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Post a Comment Import Substitution Possibilities in Palliative Medicine
- Authors: Gavschuk M.V.1, Gostimskii A.V.1, Bagaturiya G.O.1, Lisovskii O.V.1, Zavyalova A.N.1, Karpatskii I.V.1, Kosulin A.V.1, Gostimskiy I.A.1, Aladjeva E.E.1
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Affiliations:
- St. Petersburg State Pediatric Medical University
- Issue: Vol 9, No 1 (2018)
- Pages: 72-76
- Section: Articles
- URL: https://journals.rcsi.science/pediatr/article/view/8738
- DOI: https://doi.org/10.17816/PED9172-76
- ID: 8738
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Abstract
Nutrition is an important problem of palliative care. If oral feeding is not possible, percutaneous endoscopic gastrostomy (PEG) is the method of choice. The wide application of the procedure is limited by the cost of single-use sets produced in other countries. The aim of the study was to review methodic of the PEG and to find an opportunity to reduce its cost. A reusable device was developed for the application of the PEG with use of a Pétzzer catheter. Approbation of the device and methodic was carried out in experiment with 10 rabbits. In 2 cases animals died on the 5th and 6th day after the operation because of acute pneumonia and enterocolitis, complications from the operating wound and gastrostomy were absent. Remaining 8 rabbits were withdrawn from the experiment on the 10-13 day after the operation. In 3 cases purulent infection of the postoperative wound and formation of abscesses of abdominal cavity were revealed, while the gastrostomic fistula was without any signs of failure. In 5 cases were no complications. The gastrostomic fistula was placed next to laparotomic wound and was not complicated in all cases. All the described complications are considered to features of laparotomy and postoperative period in animals. The constructed analogue of the PEG allow significantly reduce costs and increase the economic efficiency of minimally invasive gastrostomy, reduce dependence on foreign materials. Encouraging results obtained in animal experiments allow testing of the technique in clinical settings.
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##article.viewOnOriginalSite##About the authors
Maksim V. Gavschuk
St. Petersburg State Pediatric Medical University
Author for correspondence.
Email: gavshuk@mail.ru
MD, PhD, Assistant Professor, Department of General Medical Practice
Russian Federation, Saint PetersburgAleksander V. Gostimskii
St. Petersburg State Pediatric Medical University
Email: gostimsky@mail.ru
MD, PhD, Dr Med Sci, Head, Department of General Medical Practice
Russian Federation, Saint PetersburgGeorgiy O. Bagaturiya
St. Petersburg State Pediatric Medical University
Email: geobag@mail.ru
MD, PhD, Dr Med Sci, Professor, Head, Department of Operative Surgery and Topographic Anatomy
Russian Federation, Saint PetersburgOleg V. Lisovskii
St. Petersburg State Pediatric Medical University
Email: oleg.lisovsky@rambler.ru
MD, PhD, Associate Professor, Department of General Medical Practice
Russian Federation, Saint PetersburgAnna N. Zavyalova
St. Petersburg State Pediatric Medical University
Email: anzavjalova@mail.ru
MD, PhD, Associate Professor, Department of General Medical Practice
Russian Federation, Saint PetersburgIgor V. Karpatskii
St. Petersburg State Pediatric Medical University
Email: ikar122@post.ru
MD, PhD, Associate Professor, Department of General Medical Practice
Russian Federation, Saint PetersburgArtem V. Kosulin
St. Petersburg State Pediatric Medical University
Email: hackenlad@mail.ru
Assistant Professor, Department of Operative Surgery and Topographic Anatomy
Russian Federation, Saint PetersburgIvan A. Gostimskiy
St. Petersburg State Pediatric Medical University
Email: vanekgostim@icloud.com
Student, Pediatric Faculty
Russian Federation, Saint PetersburgEkaterina E. Aladjeva
St. Petersburg State Pediatric Medical University
Email: katya951@gmail.ru
Student, Pediatric Faculty
Russian Federation, Saint PetersburgReferences
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