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T he risks or complications of PEG tubes
Accidental tube dislodgement (tube moving out of place or coming out).
Aspiration (accidentally inhaling your stomach contents).
Bleeding and perforation (hole in the wall of your bowel or intestine).
Infection near the incision.
Pain near the PEG tube.
PEG is very rare and is usually due to underlying co-morbidities.
Bleeding
Aspiration pneumonia

Internal organ injury.
Necrotizing fasciitis.
Buried bumper syndrome.
Tumour seeding of the stoma.

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percutaneous endoscopic gastrostomy (PEG) is a procedure to place a feeding tube. These feeding tubes are often called PEG tubes or G tubes. The tube allows you to receive nutrition directly through your stomach. This type of feeding is also known as enteral feeding or enteral nutrition.

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percutaneous endoscopic gastrostomy (PEG) is a procedure to place a feeding tube. These feeding tubes are often called PEG tubes or G tubes. The tube allows you to receive nutrition directly through your stomach. This type of feeding is also known as enteral feeding or enteral nutrition.

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MEHMMOD AZHAR

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In this case we will prefer gastrostomy. Because it will meet the patient needs related to nutrition as well as medication and we use this method is for long term until the patient is recovered or able to take nutrients or medications through his mouth

# data[].attributes.headline
percutaneous endoscopic gastrostomy (PEG) is a procedure to place a feeding tube. These feeding tubes are often called PEG tubes or G tubes. The tube allows you to receive nutrition directly through your stomach. This type of feeding is also known as enteral feeding or enteral nutrition.

# data[].attributes.subject
percutaneous endoscopic gastrostomy (PEG) is a procedure to place a feeding tube. These feeding tubes are often called PEG tubes or G tubes. The tube allows you to receive nutrition directly through your stomach. This type of feeding is also known as enteral feeding or enteral nutrition.

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MEHMOOD AZHAR

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A PEG is for those patients who had difficulty to swallow food material or can't get all the nutrients by mouth by PEG tube allow food through stomach

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A PEG is for those patients who had difficulty to swallow food material or can't get all the nutrients by mouth by PEG tube allow food through stomach

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Hina

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The tube delivers food and medicine until the person is healthy enough to eat by mouth. You'll need to know how to care for the J-tube and the skin where the tube enters the body

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The tube delivers food and medicine until the person is healthy enough to eat by mouth. You'll need to know how to care for the J-tube and the skin where the tube enters the body

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MEHMOOD AZHAR

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Gastrostomy tubes are feeding tubes placed through the abdomen into the stomach. Gastrostomy tubes are used to give children formula, liquids, and medicines. These tubes are placed by aPediatric Surgeon or by a Pediatric Gastroenterologist.

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Gastrostomy tubes are feeding tubes placed through the abdomen into the stomach. Gastrostomy tubes are used to give children formula, liquids, and medicines. These tubes are placed by aPediatric Surgeon or by a Pediatric Gastroenterologist.

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MEHMOOD AZHAR

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percutaneous endoscopic gastrostomy (PEG) is a procedure to place a feeding tube. These feeding tubes are often called PEG tubes or G tubes. The tube allows you to receive nutrition directly through your stomach. This type of feeding is also known as enteral feeding or enteral nutrition.
This method is mostly useful in other clinical situations like cancer, brain injury, Chronic appetite loss due to severe illnesses like cancer etc.
So we will not prefer this method for patient like facial injury.

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Gastrostomy tubes are feeding tubes placed through the abdomen into the stomach. Gastrostomy tubes are used to give children formula, liquids, and medicines. These tubes are placed by aPediatric Surgeon or by a Pediatric Gastroenterologist.

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Gastrostomy tubes are feeding tubes placed through the abdomen into the stomach. Gastrostomy tubes are used to give children formula, liquids, and medicines. These tubes are placed by aPediatric Surgeon or by a Pediatric Gastroenterologist.

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MEHMOOD AZHAR

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Why we shouldn’t use this tube.
NG tube is visible on face.
NG tube can be irritating so younger children may pull it out.
Increased risk of aspiration (food or liquid entering airway) from reflux.
Increased nasal congestion.
Possibility to cause oral aversions and/or increase amount of reflux.

RISKS
The complications are moderate and severe: tube dislocation, obstruction or migration of the tube, cutaneous or intraabdominal abscesses, enterocutaneous fistulas, pneumatosis, occlusion, and intestinal ischemia. The infectious complications are aspiration pneumonia and contamination of the diet.

