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Radiologic Percutaneous Gastrostomy for Enteral Access in Patients Requiring Long-Term Nutritional Support

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Diet and Nutrition in Critical Care

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Abstract

The availability of ready access to dietary and nutritional support is a basic necessity for the maintenance of adequate health. Appropriate nutrition becomes even more crucial in the diseased state as the gut is a large, dynamic organ that can have a profound influence on the immune response. Direct enteral access via radiologic percutaneous gastrostomy or gastrojejunostomy tube placement provides a safe and effective means of maintaining nutrition, particularly in chronic disease or critical care situations when long-term, reliable enteric access is required. The following chapter addresses all aspects of RPG, including indications and preparation for placement, procedure technique, potential complications, and care following placement.

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Abbreviations

CBC:

Complete blood count

CT:

Computed tomography

EN:

Enteral nutrition

GJ-tube:

Gastrojejunostomy tube

G-tube:

Gastrostomy tube

ICU:

Intensive care unit

INR:

International normalized ratio

LMWH:

Low-molecular-weight heparin

NGT:

Nasogastric tube

PEG:

Percutaneous endoscopic gastrostomy

PT:

Prothrombin time

PTT:

Partial thromboplastin time

RPG:

Radiologic percutaneous gastrostomy

SIR:

Society of Interventional Radiology

TPN:

Total parenteral nutrition

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Author information

Authors and Affiliations

  1. Interventional Radiology, Diagnostic Imaging Services, Kaiser Permanente West Los Angeles Medical Center, 6041 Cadillac Ave, Los Angeles, CA, 90034, USA

    Diego A. Covarrubias

  2. Department of Radiology, Columbia University Medical Center / New York-Presbyterian Hospital, 662 W 168th Street PB-1-301, New York, NY, 10032, USA

    Gabriel M. Covarrubias

  3. Department of Radiology, University of Southern California Keck School of Medicine, 1200 N. State St., D&T 3D321, Los Angeles, CA, 1001, USA

    Jessica M. Ho

Authors
  1. Diego A. Covarrubias
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  2. Gabriel M. Covarrubias
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  3. Jessica M. Ho
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Corresponding author

Correspondence to Diego A. Covarrubias .

Editor information

Editors and Affiliations

  1. Department of Nutrition, King's College London, London, United Kingdom

    Rajkumar Rajendram

  2. School of Medicine, King's College London, London, United Kingdom

    Victor R. Preedy

  3. Department of Biomedical Sciences, University of Westminster, London, United Kingdom

    Vinood B. Patel

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Covarrubias, D.A., Covarrubias, G.M., Ho, J.M. (2014). Radiologic Percutaneous Gastrostomy for Enteral Access in Patients Requiring Long-Term Nutritional Support. In: Rajendram, R., Preedy, V., Patel, V. (eds) Diet and Nutrition in Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8503-2_7-1

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  • DOI: https://doi.org/10.1007/978-1-4614-8503-2_7-1

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