Open AccessThe relevance of the early terms of the formation of percutaneous endoscopic gastrostomy after a stroke complicated by severe neurogenic oropharyngeal dysphagia (review of the literature)
Author(s) -
К. В. Голубев,
Э. Э. Топузов,
В. В. Олейник,
С. В. Горчаков
Publication year - 2019
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2019-178-3-64-68
Subject(s) - percutaneous endoscopic gastrostomy , medicine , dysphagia , aspiration pneumonia , gastrostomy , stroke (engine) , surgery , complication , pneumonia , enteral administration , anastomosis , parenteral nutrition , peg ratio , mechanical engineering , finance , engineering , economics
Neurogenic oropharyngeal dysphagia (NOD) was a frequent complication after a stroke, determining the further prognosis and quality of life, causing a number of serious complications. Patients with severe NOD was recommended enteral feeding through the nasogastric tube (NGT) with the subsequent formation of a percutaneous endoscopic gastrostomy (PEG). Prolonged use of NGT had its own complications – sinusitis, gastroesophageal reflux, aspiration pneumonia, etc., and therefore it should be limited in time. In various recommendations, the length of terms before the formation of the PEG remained controversial. The analysis of modern tactics of PEG in patients after severely developed NOD was performed on the basis of literature data.