Laparoscopic gastrostomy in critical polytrauma patients
Introduction: In critical ill patients, a hypermetabolic state develops in response to the aggression received, which leads to a rapid process of malnutrition, and has been associated with increased morbidity and mortality. The preferred enteral feeding way is through an endoscopic gastrostomy, an a...
| Autores principales: | , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/29131 |
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I10-R327-article-29131 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
gastrostomy laparoscopy endoscopy gastrostomía laparoscopía endoscopía gastrostomia laparoscopia endoscopia |
| spellingShingle |
gastrostomy laparoscopy endoscopy gastrostomía laparoscopía endoscopía gastrostomia laparoscopia endoscopia Grote, Maximiliano Guillermo Vélez , Sebastián Eduardo Rodriguez Blanco, Dario Conde, Eugenio Pedro Sbaffo, Javier Ricardo Laparoscopic gastrostomy in critical polytrauma patients |
| topic_facet |
gastrostomy laparoscopy endoscopy gastrostomía laparoscopía endoscopía gastrostomia laparoscopia endoscopia |
| author |
Grote, Maximiliano Guillermo Vélez , Sebastián Eduardo Rodriguez Blanco, Dario Conde, Eugenio Pedro Sbaffo, Javier Ricardo |
| author_facet |
Grote, Maximiliano Guillermo Vélez , Sebastián Eduardo Rodriguez Blanco, Dario Conde, Eugenio Pedro Sbaffo, Javier Ricardo |
| author_sort |
Grote, Maximiliano Guillermo |
| title |
Laparoscopic gastrostomy in critical polytrauma patients |
| title_short |
Laparoscopic gastrostomy in critical polytrauma patients |
| title_full |
Laparoscopic gastrostomy in critical polytrauma patients |
| title_fullStr |
Laparoscopic gastrostomy in critical polytrauma patients |
| title_full_unstemmed |
Laparoscopic gastrostomy in critical polytrauma patients |
| title_sort |
laparoscopic gastrostomy in critical polytrauma patients |
| description |
Introduction: In critical ill patients, a hypermetabolic state develops in response to the aggression received, which leads to a rapid process of malnutrition, and has been associated with increased morbidity and mortality. The preferred enteral feeding way is through an endoscopic gastrostomy, an alternative procedure is the laparoscopic approach.
Methods: data was collected Between January 2016 and March 2019, of patients admitted to the Intensive Care Unit of the Hospital de Urgencias de Córdoba. Patients had an indication of enteral nutrition, and underwent laparoscopic feeding gastrostomy. Demographic data, as well as preoperative assessment according to the American Society of Anesthesiologists (ASA) classification, operative and postoperative complications, beginning and feasibility of feeding were recorded.
Results: 12 patients full fill the inclusion criteria. Age average was 39 years. The total average surgical time was 39 minutes, not recording perioperative complications regarding the procedure. All the patients were fed after 24 hours.
Conclusion: In our institution, the indication of percutaneous endoscopic gastrostomy is the elected choice; laparoscopic gastrostomy is a low-complexity technique, which can be done immediately after the indication in selected patients. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/29131 |
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I10-R327-article-291312021-07-07T13:29:31Z Laparoscopic gastrostomy in critical polytrauma patients Gastrostomía laparoscópica en pacientes politraumatizados críticos Gastrostomia laparoscópica em pacientes críticos com politrauma Grote, Maximiliano Guillermo Vélez , Sebastián Eduardo Rodriguez Blanco, Dario Conde, Eugenio Pedro Sbaffo, Javier Ricardo gastrostomy laparoscopy endoscopy gastrostomía laparoscopía endoscopía gastrostomia laparoscopia endoscopia Introduction: In critical ill patients, a hypermetabolic state develops in response to the aggression received, which leads to a rapid process of malnutrition, and has been associated with increased morbidity and mortality. The preferred enteral feeding way is through an endoscopic gastrostomy, an alternative procedure is the laparoscopic approach. Methods: data was collected Between January 2016 and March 2019, of patients admitted to the Intensive Care Unit of the Hospital de Urgencias de Córdoba. Patients had an indication of enteral nutrition, and underwent laparoscopic feeding gastrostomy. Demographic data, as well as preoperative assessment according to the American Society of Anesthesiologists (ASA) classification, operative and postoperative complications, beginning and feasibility of feeding were recorded. Results: 12 patients full fill the inclusion criteria. Age average was 39 years. The total average surgical time was 39 minutes, not recording perioperative complications regarding the procedure. All the patients were fed after 24 hours. Conclusion: In our institution, the indication of percutaneous endoscopic gastrostomy is the elected choice; laparoscopic gastrostomy is a low-complexity technique, which can be done immediately after the indication in selected patients. Introducción: En los pacientes críticos se instala un estado hipermetabólico como respuesta a la agresión recibida, lo que conduce a un rápido proceso de desnutrición, el cual se ha asociado a mayor morbilidad y mortalidad. La vía de alimentación enteral de elección es a través de una gastrostomía endoscópica, y una alternativa es la vía laparoscópica. Métodos: Entre enero de 2016 y marzo de 2019, se colectaron los datos de los pacientes internados en la Unidad de Terapia Intensiva del Hospital de Urgencias de Córdoba con indicación de nutrición enteral y sometidos a gastrostomía laparoscópica de alimentación. Se obtuvieron datos demográficos, valoración preoperatoria según la clasificación de American Society of Anesthesiologists (ASA), complicaciones trans y postoperatorias, comienzo y factibilidad de la alimentación. Resultados: Cumplieron los criterios de inclusión 12 pacientes, edad promedio de 39 años. El tiempo quirúrgico promedio total fue de 39 minutos, no registrando complicaciones perioperatorias Todos pudieron ser alimentados a partir de las 24 hs. Conclusión: En nuestro Hospital la gastrostomía endoscópica percutánea es de elección, utilizando la gastrostomía laparoscópica en casos seleccionados. Es una técnica de escasa complejidad y al alcance del cirujano, pudiendo ser programada en forma inmediata a la indicación. Introdução: Em pacientes críticos, um estado hipermetabólico é estabelecido em resposta à agressão recebida, o que leva a um rápido processo de desnutrição, o qual tem sido associado ao aumento da morbimortalidade. A via de alimentação enteral de escolha é através de uma gastrostomia endoscópica, e uma alternativa é a via laparoscópica. Métodos: entre janeiro de 2016 e março de 2019, foram coletados os dados dos pacientes internados na Unidade de Terapia Intensiva do Hospital de Emergência de Córdoba com indicação de nutrição enteral e submetidos à gastrostomia por alimentação laparoscópica. Foram obtidos dados demográficos, avaliação pré-operatória de acordo com a classificação da Sociedade Americana de Anestesiologistas (ASA), complicações trans e pós-operatórias, início e viabilidade da alimentação. Resultados: 12 pacientes preencheram os critérios de inclusão, idade média de 39 anos. O tempo cirúrgico médio total foi de 39 minutos, não registrando complicações perioperatórias com relação ao procedimento. Tudo poderia ser alimentado após 24 horas. Conclusão: em nosso hospital a indicação a escolha e lá gastrostomia endoscópica é a gastrostomia laparoscópica é uma técnica de complexidade baixa e disponível ao cirurgião, podendo ser programada imediatamente para a indicação. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-24 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/29131 10.31053/1853.0605.v78.n1.29131 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 1 (2021); 45-47 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 1 (2021); 45-47 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 1 (2021); 45-47 1853-0605 0014-6722 10.31053/1853.0605.v78.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/29131/33298 https://revistas.unc.edu.ar/index.php/med/article/view/29131/33278 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |