أفضل تكلفة المعدة بالمنظار عن طريق الجلد الجراحة, العلاج في مستشفى في الهند

تعريف

Percutaneous endoscopic gastrostomy (PEG) is a procedure that places a tube through the abdominal wall and into the stomach.

أسباب هذا الإجراء

A gastrostomy tube provides an alternative feeding site. It may be needed to:

المضاعفات المحتملة

If you are planning to have a PEG, your سيقوم الطبيب بمراجعة القائمة من المضاعفات المحتملة، والتي قد تشمل:

  • PEG tube malfunction
  • Aspiration—accidental sucking into the airways of fluid, food, or any foreign material
  • الأضرار التي لحقت الأجهزة الأخرى
  • Inflammation of the lining of the abdomen
  • العدوى
  • الانتفاخ
  • الغثيان
  • إسهال
  • Irritation of skin near the tube
  • موت

تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:

  • Obesity or diabetes
  • التدخين
  • Alcohol abuse or drug use
  • Use of certain prescription medicines
  • Prior abdominal surgeries
  • سن متقدم

ما يمكن توقعه

قبل الإجراء

قد يقوم طبيبك بما يلي:

  • اختبار بدني
  • Medical history
  • استعراض الأدوية
  • اختبارات الدم والبول
  • X-rays of the abdomen
  • Endoscopic examination of stomach—An endoscope is long tube with a camera at the end that can be put down the throat into the stomach.

المؤدية إلى الإجراء الخاص بك:

  • Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, such as:
    • الأسبرين أو غيره من العقاقير المضادة للالتهابات
    • سيولة الدم, مثل كلوبيدوجريل (بلافيكس) أو الوارفارين (الكومادين)
  • Do not eat or drink for at least eight hours before the procedure.
  • رتب لتوصيلة من وإلى المستشفى.

التخدير

  • Local anesthesia—usually a lidocaine spray to numb the throat
  • Pain medicine is usually given through a vein in your arm
  • Sedative—to help you relax

وصف الإجراء

You will be given antibiotics for the procedure.

An endoscope is a long thin tool with a light and camera. It will be inserted through your mouth, down your throat, and into your stomach. The camera will send images to a video monitor. The doctor will use the images to find the right spot to insert the PEG feeding tube.

A needle will be inserted through the abdominal wall and into the stomach at the chosen spot. Using the endoscope, the doctor will locate the end of the needle inside the body. A thin wire will be passed from the outside of the body, through this needle, and into the stomach. This wire will be grasped with a snare in the abdomen and pulled out through the mouth. There will be a thin wire entering the front of the abdomen, going into the stomach, and continuing up and out of the mouth. The PEG feeding tube will then be attached to this wire. The wire will be pulled back out from the abdomen. This will pull the PEG tube down into the body.

A small incision will be made in your abdomen. The tube will be pulled until the tip comes out of the incision in the abdominal wall. A soft, round bumper will be attached to the ends of the PEG tube. It will keep the tube secure. Sterile gauze will be placed around the incision site. The PEG tube will be taped to your abdomen.

المعدة بالمنظار عن طريق الجلد

كم من الوقت سيستغرق ؟

30-45 minutes

هل سيكون هناك ألم؟

Anesthesia prevents pain during the procedure. You may feel some discomfort. For a يومان after the procedure, you may have minor pain and soreness at the incision site. This may feel like a pulled muscle. Your doctor can prescribe medicine to relieve this discomfort.

متوسط ​​الإقامة في المستشفى

The usual length of stay is one day. Your doctor may choose to keep you longer if complications arise.

رعاية ما بعد العملية

  • When resting in bed, keep legs elevated and moving to avoid blood clots.
  • لا تدخن.
  • Take prescription pain medicine as instructed. Avoid taking aspirin or aspirin-containing products unless instructed otherwise.
  • To promote healing, resume normal activities as soon as possible.
  • اسأل طبيبك حول, عندما هي آمنة للاستحمام, السباحة, أو نقع في الماء.
  • تأكد من اتباع تعليمات طبيبك.
  • Learn to feed yourself properly through the PEG feeding tube:
    • You will receive fluids through an IV for a day or two. Then, you will start to get clear liquids through the PEG tube. If this works well, you will start a formula feed through the tube.
    • A dietitian will teach you how to use your PEG tube. She will also teach you how to choose an appropriate tube-feeding formula.
    • Remain upright for 30-60 minutes after eating.
  • Learn the proper care of your PEG tube.
    • Change the sterile gauze pads around the incision site regularly.
    • Wash the PEG tube and the skin around it regularly to avoid infection.
    • Learn how to empty your stomach through the tube.
    • Learn how to recognize and handle problems like a blocked tube or a tube that falls out of place.
    • Tape the tube site when it is not in use to prevent dislodging.

استدعاء الطبيب

بعد مغادرة المستشفى، اتصل بطبيبك في حالة حدوث أي مما يلي:

  • ألم لا يمكنك السيطرة عليه بالأدوية التي أعطيت لك
  • Problems with the function of the tube or drainage around the tube
  • علامات الإصابة, بما في ذلك حمى وقشعريرة
  • احمرار أو تورم أو ألم متزايد أو نزيف مفرط أو إفرازات من موقع الشق
  • Headaches, muscle aches, dizziness, or general ill feeling
  • Nausea, vomiting, constipation, or abdominal swelling

في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.

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