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Titolo:
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN NEUROLOGICAL REHABILITATION - A REPORT OF 6 CASES
Autore:
ANNONI JM; VUAGNAT H; FRISCHKNECHT R; UEBELHART D;
Indirizzi:
UNIV HOSP GENEVA,NEUROL CLIN CH-1211 GENEVA 14 SWITZERLAND UNIV HOSP GENEVA,SPINAL CORD REHABIL UNIT CH-1211 GENEVA 14 SWITZERLAND UNIV LAUSANNE HOSP,DEPT RHEUMATOL & REHABIL LAUSANNE SWITZERLAND UNIV HOSP GENEVA,DIV PHYS MED & REHABIL CH-1211 GENEVA 14 SWITZERLAND
Titolo Testata:
Disability and rehabilitation
fascicolo: 8, volume: 20, anno: 1998,
pagine: 308 - 314
SICI:
0963-8288(1998)20:8<308:PEGINR>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
CENTRAL NERVOUS-SYSTEM; PROTEIN-MALNUTRITION; NUTRITION; RAT; COMPLICATIONS; PATIENT; SCALE;
Keywords:
BRAIN INJURY; BRAIN ANOXIA; MULTIPLE SCLEROSIS; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; NUTRITION; REHABILITATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Citazione:
J.M. Annoni et al., "PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN NEUROLOGICAL REHABILITATION - A REPORT OF 6 CASES", Disability and rehabilitation, 20(8), 1998, pp. 308-314

Abstract

Purpose : This study reports the cases of six patients with severe chronic neurological disability and swallowing difficulties due to traumatic brain injury (TBI), anoxia and multiple sclerosis (MS). Method: The patients required nutritional supplement through percutaneous endoscopic gastrostomy (PEG). Results: Their clinical follow-up showed a decrease of intercurrent medical complications, especially pressure sores. In addition, an improvement of oropharyngeal function was observed in some patients, also accompanied by slightly better basic psychomotor functions such as vigilance, sustained attention and tone or motor control. However, not every patient did improve with this procedure. The two MS patients benefited most, while the improvement was less homogenous in the three TBI patients. Conclusions: The advantages of PEG over nasogastric tube on oropharyngeal function can be related to the absence of pharyngeal irritation and its role in overall recovery could be due to an increase in social activities, a control of infections, abetter rehabilitation schedule and a long-term effect on brain function due to better nutritional support.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 09:36:06