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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

  • Czech description

Classification

  • Type

    J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

  • CEP classification

    FP - Other medical fields

  • OECD FORD branch

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

  • 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