O uso da gastrostomia percutânea endoscópica
Palabras clave:
acesso gastrointestinal, complicações, indicações e nutrição enteral, suporte nutricionalResumen
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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Derechos de autor 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
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
