The 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)
https://doi.org/10.24884/0042-4625-2019-178-3-64-68
Abstract
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.
About the Authors
K. V. Golubev
St. Petersburg State Budgetary Healthcare Institution "City Multi-Profile Hospital No. 2"
Russian Federation
Competing Interests:
Russian Federation
Duty surgeon, department of general surgery.
Attaching to the department for writing a thesis for the degree of сandidate of Medical Sciences
5 Uchebnii street, St. Petersburg, Russia, 194354
Competing Interests:
Authors declare no conflict of interest.
E. E. Topuzov
Federal State Budgetary Educational Institution of Higher Education "North-Western State Medical University named after I. I. Mechnikov" of the Ministry of Health of the Russian Federation
Russian Federation
Competing Interests: Authors declare no conflict of interest.
Russian Federation
Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery. V.A. Oppelya
Competing Interests: Authors declare no conflict of interest.
V. V. Oleynik
St. Petersburg State Budgetary Institution of Healthcare "City Multi-Profile Hospital No. 2"
Russian Federation
Competing Interests: Authors declare no conflict of interest.
Russian Federation
Doctor of Medical Sciences, Professor, Head of the Department of General Surgery
5 Uchebnii street, St. Petersburg, Russia, 194354
Competing Interests: Authors declare no conflict of interest.
S. V. Gorchakov
St. Petersburg State Budgetary Healthcare Institution "City Multi-Profile Hospital No. 2"
Russian Federation
Competing Interests: Authors declare no conflict of interest.
Russian Federation
Candidate of Medical Sciences, surgeon, department of general surgery
5 Uchebnii street, St. Petersburg, Russia, 194354
Competing Interests: Authors declare no conflict of interest.
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Review
For citations:
Golubev K.V., Topuzov E.E., Oleynik V.V., Gorchakov S.V. The 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). Grekov's Bulletin of Surgery. 2019;178(3):64-68. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-3-64-68
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