АКТУАЛЬНОСТЬ РАННИХ СРОКОВ ФОРМИРОВАНИЯ ЧРЕСКОЖНОЙ ЭНДОСКОПИЧЕСКОЙ ГАСТРОСТОМЫПОСЛЕ ИНСУЛЬТА, ОСЛОЖНЕННОГО ТЯЖЕЛОЙ НЕЙРОГЕННОЙ ОРОФАРИНГЕАЛЬНОЙ ДИСФАГИЕЙ (ОБЗОР ЛИТЕРАТУРЫ)

Abstract

Neurogenic oropharyngeal dysphagia (NOD) was a frequent complication after a stroke, determining the further prognosis\xa0and quality of life, causing a number of serious complications. Patients with severe NOD was recommended enteral\xa0feeding through the nasogastric tube (NGT) with the subsequent formation of a percutaneous endoscopic gastrostomy\xa0(PEG). Prolonged use of NGT had its own complications – sinusitis, gastroesophageal reflux, aspiration pneumonia,\xa0etc., and therefore it should be limited in time. In various recommendations, the length of terms before the formation\xa0of the PEG remained controversial. The analysis of modern tactics of PEG in patients after severely developed NOD\xa0was performed on the basis of literature data.