Percutaneous endoscopic gastrostomy in neurological rehabilitation: a report of six cases.

Details

Serval ID
serval:BIB_52CEC24FD796
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Percutaneous endoscopic gastrostomy in neurological rehabilitation: a report of six cases.
Journal
Disability and Rehabilitation
Author(s)
Annoni J.M., Vuagnat H., Frischknecht R., Uebelhart D.
ISSN
0963-8288
Publication state
Published
Issued date
1998
Peer-reviewed
Oui
Volume
20
Number
8
Pages
308-314
Language
english
Notes
Case Reports Journal Article --- Old month value: Aug
Abstract
PURPOSE: This study reports the cases of six patients with severe chronic neurological disability and swallowing difficulties due to traumatic brain injury (TBI), anoxia and multiple sclerosis (MS). METHOD: The patients required nutritional supplement through percutaneous endoscopic gastrostomy (PEG). RESULTS: Their clinical follow-up showed a decrease of intercurrent medical complications, especially pressure sores. In addition, an improvement of oropharyngeal function was observed in some patients, also accompanied by slightly better basic psychomotor functions such as vigilance, sustained attention and tone or motor control. However, not every patient did improve with this procedure. The two MS patients benefited most, while the improvement was less homogenous in the three TBI patients. CONCLUSIONS: The advantages of PEG over nasogastric tube on oropharyngeal function can be related to the absence of pharyngeal irritation and its role in overall recovery could be due to an increase in social activities, a control of infections, a better rehabilitation schedule and a long-term effect on brain function due to better nutritional support.
Keywords
Adult, Brain Diseases, Brain Injuries, Deglutition Disorders, Endoscopy, Enteral Nutrition, Female, Gastrostomy, Humans, Hypoxia, Brain, Male, Middle Aged, Multiple Sclerosis, Postoperative Complications
Pubmed
Web of science
Create date
25/01/2008 11:37
Last modification date
20/08/2019 14:08
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