Pub Date : 2023-10-01DOI: 10.12968/gasn.2023.21.sup8.s16
Georgina Melling, Joshua Farley
Background: percutaneous endoscopic gastrostomy (PEG) tubes are removed and/or replaced for reasons such as tube malfunction, degradation, patient's device preference, and when stopping enteral feeding. Aims: to identify the types and rate of complications associated with traction removal of a PEG tube and if this is associated with the size of the PEG or length of time it had been in situ prior to removal. Methods: This retrospective study looked at the tube removal/replacement reports written by the Enteral Feeding Nursing Service over an 8-year period at a large teaching hospital trust in the north of England. Findings: the PEG tube removal reports of 127 patients were reviewed. Five types of complication were identified, categorised as retained bumper (5.5%); intraperitoneal placement of new device (3.17%); misplacement of replacement device into colon (a consequence of the insertion procedure not the removal of the PEG) (0.78%): gastrocutaneous fistula (0.78%); and inability to remove the tube (1.57%). The complication of retained bumpers was associated with an average length of time in situ prior to removal of the PEG tube of 29 months. In the cases of intraperitoneal placement, the PEG tube had been in situ for an average of 6 months. Nurses were unable to remove the PEG tube on two occasions; each had been in situ for approximately 4 years prior to attempted removal. Conclusion: the complication rates are low following removal of a PEG tube using a traction pull. There was no clear correlation between length of time in situ or tube size and complication rate.
{"title":"Complication rates associated with traction removal of percutaneous endoscopic gastrostomy tubes","authors":"Georgina Melling, Joshua Farley","doi":"10.12968/gasn.2023.21.sup8.s16","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup8.s16","url":null,"abstract":"Background: percutaneous endoscopic gastrostomy (PEG) tubes are removed and/or replaced for reasons such as tube malfunction, degradation, patient's device preference, and when stopping enteral feeding. Aims: to identify the types and rate of complications associated with traction removal of a PEG tube and if this is associated with the size of the PEG or length of time it had been in situ prior to removal. Methods: This retrospective study looked at the tube removal/replacement reports written by the Enteral Feeding Nursing Service over an 8-year period at a large teaching hospital trust in the north of England. Findings: the PEG tube removal reports of 127 patients were reviewed. Five types of complication were identified, categorised as retained bumper (5.5%); intraperitoneal placement of new device (3.17%); misplacement of replacement device into colon (a consequence of the insertion procedure not the removal of the PEG) (0.78%): gastrocutaneous fistula (0.78%); and inability to remove the tube (1.57%). The complication of retained bumpers was associated with an average length of time in situ prior to removal of the PEG tube of 29 months. In the cases of intraperitoneal placement, the PEG tube had been in situ for an average of 6 months. Nurses were unable to remove the PEG tube on two occasions; each had been in situ for approximately 4 years prior to attempted removal. Conclusion: the complication rates are low following removal of a PEG tube using a traction pull. There was no clear correlation between length of time in situ or tube size and complication rate.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135852049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.12968/gasn.2023.21.sup8.s6
Warren Chapman
Warren Chapman takes a look at the benefits of the Joint Advisory Group and how to best embrace accreditation
沃伦查普曼看看联合咨询小组的好处，以及如何最好地接受认证
{"title":"Learning to love the Joint Advisory Group","authors":"Warren Chapman","doi":"10.12968/gasn.2023.21.sup8.s6","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup8.s6","url":null,"abstract":"Warren Chapman takes a look at the benefits of the Joint Advisory Group and how to best embrace accreditation","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"343 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135852351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.12968/gasn.2023.21.sup8.s10
Gemma Harris
A clear bowel is essential to a successful lower gastrointestinal endoscopy. Therefore, nurses are required to select and inform patients about bowel preparations in order to achieve this. This may involve patients drinking a solution, such as CitraFleet® and Picolax®, Citramag® or KLEAN-PREP®, MOVIPREP® and PLENVU®. This article aims to outline and discuss these, including their efficacy and safety, to support nurses in achieving adequate bowel cleansing and safe and effective lower gastrointestinal endoscopic procedures.
