{"id":193,"date":"2020-10-23T13:08:49","date_gmt":"2020-10-23T10:08:49","guid":{"rendered":"https:\/\/www.drkadis.com\/?page_id=193"},"modified":"2021-04-16T19:12:47","modified_gmt":"2021-04-16T16:12:47","slug":"gastrostomy","status":"publish","type":"page","link":"https:\/\/www.drkadis.com\/en\/services\/gastrostomy\/","title":{"rendered":"Gastrostomy"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-78onay-e64825cfd319678b1e096e790ae0c4b8\">\n.avia-section.av-78onay-e64825cfd319678b1e096e790ae0c4b8{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.drkadis.com\/wp-content\/uploads\/2020\/11\/Dr.Kadis-068.jpg);\nbackground-position:50% 0%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-78onay-e64825cfd319678b1e096e790ae0c4b8 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_submenu  avia-builder-el-first  avia-full-stretch 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class='flex_column av-d64s62-a0bcf71766608497923884299e742b8c av_one_full  avia-builder-el-3  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869\">\n#top .av-special-heading.av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869{\npadding-bottom:10px;\nfont-size:38px;\n}\nbody .av-special-heading.av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869 .av-special-heading-tag{\nfont-size:38px;\n}\n.av-special-heading.av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869 .av-subheading{\nfont-size:30px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-kgm3bgt3-92ec5b76b3c4d19441234743fdf86869 av-special-heading-h1 custom-color-heading blockquote modern-quote  avia-builder-el-4  el_before_av_textblock  avia-builder-el-first  av-inherit-size av-linked-heading'><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >What is a gastrostomy and why is it done?<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-jsww0e0h-282931718e1ccb414a765cd104961b90 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Percutaneous gastrostomy is an endoscopic procedure in patients who can not receive food by mouth during which a special feeding tube is placed from the outer abdominal wall to the inside of the stomach. This allows us not only to administer special nutritional solutions through the tube directly into the stomach, but also drugs by bypassing the oral cavity and esophagus.<\/p>\n<p>It\u2019s recommended for people who are unable to feed orally due to difficulty in swallowing (dementia, Parkinson&#8217;s, stroke, tumors in the pharynx or esophagus, etc.).<\/p>\n<p>PEG (Percutaneous Endoscopic Gastrectomy) is the simplest, safest, cheapest and painless gastrostomy placement and it can be for temporary or permanent use.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-kfw1yfac-b6cf7ab5a300a68a1fd7aa520509abd1 av-minimal-toggle  avia-builder-el-6  el_after_av_textblock  avia-builder-el-last  toggle_close_all' >\n<section class='av_toggle_section av-orjtt-9ee7e1aa18265a6438067886c39eaf06'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-1' data-fake-id='#toggle-id-1' class='toggler  av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-1' data-slide-speed=\"200\" data-title=\"Before the procedure\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Before the procedure\" data-aria_expanded=\"Click to collapse: Before the procedure\">Before the procedure<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-1' aria-labelledby='toggle-toggle-id-1' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>It is forbidden to take any food at least 12 hours before the procedure and to drink fluids on the day of the examination.<\/p>\n<p>In order to perform the examination, the patient must stop any anticoagulant treatment (Warfarin, Xarelto, Eliquis, heparin, clopidogrel &#8211; Plavix, etc.) that he\/she receives and replace it with subcutaneous heparin injections. This will always be done in consultation with the treating cardiologist.<\/p>\n<p>Do not forget to mention any allergies to medications.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-ku05d-f8a9dba268b58d77a21117da1545c510'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-2' data-fake-id='#toggle-id-2' class='toggler  av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-2' data-slide-speed=\"200\" data-title=\"During the procedure\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: During the procedure\" data-aria_expanded=\"Click to collapse: During the procedure\">During the procedure<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-2' aria-labelledby='toggle-toggle-id-2' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>The procedure is always preceded by gastroscopy in order to locate the point of delivery of the gastrostomy in the stomach.<\/p>\n<p>The doctor will then make an incision no larger than 2 cm in the anterior wall of the abdomen through which the gastrostomy tube will pass, and it will be attached to the abdominal wall. This tube can now be used to feed the patient but also to administer medication.<\/p>\n<p>The procedure lasts 20-45 minutes.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-f2t1l-bfd9fe80adfdfd94da7394f1e3649625'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-3' data-fake-id='#toggle-id-3' class='toggler  av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-3' data-slide-speed=\"200\" data-title=\"After the procedure\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: After the procedure\" data-aria_expanded=\"Click to collapse: After the procedure\">After the procedure<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-3' aria-labelledby='toggle-toggle-id-3' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>The stomach and abdominal wall usually heal in a few days.<\/p>\n<p>As a rule, the presence of the gastrostomy tube is very well tolerated by patients. If the gastrostomy tube is accidentally removed by the patient it can be repositioned (easy, fast and painless)<\/p>\n<p>For the first 6 to 24 hours the patient receives intravenous fluids, as for safety reasons we do not administer anything through the gastrostomy. Then, with the supervision of a clinical dietitian, the patient begins to be fed with special nutritional solutions.<\/p>\n<p>If the patient\u2019s ability to swallow recovers, the gastrostomy can be permanently removed with a very simple procedure that takes a few minutes.<\/p>\n<p>If the patient is cared for at home, he\/she can stay in the hospital for 24 hours so that the nursing staff can train the person who will take care of the gastrostomy. If the patient comes from other institutions with experience in gastrostomy care he\/she can return immediately after the procedure.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-80mkx-632585bf70db3d4cb9a570e23d9fc672'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-4' data-fake-id='#toggle-id-4' class='toggler  av-title-above '  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-4' data-slide-speed=\"200\" data-title=\"Are there any risks from the procedure?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Are there any risks from the procedure?\" data-aria_expanded=\"Click to collapse: Are there any risks from the procedure?\">Are there any risks from the procedure?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-4' aria-labelledby='toggle-toggle-id-4' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color '  itemprop=\"text\" ><p>Complications after a gastrostomy are very rare if done by an experienced endoscopist.<\/p>\n<p><strong>Complications include:<\/strong><\/p>\n<p>\u2022 Pain at the incision site in the first hours or days after the procedure.<br \/>\n\u2022 Small leakage of fluid or food from the incision site.<br \/>\n\u2022 Displacement, malfunction, blockage or contamination of the tube.<br \/>\n\u2022 Infection at the skin incision site.<\/p>\n<p>Even rarer complications include bleeding, peritonitis and damage to the bowel or nearby organs.<\/p>\n<\/div><\/div><\/div><\/section>\n<\/div><\/p><\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":190,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-193","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Gastrostomy - Dr Kadis - Gastroenterologist \/ Hepatologist<\/title>\n<meta name=\"description\" content=\"Gastrostomy recommended for people who are unable to feed orally due to difficulty in swallowing. 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