What Complications Can Gastrostomy Tubes Have?
Discussion Gastrostomy tubes (GT or GTubes) have been used to support patients for about a century. They are placed between the abdominal skin and the stomach either percutaneously or surgically. The tubes can be a standard long tube with either a bumper or inflatable balloon internally and externally they have a retention piece to hold the GT in place. A button or low profile tube are similar but extend just beyond the skin. Reasons for GT placement include: Nutritional support Hydration maintenance Medication management Aspiration avoidance Gastric stasis decompression Obstruction bypass Quality of life improvement for caregivers They are very effective tools but do not always improve the quality of life for all individuals and the cost of care for a child with a GT significantly increases. Fundoplication may be performed at the same time as GT placement to try to decrease gastroesophageal reflux and aspiration. It takes approximately 8 weeks for the GT site to heal. If the GT falls out before this, it should be replaced by the inserting specialist. After 8 weeks and with the opening visible, it is possible for other trained individuals to replace the tube. This is for most patients, but will depend on the actual individual. While healing, the site should be cleaned and monitored per the inserting specialist’s instructions. After healing, GTs should be cleaned daily with soap and water and dried thoroughly. Patients can be bathed and can swim with the GT following...
ConclusionsPamidronate is a safe and efficient method of CRMO therapy, particularly in cases refractory to NSAIDs treatment. Treatment with pamidronate provides both symptomatic relief as well as normalisation of bone morphology.
Publication date: Available online 16 June 2019Source: Joint Bone SpineAuthor(s): Pierre Letellier, Florian Bailly, Marina Assadourian, Antoine Potel, Violaine Foltz, Sophia Ascione, Laetitia Morardet, Myrianne Le Ralle, Bruno Fautrel, Arnaud Dupeyron, Nada Ibrahim-Nasser, Isabelle Griffoul-Espitalier, Bernard Duplan, Johann Beaudreuil, Laure Gossec
Nearly 6% of people in the study had a heart attack otrdeveloped angina (chest pain). The researchers found that all the people who developed heart trouble displayed a faster decline in their mental function at the same time.
While three recent studies offer more clues on how our increasingly industrialized food supply may be affecting our health, they also underscore how difficult nutrition science and advice can be.
Predicting lifespan isn’t an exact science. U.S. life expectancy is currently estimated at 78.6 years, but that one number doesn’t tell the whole story. Genes, gender, lifestyle and luck all play an important part, but it’s impossible to know exactly how much and in what proportion each ingredient influences a person’s longevity. The single best predictor, though, might not be one of these factors at all. A growing body of evidence suggests it may be a person’s zip code that holds the most information about how long they’ll live. Researchers from the New York University School of Medicin...
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Conclusions: WTP for fluoride varnish varied dramatically between individuals. In both countries, it was difficult to predict this variance, as factors which would likely impact upon on WTP had a limited effect and were sometimes counter-intuitive. WTP values for a parent and their child were not statistically significantly different.
Conclusions: All treatments were found to effectively reduce bacterial counts (p 0.05) among treatments or between clinical variables (p> 0.05).
Sometimes appearances, or statistics, can be deceiving.
Did you know that tooth decay is the most common chronic disease of childhood? And that 40% of children have tooth decay by kindergarten? This is a big deal, not only because of the pain and infection it can cause, but also because children with tooth decay are more likely to miss school and have poorer grades — and because tooth decay is linked to a higher risk of many health problems later in life, including heart disease and premature birth. Tooth decay is simple to prevent, yet sadly, many families don’t take the steps that are needed. 1. Don’t skip the fluoride. Fluoride is very helpful w...
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