{"title":"Bowel preparation for endoscopy: an overview","authors":"Gemma Harris","doi":"10.12968/gasn.2023.21.sup8.s10","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup8.s10","url":null,"abstract":"A clear bowel is essential to a successful lower gastrointestinal endoscopy. Therefore, nurses are required to select and inform patients about bowel preparations in order to achieve this. This may involve patients drinking a solution, such as CitraFleet® and Picolax®, Citramag® or KLEAN-PREP®, MOVIPREP® and PLENVU®. This article aims to outline and discuss these, including their efficacy and safety, to support nurses in achieving adequate bowel cleansing and safe and effective lower gastrointestinal endoscopic procedures.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135852216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.12968/gasn.2023.21.sup9.s4
Gabriele Kroboth
The European Council of Enterstomal Therapy (ECET) announced their 15th Conference will be held in May 2024
欧洲肠道治疗理事会 (ECET) 宣布第 15 届会议将于 2024 年 5 月举行
{"title":"Join us in London for ECET 2024: 15th Conference of the European Council of Enterostomal Therapists","authors":"Gabriele Kroboth","doi":"10.12968/gasn.2023.21.sup9.s4","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup9.s4","url":null,"abstract":"The European Council of Enterstomal Therapy (ECET) announced their 15th Conference will be held in May 2024","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.12968/gasn.2023.21.sup9.s10
Renata Batas
Renata Batas disusses the implications of using the TIMERS assesment tool in practice
Renata Batas 讨论了在实践中使用 TIMERS 评估工具的意义
{"title":"Community nursing and wound care: from TIME to TIMERS","authors":"Renata Batas","doi":"10.12968/gasn.2023.21.sup9.s10","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup9.s10","url":null,"abstract":"Renata Batas disusses the implications of using the TIMERS assesment tool in practice","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"193 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.12968/gasn.2023.21.sup9.s14
Gemma Harris
Stoma care is complex and challenging and can result in complications that can cause psychological distress and negatively impact ostomates’ quality of life. These include appliance leakage, contact dermatitis, mucocutaneous separation and parastomal herniation. Flange extenders, adhesive removers, barrier films, support garments, discharge solidifying agents, powders, seals, protective and adhesive pastes and deodorants aim to prevent or reduce these. By drawing on assessment tools and guidelines and patient preferences in combination with patient education, stoma care nurses can help patients identify and correctly use the most appropriate accessories for them. Incorrect use of a product can worsen or result in further complications.
{"title":"Stoma care accessory products: an overview","authors":"Gemma Harris","doi":"10.12968/gasn.2023.21.sup9.s14","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.sup9.s14","url":null,"abstract":"Stoma care is complex and challenging and can result in complications that can cause psychological distress and negatively impact ostomates’ quality of life. These include appliance leakage, contact dermatitis, mucocutaneous separation and parastomal herniation. Flange extenders, adhesive removers, barrier films, support garments, discharge solidifying agents, powders, seals, protective and adhesive pastes and deodorants aim to prevent or reduce these. By drawing on assessment tools and guidelines and patient preferences in combination with patient education, stoma care nurses can help patients identify and correctly use the most appropriate accessories for them. Incorrect use of a product can worsen or result in further complications.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.12968/gasn.2023.21.7.20
Rainer Schoefl
Endoscopy procedures require a collaborative team approach. Flight simulator training is an advanced method used to enhance the stress resilience and communication skills of nurses, which are crucial for successful execution. Novices need sufficient time to acquire expertise, so clear learning outcomes should be established for nurses in endoscopy. The European Society of Gastroenterology and Endoscopy Nurses and Associates has developed a job profile and core curriculum for endoscopy nursing. Various simulators, including those using tubes and virtual reality, are available for training, with the Erlangen active simulator for interventional endoscopy being the most suitable. Monitoring the frequency of procedures allows for individual competency assessment. Effective communication is essential for success and safety. Postgraduate training programmes should be provided for individuals lacking endoscopy education. National and international meetings should attract doctors and nurses to promote teamwork and knowledge exchange. Advancements in technology will shape the job profile of endoscopy professionals, including short wire systems, single-operator cholangiocytes, nurse endoscopists, nurse-assisted propofol sedation, artificial intelligence, endoscopy robots and hybrid procedures.
