Mesh : Antiparkinson Agents / administration & dosage adverse effects Carbidopa / administration & dosage adverse effects Consensus Drug Administration Routes Drug Combinations Drug Compounding Endoscopy, Gastrointestinal / adverse effects instrumentation Equipment Design Gastrostomy / adverse effects instrumentation Gels Humans Infusion Pumps Jejunum / surgery Levodopa / administration & dosage adverse effects Parkinson Disease / diagnosis drug therapy Treatment Outcome

来  源:   DOI:10.15403/jgld-404

Abstract:
Percutaneous endoscopic gastrostomy with jejunal extension (PEG/J) was first described in 1998 and has become the standard technique for fixing the tube in place for levodopa carbidopa intestinal gel (LCIG) infusion. The Romanian Society of Digestive Endoscopy (RSDE) decided to create a consensus paper to meet the needs in medical training and practice. After reviewing the available published data and existing recommendations, a consensus process was carried out involving the leaders of opinion in this field. The resulting text and recommendations were approved, after reaching expert consensus, and reflects the views of the RSDE for the best practice of PEG/J tube placement. The pull through method (\"pull technique\") is the prevailing PEG-tube placement procedure in Romania. The procedure can be performed with intravenous sedation combined with local anesthesia. Although minor complications are common, serious complications are infrequent, and the tube insertion procedures have a good safety record. Redo procedures are sometimes necessary and clinicians should be aware of these situations.
摘要:
暂无翻译
公众号