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Indications for the placement of a feeding jejunostomy is when the oral route cannot be accessed for nutrition, when nasoenteral access is impossible when the time duration of artificial nutrition is more than six weeks and as an additional procedure after major gastrointestinal surgery with prolonged recovery time

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Indications for the placement of a feeding jejunostomy is when the oral route cannot be accessed for nutrition, when nasoenteral access is impossible when the time duration of artificial nutrition is more than six weeks and as an additional procedure after major gastrointestinal surgery with prolonged recovery time

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Hina

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In percotaneous endoscopy procedure is where feeding tube is inserted in the stomach through a small incision of the abdomen. This procedure is those who is long term enteral feeding when oral intake is not possible or suffocating. This tube is use for endoscopy which allow the precise placement and reduce the risk of complications. Peg is only is use for those patients who required nutritional support.

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Like the G tube, the J tube is placed through an incision in the abdomen. But this cut is placed lower than the G tube so that the tube ends in the middle third of the small intestine, known as the jejunum.
We will not use this method:Because it tends to be smaller than the G tube, so only thin liquids and powdered drugs can pass through it.

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A gastrostomy can be helpful for anyone who needs long term support with feeding or to receive extra nutrients to grow and develop. Some children and young people have a neurological (nervous system) disorder that affects their swallowing which increases the chance of breathing in food (aspiration). Not in the case of facial fracture e.g for neurological disorder

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A gastrostomy can be helpful for anyone who needs long term support with feeding or to receive extra nutrients to grow and develop. Some children and young people have a neurological (nervous system) disorder that affects their swallowing which increases the chance of breathing in food (aspiration). Not in the case of facial fracture e.g for neurological disorder

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Hina

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Nasoenteric feeding is the most widely used modality of enteral nutrition (EN). Early and aggressive EN maintains gastrointestinal integrity, prevents mucosal atrophy, attenuates injury-related stress, preserves immunocompetence and normal gut flora (3)

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Nasoenteric feeding is the most widely used modality of enteral nutrition (EN). Early and aggressive EN maintains gastrointestinal integrity, prevents mucosal atrophy, attenuates injury-related stress, preserves immunocompetence and normal gut flora (3)

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MEHMOOD AZHAR

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The G tube offers direct access to the stomach through a surgical cut in the left upper side of your abdomen. This means it bypasses the mouth and throat entirely. It allows for food, fluids, and medication to be given without swallowing.
We can use this method:Because its for long term use until the patient is ready to take nutrients through his mouth. And patient will meet all his nutritional need.

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Severe skull base trauma as may be present in LeFort III fractures may result in tears of the nasopharyngeal mucosa and musculature, blind nasotracheal intubation in these cases may result in worsening pharyngeal tears, exacerbation of bleeding, possible intracranial penetration of the endotracheal tube and unfortunately the airway may not be secured. In most facial fracture cases nasotracheal intubation is a reasonable option,
Hina

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This type of tube is inserted into the nose and down through the throat. It is threaded into the esophagus and rests in the stomach. It can stay in place for four to six weeks before removing it or replacing it with a long-term feeding tube.
We can't use this method: Because due to facial fractures it may be difficult for applying this method and it's for short term use.

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Precutaneous Endoscopic gastrostomy (PEG) is a method that allows you to talk nutrition through stomach if you are having difficulty swallowing or cannot take all nutritions. It is not safe method to use because it does not decrease aspiration events or mortality.

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Based on the patient's condition with multiple facial fractures and a stroke, percutaneous endoscopic gastrostomy (PEG) may not be the best option for feeding tube placement. This is because PEG involves inserting a tube through the abdominal wall, which may not be suitable or safe considering the patient's injuries. The nasoenteric route or surgical gastrostomy tube placement would be safer and more appropriate options in this case

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We also can't use gastrotomy tube
Because  it is involved in surgical creating and opening in the stomach and inserting a tube for feedings.
Its main complications is leaked tube

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Based on the patient's condition with multiple facial fractures and a stroke, jujenostomy may not be the best option for feeding tube placement. It involves a more invasive surgical procedure, which may not be suitable or safe considering the patient's injuries. The nasoenteric route or surgical gastrostomy tube placement would be safer and more appropriate options in this case.
Jujenostomy tube may not be the best option because it involves surgically creating an opening in the jejunum, which is a more invasive procedure compared to a nasoenteric or gastrostomy tube. It is typically reserved for specific cases where other options are not feasible or have failed.