{"title":"Endoscopic retrograde cholangio pancreatography and endoscopic ultrasound: the pilot is only as good as the co-pilot – what do nurses need to know?","authors":"Rainer Schoefl","doi":"10.12968/gasn.2023.21.7.20","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.7.20","url":null,"abstract":"Endoscopy procedures require a collaborative team approach. Flight simulator training is an advanced method used to enhance the stress resilience and communication skills of nurses, which are crucial for successful execution. Novices need sufficient time to acquire expertise, so clear learning outcomes should be established for nurses in endoscopy. The European Society of Gastroenterology and Endoscopy Nurses and Associates has developed a job profile and core curriculum for endoscopy nursing. Various simulators, including those using tubes and virtual reality, are available for training, with the Erlangen active simulator for interventional endoscopy being the most suitable. Monitoring the frequency of procedures allows for individual competency assessment. Effective communication is essential for success and safety. Postgraduate training programmes should be provided for individuals lacking endoscopy education. National and international meetings should attract doctors and nurses to promote teamwork and knowledge exchange. Advancements in technology will shape the job profile of endoscopy professionals, including short wire systems, single-operator cholangiocytes, nurse endoscopists, nurse-assisted propofol sedation, artificial intelligence, endoscopy robots and hybrid procedures.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134968536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.12968/gasn.2023.21.7.26
Payam Gonbari Milani, Roya Abedi Soleimani, Nader khani, Aziz Homayouni Rad
Colorectal cancer is a major cause of cancer deaths globally, resulting in 700 000 deaths every year. It is the third most common cancer in both men and women, with approximately 1.36 million new cases reported annually. Studies suggest that the microbiota can play a significant role in preventing colon cancer and aiding recovery during intestinal inflammation. Research has shown that certain gut microorganisms, such as Lactobacillus spp, can positively impact these processes. This review explores the connection between colon cancer and gut microbiota, how probiotic bacteria can lower the risk of cancer, and the potential of using probiotics and postbiotics as an effective strategy for cancer prevention. Existing evidence indicates that specific probiotics potentially possess anticarcinogenic properties. However, additional research is required to comprehend the precise mechanisms that are specific to the host.
{"title":"Gut microbiota: a perspective for colorectal cancer","authors":"Payam Gonbari Milani, Roya Abedi Soleimani, Nader khani, Aziz Homayouni Rad","doi":"10.12968/gasn.2023.21.7.26","DOIUrl":"https://doi.org/10.12968/gasn.2023.21.7.26","url":null,"abstract":"Colorectal cancer is a major cause of cancer deaths globally, resulting in 700 000 deaths every year. It is the third most common cancer in both men and women, with approximately 1.36 million new cases reported annually. Studies suggest that the microbiota can play a significant role in preventing colon cancer and aiding recovery during intestinal inflammation. Research has shown that certain gut microorganisms, such as Lactobacillus spp, can positively impact these processes. This review explores the connection between colon cancer and gut microbiota, how probiotic bacteria can lower the risk of cancer, and the potential of using probiotics and postbiotics as an effective strategy for cancer prevention. Existing evidence indicates that specific probiotics potentially possess anticarcinogenic properties. However, additional research is required to comprehend the precise mechanisms that are specific to the host.","PeriodicalId":52494,"journal":{"name":"Gastrointestinal Nursing","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134968545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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