dc.contributor.author | Douzinas, EE | |
dc.contributor.author | Andrianakis, I | |
dc.contributor.author | Livaditi, O | |
dc.contributor.author | Bakos, D | |
dc.contributor.author | Flevari, K | |
dc.contributor.author | Goutas, N | |
dc.contributor.author | Vlachodimitropoulos, D | |
dc.contributor.author | Tasoulis, M-K | |
dc.contributor.author | Betrosian, AP | |
dc.date.accessioned | 2022-05-16T14:58:37Z | |
dc.date.available | 2022-05-16T14:58:37Z | |
dc.date.issued | 2009-11-21 | |
dc.identifier.citation | World journal of gastroenterology, 2009, 15 (43), pp. 5455 - 5460 | |
dc.identifier.issn | 1007-9327 | |
dc.identifier.uri | https://repository.icr.ac.uk/handle/internal/5128 | |
dc.identifier.eissn | 2219-2840 | |
dc.identifier.eissn | 2219-2840 | |
dc.identifier.doi | 10.3748/wjg.15.5455 | |
dc.identifier.doi | 10.3748/wjg.15.5455 | |
dc.description.abstract | AIM: To investigate factors predicting failure of percutaneous endoscopic gastrostomy (PEG) to eliminate gastroesophageal reflux (GER). METHODS: Twenty-nine consecutive mechanically ventilated patients were investigated. Patients were evaluated for GER by pH-metry pre-PEG and on the 7th post-PEG day. Endoscopic and histologic evidence of reflux esophagitis was also carried out. A beneficial response to PEG was considered when pH-metry on the 7th post-PEG day showed that GER was below 4%. RESULTS: Seventeen patients responded (RESP group) and 12 did not respond (N-RESP) to PEG. The mean age, sex, weight and APACHE II score were similar in both groups. GER (%) values were similar in both groups at baseline, but were significantly reduced in the RESP group compared with the N-RESP group on the 7th post-PEG day [2.5 (0.6-3.8) vs 8.1 (7.4-9.2, P < 0.001)]. Reflux esophagitis and the gastroesophageal flap valve (GEFV) grading differed significantly between the two groups (P = 0.031 and P = 0.020, respectively). Histology revealed no significant differences between the two groups. CONCLUSION: Endoscopic grading of GEFV and the presence of severe reflux esophagitis are predisposing factors for failure of PEG to reduce GER in mechanically ventilated patients. | |
dc.format | Print | |
dc.format.extent | 5455 - 5460 | |
dc.language | eng | |
dc.language.iso | eng | |
dc.publisher | BAISHIDENG PUBLISHING GROUP INC | |
dc.rights.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
dc.subject | Humans | |
dc.subject | Gastroesophageal Reflux | |
dc.subject | Esophagitis, Peptic | |
dc.subject | Gastroscopy | |
dc.subject | Esophagoscopy | |
dc.subject | Endoscopy | |
dc.subject | Treatment Outcome | |
dc.subject | Respiration, Artificial | |
dc.subject | Enteral Nutrition | |
dc.subject | Gastrostomy | |
dc.subject | Hydrogen-Ion Concentration | |
dc.subject | Adult | |
dc.subject | Aged | |
dc.subject | Middle Aged | |
dc.subject | Female | |
dc.subject | Male | |
dc.title | Reasons of PEG failure to eliminate gastroesophageal reflux in mechanically ventilated patients. | |
dc.type | Journal Article | |
dcterms.dateAccepted | 2009-11-01 | |
rioxxterms.version | VoR | |
rioxxterms.versionofrecord | 10.3748/wjg.15.5455 | |
dc.relation.isPartOf | World journal of gastroenterology | |
pubs.issue | 43 | |
pubs.notes | No embargo | |
pubs.organisational-group | /ICR | |
pubs.publication-status | Published | |
pubs.volume | 15 | |
pubs.embargo.terms | No embargo | |
dc.contributor.icrauthor | Tasoulis, Marios | |