CIRSE Standards of Practice Guidelines on Gastrostomy
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F16%3A10331256" target="_blank" >RIV/00179906:_____/16:10331256 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11150/16:10331256
Result on the web
<a href="http://dx.doi.org/10.1007/s00270-016-1344-z" target="_blank" >http://dx.doi.org/10.1007/s00270-016-1344-z</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00270-016-1344-z" target="_blank" >10.1007/s00270-016-1344-z</a>
Alternative languages
Result language
angličtina
Original language name
CIRSE Standards of Practice Guidelines on Gastrostomy
Original language description
Surgical Gastrostomy has been around since the 19th century but in 1980 the first successful percutaneous endoscopic gastrostomy was reported. A year later the first successful percutaneous gastrostomy was performed using fluoroscopic guidance. The technique for percutaneous insertion and the equipment used has been refined since then and it is now considered the gold standard for gastrostomy insertion. Here we present guidelines for image-guided enteral feeding tubes in adults. We performed a review and analysis of the scientific literature, other national and international guidelines and expert opinion. Studies have shown fluoroscopic techniques have consistently higher success rates with lower rates of major complications than endoscopic techniques. However, the Achilles' heel of many fluoroscopic techniques is the requirement for smaller gastrostomy tube sizes resulting in them being more prone to blockages and thus requiring further intervention. Radiological feeding tube insertion is a safe and effective procedure. Success rates are higher, and complication rates lower than PEG or surgical gastrostomy tube placement and innovative techniques for gastric and jejunal access mean that there are very few cases in which RIG is not possible. The principal weakness of radiologically inserted gastrostomies is the limitiation on tube size which leads to a higher rate of tube blockage. Per-oral image-guided gastrostomies have to an extent addressed this but have not been popularised. Currently many centres still consider endoscopic gastrostomies as the first line unless patients are too unwell to undergo this procedure or previous attempts have failed, in which case radioloically inserted gastrostomies are the technique of choice.
Czech name
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Czech description
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Classification
Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FP - Other medical fields
OECD FORD branch
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Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2016
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
CardioVascular and Interventional Radiology
ISSN
0174-1551
e-ISSN
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Volume of the periodical
39
Issue of the periodical within the volume
7
Country of publishing house
US - UNITED STATES
Number of pages
15
Pages from-to
973-987
UT code for WoS article
000377015100002
EID of the result in the Scopus database
2-s2.0-84968638560