Hakan DEMİRCİ, Güldem KİLCİLER, Kadir ÖZTÜRK, Murat KANTARCIOĞLU, Ahmet UYGUN, Sait BAĞCI

Perkütan endoskopik gastrostomi uygulamalarındaki tecrübelerimiz

Giriş ve Amaç: Perkütan endoskopik gastrostomi uzun vadeli enteral nutrisyona gereksinim duyan hastalarda beslenme için tercih edilen yöntemdir. Bu çalışmanın amacı, perkütan endoskopik gastrostomi uygulanan hastaların özelliklerini retrospektif olarak analiz etmektir. Gereç ve Yöntem: Gülhane Askeri Tıp Akademisi, Gastroenteroloji Bilim Dalında 1999 ile 2014 yılları arasında perkütan endoskopik gastrostomi uygulanan hastaların endikasyonları, işlem detayları, takip süreleri ve gelişen komplikasyonlar retrospektif olarak değerlendirildi. Bulgular: Çalışmaya dahil edilen 642 hastanın 405’i (%63.1) erkek, 237’si (%36.9) kadındı. Hastaların ortalama yaşları 64.2 (18-97) yıl idi. Yedi hasta dışındaki tüm hastalara perkütan endoskopik gastrostomi başarıyla uygulandı. En sık perkütan endoskopik gastrostomi yerleştirme endikasyonu 495 (%77.1) hasta ile nörolojik hastalıklardı. Diğer endikasyonlar ise; 109 (%16.9) hastada orofaringeal hastalıklar ve 38 (%6) hastada özofageal hastalıklardı. Perkütan endoskopik gastrostomi prosedürüne bağlı 123 (%19.1) hastada komplikasyon gözlendi. Perkütan endoskopik gastrostomi sonrası 1 aylık dönem içinde 9 (%1.4) hasta, 3 ay içinde 15 (%2.3) hasta, 6 ay içinde ise 38 (%5.9) hasta ex oldu. Perkütan endoskopik gastrostomi yerleştirilmesine bağlı hiçbir hastada mortalite gözlenmedi. Sonuç: Perkütan endoskopik gastrostomi, beslenme desteğinin enteral olarak sağlanmasında güvenli, minimal invaziv, etkili, iyi tolere edilen ve düşük komplikasyon oranına sahip bir uygulamadır.

Anahtar Kelimeler:

Perkütan endoskopik gastrostomi, enteral beslenme, endikasyon

Our experience in percutaneous endoscopic gastrostomy

Background and Aims: Percutaneous endoscopic gastrostomy is the preferred route of enteral feeding in patients who require long-term enteral nutrition. The aim of this study was to perform a retrospective analysis characterizing patients with percutaneous endoscopic gastrostomy. Materials and Methods: We retrospectively evaluated the indications, complications, procedure details, and follow up of patients who underwent percutaneous endoscopic gastrostomy in Gulhane Military Medical Academy, Department of Gastroenterology between 1999 and 2014. Results: Of the 642 patients enrolled, 405 were male (63.1%), and 237 female (36.9%). Mean age was 64.2 (range, 18-97) years. Percutaneous endoscopic gastrostomy was successfully performed in all but 7 patients. The most common indication for percutaneous endoscopic gastrostomy tube placement was neurologic disorders in 495 (77.1%) patients. Other indications were oropharyngeal diseases in 109 (16.9%) patients, and eosophageal diseases in 38 (6%) patients. Percutaneous endoscopic gastrostomy related complications were seen in 123 patients (19.1%). Nine (1.4%) patients died within 1 month, 15 (2.3%) patients died within 3 months, and 38 (5.9%) patients died within 6 months after percutaneous endoscopic gastrostomy procedure. There were no percutaneous endoscopic gastrostomy insertion related mortalities. Conclusion: Percutaneous endoscopic gastrostomy placement to provide enteral access for nutrition support is a safe, minimally invasive, effective, and well-tolerated procedure with a low major complication rate.

Keywords:

Percutaneous endoscopic gastrostomy, enteral nutrition, indication,

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