Güldan KAHVECİ, Selma DAĞCI, Roni ATALAY

Perkütan Endoskopik Gastrostomi Tüpünün Nadir Komplikasyonu: Nekrotizan Fasiit

Perkütan endoskopik gastrostomi çeşitli nedenlerden dolayı uzun süre ağızdan beslenemeyen hastalara, gastrointestinal sistem fonksiyonel ise sedasyon altında beslenme tüpünün perkütan olarak mideye yerleştirilmesi işlemidir. Perkütan endoskopik gastrostomi minör ve majör komplikasyonlara neden olabilir. Nekrotizan fasiit, yüzeyel fasia ve deri altı dokuyu tutan yumuşak doku enfeksiyonu olmakla birlikte, nadir görülen ancak ölümle sonuçlanabilen majör komplikasyonlardan biridir. Hasta/bakım vericinin uygun eğitimi ve hastaneden taburcu olduktan sonra bakımın sürekliliği perkütan endoskopik gastrostomi tüpünün uzun süreli kullanımı için önemlidir. Komplikasyonların çoğu, bakımın kalitesine bağlıdır ve uygun önlemler alınırsa etkili bir şekilde önlenebilir. Bu makalede perkütan endoskopik gastrostominin nadir ve mortal seyredebilen majör komplikasyonu olan nekrotizan fasiitli olgu sunulmuştur. Bu olgu sunumu vesilesi ile perkütan endoskopik gastrostominin mortal seyredebilen majör komplikasyonlarının hemşireler tarafından alınacak önleyici tedbirler ile maliyet etkin bir şekilde önlenebileceği literatür ışığında vurgulanması amaçlanmıştır.

Anahtar Kelimeler:

Perkütan endoskopik gastrostomi, nekrotizan fasiit, majör komplikasyon, enteral beslenme, hemşirelik bakımı

A Rare Complication of Percutaneous Endoscopic Gastrostomy: Necrotizing Fasciitis

Percutaneous endoscopic gastrostomy is a procedure where a feeding tube is passed percutaneously into the patient’s stomach under sedation. The procedure is carried out on patients whose gastrointestinal system is functional and, for various reasons, cannot be fed orally for a long time. Percutaneous endoscopic gastrostomy can cause minor and major complications. One of the rare but fatal major complications is necrotizing fasciitis. It is a soft tissue infection that involves the superficial fascia and subcutaneous tissue. Proper training of the patient/caregiver and continuity of care after discharge from the hospital are important for long-term use of the percutaneous endoscopic gastrostomy tube. Most complications can be effectively prevented if a high quality of care is present and appropriate measures are taken. In this article, a case of nectotizing fasciitis, a rare and mortal complication of percutaneous endoscopic gastroscopy, is presented. This case report aims to emphasize the major complications of percutaneous endoscopic gastrostomy that may progress mortally in the light of the literature that discusses how preventive measures carried out by critical-care nurses can be cost effective.

Keywords:

Percutaneous endoscopic gastrostomy, necrotizing fasciitis, enteral nutrition, nurse care,

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