Importance of fungus colonization in failure of silicone rubber percutaneous gastrostomy tubes (PEGs)
Silicone rubber PEG tubes or replacements were recovered from 111 patients and examined for blockage, dilatations, tears, breaks, or loss of elasticity. All irregularities were stained and examined for fungus using lactophenol cotton blue stain. The intraabdominal portion of the PEG failed from obst...
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| Veröffentlicht in: | Digestive diseases and sciences 1996, Vol.41 (1), p.226-231 |
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| container_title | Digestive diseases and sciences |
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| creator | IBER, F. L LIVAK, A PATEL, M |
| description | Silicone rubber PEG tubes or replacements were recovered from 111 patients and examined for blockage, dilatations, tears, breaks, or loss of elasticity. All irregularities were stained and examined for fungus using lactophenol cotton blue stain. The intraabdominal portion of the PEG failed from obstructions, loss of elasticity, or tears related to fungus colonies in 36% of cases. An additional 34% were colonized with fungi but did not fail. On frozen section, the fungus invaded the wall of the tubing. The extraabdominal PEG tubing failed from fungi in 12, and 10 additional tubes had colonizations. Nine tubes had distal clogging with crystalline material that is believed to arise from medication. Fungus tube failure occurred in 37% of the tubes in place 250 days and in 70% of tubes in place 450 days. Fungus is an important cause of PEG failure; recommendations are provided to maintain tube patency. |
| doi_str_mv | 10.1007/BF02208608 |
| format | Article |
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Fungus is an important cause of PEG failure; recommendations are provided to maintain tube patency.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/BF02208608</identifier><identifier>PMID: 8565761</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Biological and medical sciences ; Endoscopy ; Equipment Contamination ; Equipment Failure ; Fungi - isolation & purification ; Gastrostomy - instrumentation ; Human mycoses ; Humans ; Infectious diseases ; Intubation - instrumentation ; Medical sciences ; Mycoses ; Mycoses of the digestive system ; Punctures ; Silicone Elastomers</subject><ispartof>Digestive diseases and sciences, 1996, Vol.41 (1), p.226-231</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-5476faf6e440844a72c52d016d34aaa5143653f7ad3b0a01b47ca973b09fbb7b3</citedby><cites>FETCH-LOGICAL-c311t-5476faf6e440844a72c52d016d34aaa5143653f7ad3b0a01b47ca973b09fbb7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2985227$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8565761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>IBER, F. 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Nine tubes had distal clogging with crystalline material that is believed to arise from medication. Fungus tube failure occurred in 37% of the tubes in place 250 days and in 70% of tubes in place 450 days. Fungus is an important cause of PEG failure; recommendations are provided to maintain tube patency.</description><subject>Biological and medical sciences</subject><subject>Endoscopy</subject><subject>Equipment Contamination</subject><subject>Equipment Failure</subject><subject>Fungi - isolation & purification</subject><subject>Gastrostomy - instrumentation</subject><subject>Human mycoses</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Intubation - instrumentation</subject><subject>Medical sciences</subject><subject>Mycoses</subject><subject>Mycoses of the digestive system</subject><subject>Punctures</subject><subject>Silicone Elastomers</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMFLwzAUxoMoc04v3oUcRFSoJmmTtEcd2xwM9KDnkqTJiLRNTdrD_OuNrszTe4_3-z7e-wC4xOgBI8Qfn5eIEJQzlB-BKaY8TQhl-TGYIsxijzE7BWchfCKECo7ZBExyyihneAr0uumc70WrNHQGmqHdDgEqV7vWfoveuhbaFhph68H_EcHWVrlWQz9IqT3stFdD1GsXdVsReu9C75od7AepA7x9W6zC3Tk4MaIO-mKsM_CxXLzPX5LN62o9f9okKsW4T2jGmRGG6SxDeZYJThQlVXyiSjMhBMVZymhquKhSiQTCMuNKFDwOhZGSy3QGbva-nXdfgw592digdF3v7ys5L3JOCxLB-z2o4rnBa1N23jbC70qMyt9My_9MI3w1ug6y0dUBHUOM--txL4IStfExTRsOGClySghPfwDyan6l</recordid><startdate>1996</startdate><enddate>1996</enddate><creator>IBER, F. 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L</au><au>LIVAK, A</au><au>PATEL, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Importance of fungus colonization in failure of silicone rubber percutaneous gastrostomy tubes (PEGs)</atitle><jtitle>Digestive diseases and sciences</jtitle><addtitle>Dig Dis Sci</addtitle><date>1996</date><risdate>1996</risdate><volume>41</volume><issue>1</issue><spage>226</spage><epage>231</epage><pages>226-231</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><coden>DDSCDJ</coden><abstract>Silicone rubber PEG tubes or replacements were recovered from 111 patients and examined for blockage, dilatations, tears, breaks, or loss of elasticity. All irregularities were stained and examined for fungus using lactophenol cotton blue stain. The intraabdominal portion of the PEG failed from obstructions, loss of elasticity, or tears related to fungus colonies in 36% of cases. An additional 34% were colonized with fungi but did not fail. On frozen section, the fungus invaded the wall of the tubing. The extraabdominal PEG tubing failed from fungi in 12, and 10 additional tubes had colonizations. Nine tubes had distal clogging with crystalline material that is believed to arise from medication. Fungus tube failure occurred in 37% of the tubes in place 250 days and in 70% of tubes in place 450 days. Fungus is an important cause of PEG failure; recommendations are provided to maintain tube patency.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>8565761</pmid><doi>10.1007/BF02208608</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0163-2116 |
| ispartof | Digestive diseases and sciences, 1996, Vol.41 (1), p.226-231 |
| issn | 0163-2116 1573-2568 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77987592 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Biological and medical sciences Endoscopy Equipment Contamination Equipment Failure Fungi - isolation & purification Gastrostomy - instrumentation Human mycoses Humans Infectious diseases Intubation - instrumentation Medical sciences Mycoses Mycoses of the digestive system Punctures Silicone Elastomers |
| title | Importance of fungus colonization in failure of silicone rubber percutaneous gastrostomy tubes (PEGs) |
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