Diğdem ÖZER ETİK, Nuretdin SUNA, Serkan ÖCAL, Haldun SELÇUK

Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi

Giriş ve Amaç: Perkütanöz endoskopik gastrostomi, sıklıkla beslenme problemi olan ve uzun süreli tüple beslenme ihtiyacı olan bireylerde kullanılmaktadır. Bu çalışmanın amacı, öncelikle, kliniğimizde yıllar içinde değişen perkütanöz endoskopik gastrostomi kullanımı ve hasta özelliklerini saptamaktı. İkincil amaç olarak da, orta yaş ve yaşlı hasta popülasyonunda perkütanöz endoskopik gastrostomi endikasyonlarını, komplikasyonlarını ve perkütanöz endoskopik gastrostomi uygulaması sonrası sağ kalımı karşılaştırmaktı. Gereç ve Yöntem: Mayıs-2011 ve Haziran-2015 tarihleri arası merkezimizde perkütanöz endoskopik gastrostomi uygulanan hastaların verileri retrospektif olarak değerlendirildi. Demografik ve klinik özellikler kaydedildikten sonra, komplikasyonlar ve sağ kalım değerlendirildi. Bütün bu sonuçlar, orta yaş ve yaşlı hasta grubunda karşılaştırıldı. Bulgular: Çalışmada 298 hastanın bilgileri değerlendirildi. 156 kadın ve 142 erkek hastanın ortanca yaşı 82 idi. En sık perkütanöz endoskopik gastrostomi endikasyonu sereberovasküler hastalık idi. Yıllar içinde hasta popülasyonumuzun daha yaşlı bir hasta popülasyonu yönünde değiştiğini saptadık. Orta yaş ve yaşlı hasta gruplarında klinik sonuçlar ve perkütanöz endoskopik gastrostomi komplikasyonları açısından benzer sonuçlar gözlenirken, sadece hastanede kalma süresi yaşlı grupta daha uzundu. 3 aylık ve 1 yıllık sağ kalım karşılaştırıldığında iki grup açısından fark yoktu. Sonuç: Dünya ve ülkemiz nüfusu yaşlanırken, özellikle geriatrik hastalarda, perkütanöz endoskopik gastrostomi güvenli bir yöntem olup mortaliteyi arttırmamaktadır.

Anahtar Kelimeler:

Perkütan endoskopik gastrostomi, serebrovasküler olay, yaşlanma, sağ kalım

Percutaneous endoscopic gastrostomy in older patient population

Background and Aims: Percutaneous endoscopic gastrostomy is commonly used in patients with nutrition problems who require long-term tube feeding. The first aim of this study was to investigate the change in percutaneous endoscopic gastrostomy utilization and patient characteristics over time in our clinic. Our second aim was to compare older and middle-aged patients in terms of indications for percutaneous endoscopic gastrostomy, complications,and survival following percutaneous endoscopic gastrostomy insertion. Materials and Methods: We conducted a retrospective study in which the data on patients who underwent percutaneous endoscopic gastrostomy placement between May 2011 and June 2015 were analyzed. After demographic and clinical variables were collected, complications and survival were assessed. All outcomes of older and middle-aged patients were compared. Results: Data on 298 patients were evaluated. There were 156 women and 142 men, with a median age of 82 years. The prevailing indication for percutaneous endoscopic gastrostomy insertion was cerebrovascular disorders. We noticed that the mean age of our patient population had increased over the years. Clinical outcomes and complications, except length of stay in hospital, were similar in the two groups. There was no difference in the 3-month- and 1-year survival rates between older and middle-aged patients. Conclusion: As the national and global populations age, percutaneous endoscopic gastrostomy is a safe procedure and is not associated with increased mortality, especially in geriatric patients.

Keywords:

Percutaneous endoscopic gastrostomy, cerebrovascular disorders, aging, survival,

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