Percutaneous gastrostomy.
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Biomedical subjects
Publications and source records attributed to J T Oglesby.
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Percutaneous gastrostomy was performed in nine patients, bringing to 17 the total number of such procedures now performed in the authors' department. As a result of this additional experience, the authors have further refined the technique and have had the opportunity to follow a number of patients for extended periods. Percutaneous gastrostomy appears to be an effective alternative to surgical gastrostomy.
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Percutaneous gastrostomy was performed in 7 patients using standard interventional techniques. The procedure was successful in 6 patients but was terminated in the seventh patient because of pain. In 5 cases, feeding posed no difficulty; one patient had outlet obstruction, perhaps related to a duodenal ulcer. In one patient the catheter was removed following improvement. In 3 it continued to function until death, although in one case feeding became difficult shortly before death. The seventh patient is alive and tolerating catheter feedings well, even though catheterization was difficult because of ascites. Indications for percutaneous gastrostomy include neoplasms involving the digestive system proximal to the stomach, facial trauma and burns, debilitation, and distal enteric intubation in patients who cannot tolerate gastric feeding.
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Peliosis hepatis is a rare lesion characterized by blood-filled cavities randomly distributed in the liver. It has been associated with the administration of medications such androgen-anabolic steroids, estrogens, oral contraceptives, and azathioprine. Its diagnosis is most reliably obtained by arteriogram and liver biopsy. Treatment consists of the discontinuance of those medications known to induce liver changes. Surgical treatment is reserved for those cases where a concomitant neoplasm or aneurysm is found.