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A gastrostomy tube is a tube that passes through the abdominal wall into the stomach. Often, the initial gastrostomy tube is placed endoscopically by a gastroenterologist. A tube placed this way is called a percutaneous endoscopic gastrostomy, or PEG, tube. To place a PEG tube, the doctor advances an endoscope down the patient’s throat into the stomach.The NG tube is inserted through the nose and is used for a short time. The G-tube and J-tube are inserted through a small incision in the skin on the abdomen and are for longer-term use.
PLUS  POINT
While NG tubes are easier to place, tube removal is common and proper positioning is essential to prevent potential respiratory complications. Alternatively, G-tubes may be more stable but require an invasive procedure with risks for major and minor procedural and anesthetic complications, infection, and wound issues.Thats why NG tube is better.

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Percutaneous endoscopic gastrostomy (PEG) is a procedure where a feeding tube is inserted directly into the stomach through a small incision in the abdomen. It's commonly used for long-term enteral feeding when oral intake is not possible or sufficient. The tube is placed using an endoscope, which allows for precise placement and reduces the risk of complications. PEG can be a safe and effective option for patients who require nutritional support.

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Nasogastric tubes are part of the standard of care in treating intestinal obstruction and can also be used to provide nutritional support. They are most common in surgical patients but are useful in any patient population where gastric decompression or nutritional support is necessary.
Special point about this method
A nasogastric tube (NG tube) is a special tube that carries food and medicine to the stomach through the nose. It can be used for all feedings or for giving a person extra calories. You'll learn to take good care of the tubing and the skin around the nostrils so that the skin doesn't get irritated.
Its Purposes
drain gastric contents, decompress the stomach, obtain a specimen of the gastric contents, or introduce a passage into the GI tract.After  facial scratches its a better method hence proved.

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A surgical gastrostomy tube placement may be considered as the second-best option. It would require careful evaluation and consultation with the medical team to determine the most appropriate course of action
Gastrostomy is a surgical procedure where a tube is inserted into the stomach through a small incision in the belly. This helps provide nutrition and medication to people who can't eat normally. It's done under anesthesia and requires careful monitoring and care to avoid problems.

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a jejunostomy tube can also be a viable option for feeding tube placement. It involves surgically creating an opening in the jejunum, which is part of the small intestine, and inserting a tube for feeding. This method allows for direct delivery of nutrition to the small intestine and can be used in cases where gastric feeding is not possible or not recommended.

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Khan Muhammad Asif;Percutaneous endoscopic gastrostomy (PEG) is a procedure where a feeding tube is inserted directly into the stomach through a small incision in the abdomen. It is done using an endoscope, which is a flexible tube with a camera attached to it. PEG is used when a person is unable to eat or swallow properly and needs a long-term solution for receiving nutrition and medication. It is a common and safe procedure performed by healthcare professionals.

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Khan Muhammad Asif;Percutaneous endoscopic gastrostomy (PEG) is a procedure where a feeding tube is inserted directly into the stomach through a small incision in the abdomen. It is done using an endoscope, which is a flexible tube with a camera attached to it. PEG is used when a person is unable to eat or swallow properly and needs a long-term solution for receiving nutrition and medication. It is a common and safe procedure performed by healthcare professionals.

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G-tube is a surgical opening through the skin of abdomen to the stomach.This method is used in infants with the birth defects of the esophagus or stomach. It does not prevent aspiration of contaminated oral secretions and regurgitated gastric contents- documented cause of aspiration pneumonia.

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In this case we can't use naseoenteric tube
Because it goat through nose and patient have facial injury thats we use jejunostomy
Common complications include sinusitis, sore throat and epistaxis. More serious complications include luminal perforation, pulmonary injury, aspiration, and intracranial placement.

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The nasoenteric route, also known as nasoenteral, is a method of feeding tube placement where the tube is inserted through the nose and into the small intestine. It is commonly used when patients have difficulty swallowing or when bypassing the stomach is necessary. This route allows for enteral feeding and can be a safe and effective option for patients with multiple facial fractures and a stroke.

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Khan Muhammad Asif;Jejunostomy is a procedure where a tube is inserted directly into the jejunum, which is a part of the small intestine, through a small incision in the abdomen. It is used when a person is unable to receive nutrition and medication through the stomach and needs an alternate route for feeding. Jejunostomy can be a long-term solution for individuals who cannot tolerate feeding through the stomach.

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Khan Muhammad Asif;Jejunostomy is a procedure where a tube is inserted directly into the jejunum, which is a part of the small intestine, through a small incision in the abdomen. It is used when a person is unable to receive nutrition and medication through the stomach and needs an alternate route for feeding. Jejunostomy can be a long-term solution for individuals who cannot tolerate feeding through the stomach.

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a gastrostomy tube can also be a safe and effective option for feeding tube placement in patients with multiple facial fractures and a stroke. This involves surgically creating an opening in the stomach and inserting a tube for feeding.

