Questionnaire Survey about Gastrostomy Catheter Replacement in Training Facilities of the Japanese Association of Rehabilitation Medicine

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  • MOMOSAKI Ryo
    Department of Rehabilitation Medicine, Tokyo Metropolitan Ootsuka Hospital
  • SUGAWARA Hidekazu
    Department of Rehabilitation Medicine, Tokyo Metropolitan Ootsuka Hospital
  • SASAKI Nobuyuki
    Department of Rehabilitation Medicine, Tokyo Metropolitan Ootsuka Hospital
  • ABO Masahiro
    Department of Rehabilitation Medicine, Jikei University School of Medicine
  • KIMURA Chiko
    Department of Rehabilitation Medicine, Kimura Hospital

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Other Title
  • リハビリテーション医学会研修施設における胃瘻カテーテル交換に対する実態調査
  • リハビリテーション イガッカイ ケンシュウ シセツ ニ オケル イロウ カテーテル コウカン ニ タイスル ジッタイ チョウサ

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Abstract

The factors that influence the risk of accidents during the replacement of gastrostomy catheters remain unknown and therefore have not yet been thoroughly investigated. We conducted a nationwide questionnaire survey of 415 rehabilitation-training facilities for the replacement of gastrostomy catheters. We received 221 valid responses. Among the catheter replacement methods submitted, the bumper button replacement method was the most widely chosen, comprising 40% of the valid responses. The measures used to prevent accidental erroneous catheterization included examination of the stomach contents, endoscopic examination of the stomach, and the detection of insufflation sounds, although these measures varied widely among the facilities. Fifty-one out of the 221 facilities that responded to the survey experienced various mishaps, of which 20 were due to erroneous catheterization. In approximately 40% of the facilities, there was no operative manual for the replacement nor was the patient's consent taken before performing the procedure. This investigation elucidates the risks involved in the replacement of gastrostomy catheters. This survey also suggests that the methods used for catheter replacement should be re-examined to prevent accidents during the replacement.

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