-7.
- 5- Kadakia SC, Cassaday M, Shaffer RT. Comparison of Foley catheter as a replacement gastrostomy tube with commercial replacement gastrostomy tube: a prospective randomized trial. Gastrointest Endosc 1994;40:188-93.
- 6-Metussin A, Sia R, Bakar S, Chong VH. Foley catheters as temporary gastrostomy tubes: Experience of a nurse-led service. Gastroenterol Nurs 2016;39:273-7.
- 7- Cassaday M1, Kadakia SC, Yamamoto K, Parker A. Foley feeding catheter migration into the small bowel. J Clin Gastroenterol 1992;15:242-4
- 8- Shah AM, Shah N, DePasquale JR. Replacement gastrostomy tube causing acute pancreatitis: Case series with review of literature. JOP. J Pancreas (Online) 2012;13:54-7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Nisan 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 27 Sayı: 1 |