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Khan Muhammad Asif :Gastrostomy is a procedure where a tube is inserted directly into the stomach through a small incision in the abdomen. It is used when a person is unable to eat or swallow properly and needs a way to receive nutrition and medication directly into the stomach. Gastrostomy can be a long-term solution for individuals with difficulty in oral intake.

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Khan Muhammad Asif :Gastrostomy is a procedure where a tube is inserted directly into the stomach through a small incision in the abdomen. It is used when a person is unable to eat or swallow properly and needs a way to receive nutrition and medication directly into the stomach. Gastrostomy can be a long-term solution for individuals with difficulty in oral intake.

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Name (Sajid Safoor)                                                  Based on the patient's multiple facial fractures and stroke, the safest and most likely route for feeding tube placement would be the nasoenteric route.

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Name (Sajid Safoor)                                                  Based on the patient's multiple facial fractures and stroke, the safest and most likely route for feeding tube placement would be the nasoenteric route.

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The Nasoenteric refers to a route of administration or placement of a tube that goes from the nose to the enteric (intestinal) region. It is commonly used for various medical procedures, such as feeding tube placement or medication

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The nasoenteric route involves inserting the feeding tube through the nose and into the small intestine. It is a safer option when there are multiple facial fractures and a stroke because it bypasses the affected area and reduces the risk of complications like aspiration. This route allows for proper nutrition and medication administration while minimizing potential issues.

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Nasogastric tubes are basically inserted through nasopharynx and are passed into duodenum and small intestine for decompression and diagnosis etc. usually taped to the nose. Hence, not suitable method as it cannot eliminate the aspiration of saliva.

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jejunostomy tube (J-tube) is a soft, plastic tube placed through the skin of the abdomen into the midsection of the small intestine. The tube delivers food and medicine until the person is healthy enough to eat by mouth. You'll need to know how to care for the J-tube and the skin where the tube enters the body.

1. Open the clamp and let the formula fill the entire tubing, clearing any air.

2. Close the clamp.

3. Connect the feeding bag tubing to the pump. ...

4. Using the syringe, flush the J-tube with the prescribed amount of water.

5. Connect the tubing of the feeding bag to the J-tube.

6. Open the clamp.

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We can use jejunostomy
Because route for administering nutritional support. Advantages of a feeding jejunostomy over a feeding gastrostomy "include reduced nausea and vomiting and a lower risk of pulmonary aspiration from gastroesophageal reflux.

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procedure in which a flexible feeding tube is placed through the abdominal wall and into the stomach. PEG allows nutrition, fluids and/or medications to be put directly into the stomach, bypassing the mouth and esophagus.

Percutaneous endoscopic gastrostomy (PEG) is a type of feeding tube which is inserted through the skin of the abdomen into the stomach during an endoscopy. You may need a PEG if food, drink and medicines cannot reach your stomach (for example, if you can't swallow properly).

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gastrostomy tube, often called a G tube, is a surgically placed device used to give direct access to your child's stomach for supplemental feeding, hydration or medicine. G tubes are used for a variety of medical conditions, but the most common use is for feedings to enhance your child's nutrition.
It is only used for child for entering liquid material in child stomach etc

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Nasogastric and nasoenteric tubes are flexible double or single lumen tubes that are passed proximally from the nose distally into the stomach or small bowel. Enteric tubes that will be removed within a short period of time can also be passed through the mouth (orogastric).
It does not ised for feeding of food etc

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A jejunostomy tube is the safest route becaue it can go pat the face and is far from lungs that decreae te chance of aspirant which is necessary for face injuries.

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A jejunostomy tube is the safest route becaue it can go pat the face and is far from lungs that decreae te chance of aspirant which is necessary for face injuries.

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Tariq Areeba

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It is a procedure in which a flexible feeding tube is placed through the abdominal wall and into the stomach. PEG allows nutrition, fluids and/or medications to be put directly into the stomach, bypassing the mouth and esophagus.

Percutaneous endoscopic gastrostomy (PEG) is a type of feeding tube which is inserted through the skin of the abdomen into the stomach during an endoscopy. You may need a PEG if food, drink and medicines cannot reach your stomach (for example, if you can't swallow properly).

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  As a result of a motor vehicle accident, a patient has had multiple facial fractures and suffered a stroke. Based on these facts, which route is the safest and most likely for feeding tube placement?  

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  As a result of a motor vehicle accident, a patient has had multiple facial fractures and suffered a stroke. Based on these facts, which route is the safest and most likely for feeding tube placement?  

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Please justify every variant why we should or shouldnt use it.
and dont forget to left your names in the answer