Primary Button Gastrostomy скачать в хорошем качестве

Primary Button Gastrostomy

One of my earlier gastrostomy videos. These Balt T fasteners are no longer available individually and we now use the Cook Intuit ones as seen in my other video. This video shows my technique for insertion of a primary button gastrostomy in a patient with a head and neck tumour. The technique is simple but the potential for misplacement is high unless the correct procedure is followed. Careful checks of tube position should always be made once the tube is inserted. Cone beam CT can be helpful if in doubt. The procedure was recorded with a GoPro Hero 3 camera. Gastrostomy Information Indications: Prolonged enteral feeding requirement usually due to: Oropharyngeal carcinoma Inoperable/unstentable oesophageal carcinoma Stroke Degenerative neurological conditions such as motor neurone disease. Gastric decompression Contraindications: Absolute: Ascites Peritonitis Small bowel obstruction Disseminated intra-abdmominal malignancy Relative: Bleeding diathesis Previous gastric surgery Active gastric ulceration Pregnancy Patient Preparation: An NG tube should be placed prior to the procedure 200ml dilute barium may be given the night before to highlight the colon Nil by mouth for two hours prior to the procedure Immediate post procedure care: Post sedation observations and observation for haemorrhage Fasting for 6 hours Water via gastrostomy 25mls/hr for 6 hours Increase to 50mls/hr if no pain or other complications Commence feeding regime the following day T fasteners can be cut at 48hrs Dr Phil Haslam, Consultant Interventional Radiologist