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dc.contributor.authorvan Tienhoven EAE
dc.contributor.authorHilbers ESM
dc.contributor.authorvan Halteren AR
dc.date.accessioned2014-01-17T14:05:49
dc.date.issued2003-08-28
dc.identifier318902014
dc.description.abstractGastrostomy is a procedure that involves placing a tube into a person's stomach through the abdominal wall to provide long-term nutritional support. While the procedure increases the quality of life, it is also associated with several complications. A survey among members of the Netherlands Society of Physicians for Persons with Intellectual Disabilities (NVAVG) has been performed to identify the incidence and nature of the complications in intellectually disabled persons in the Netherlands. A total of 77 questionnaires were completed, representing about one-third of all the questionnaires sent out. Eighty per cent of the respondent physicians who work with severely intellectually disabled persons had to deal with complications in the last five years. Two hundred complications, which reflects about 200 patients, were observed in this period. Most complications can be classified as minor. The most frequently observed are obstruction of the tube and granuloma formation. However, major complications, such as peritonitis and aspiration pneumonia, were reported frequently. In addition, in the last five years 13 physicians had observed deaths that were most likely related to gastrostomy. Due to the design of the study, the low response to the questionnaire and the lack of information on the total number of intellectually disabled persons with a gastrostomy, it was not possible to calculate the percentage of persons who experienced a complication. A prospective follow-up study is necessary to examine how the different complications are caused. It would also be advisable to develop a national, harmonised protocol to try to slow down the rate of complications.
dc.description.sponsorshipIGZ
dc.formatapplication/pdf
dc.format.extent33 p
dc.format.extent259 kb
dc.language.isonl
dc.publisherRijksinstituut voor Volksgezondheid en Milieu RIVM
dc.relation.ispartofRIVM rapport 318902014
dc.relation.urlhttp://www.rivm.nl/bibliotheek/rapporten/318902014.html
dc.relation.urlhttp://www.rivm.nl/bibliotheek/rapporten/318902014.pdf
dc.subject02nl
dc.subjectgastrostomyen
dc.subjectcomplicationsen
dc.subjectmentally handicapped personen
dc.titleAard en omvang van complicaties van gastrostomata bij ernstig meervoudig gehandicaptennl
dc.title.alternativeComplications with gastrostomy by intellectually disabled persons in the Netherlandsen
dc.typeReport
dc.contributor.departmentBMT
dc.date.updated2014-01-17T13:08:20Z
refterms.dateFOA2018-12-18T11:14:22Z
html.description.abstractGastrostomy is a procedure that involves placing a tube into a person's stomach through the abdominal wall to provide long-term nutritional support. While the procedure increases the quality of life, it is also associated with several complications. A survey among members of the Netherlands Society of Physicians for Persons with Intellectual Disabilities (NVAVG) has been performed to identify the incidence and nature of the complications in intellectually disabled persons in the Netherlands. A total of 77 questionnaires were completed, representing about one-third of all the questionnaires sent out. Eighty per cent of the respondent physicians who work with severely intellectually disabled persons had to deal with complications in the last five years. Two hundred complications, which reflects about 200 patients, were observed in this period. Most complications can be classified as minor. The most frequently observed are obstruction of the tube and granuloma formation. However, major complications, such as peritonitis and aspiration pneumonia, were reported frequently. In addition, in the last five years 13 physicians had observed deaths that were most likely related to gastrostomy. Due to the design of the study, the low response to the questionnaire and the lack of information on the total number of intellectually disabled persons with a gastrostomy, it was not possible to calculate the percentage of persons who experienced a complication. A prospective follow-up study is necessary to examine how the different complications are caused. It would also be advisable to develop a national, harmonised protocol to try to slow down the rate of complications.<br>


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