O uso da gastrostomia percutânea endoscópica
Palavras-chave:
acesso gastrointestinal, complicações, indicações e nutrição enteral, suporte nutricionalResumo
A gastrostomia percutânea endoscópica foi introduzida na prática clínica como via alternativa de alimentação enteral. É procedimento que não necessita de anestesia ou laparotomia, como a gastrostomia cirúrgica. A gastrostomia percutânea endoscópica tem como objetivos a manutenção do aporte nutricional e a melhoria da qualidade de vida e sobrevida dos pacientes. É indicada quando o paciente necessita de dieta enteral por período superior a um mês. A freqüência de complicações varia de 1,0% a 10,0% e a mortalidade de 0,3% a 1,0%. É propósito deste trabalho abordar aspectos relevantes desse método de alimentação enteral, aprimorar seu manejo, bem como facilitar o manejo pelos pacientes que dele se utilizam. Para isso, vamos comentar as indicações e contra-indicações da gastrostomia percutânea endoscópica, técnica de colocação, material das sondas, antibiótico profilático, início de utilização, custo do procedimento, além de suas complicações, aspectos legais e éticos
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Copyright (c) 2023 Marcos Ferreira MINICUCCI, Giovanni Faria SILVA, Mirna MATSUI, Roberto Minoru Tani INOUE, Leonardo Antônio Mamede ZORNOFF, Luiz Shiguero MATSUBARA, Sergio Alberto Rupp de PAIVA
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