Oğuzhan YILDIRIM, Yüksel SEÇKİN, Yılmaz BİLGİÇ, Melih KARINCAOĞLU, Murat ALADAĞ

An evaluation of the indications, complications and results of patients with percutaneous endoscopic gastrostomy

Aim of this study is to evaluate the indications, complications and results of patients undergoing percutaneus endoscopic gastrostomy. In our study, we evaluated the outpatients or hospitalized patients applying to Turgut Özal Medical Center between April 2008-November 2010. 247 patients who would be unable to perform oral feeding for at least 4 weeks and underwent for PEG procedure were evaluated retrospectively. PEG procedure was performed 296 times on 247 cases. The most common indication for PEG has been neurological diseases (39.2%), other indications follow up in order with respiratory failure (10.5%), multiple trauma (10.1%), hypoxic encephalopahty (8.6%) and the other diseases (6.5%). Complications associated with PEG were wound infection (5.6%), tube blockage (3.2%), tube fracture (2.4%), tube leakage (2.4%), breakage (2.4%), and buried bumper syndrom (3.2%). Overall minor complication rate was %13,7, and overall major complication rate (buried bumpersyndrome) was 3.2%. The most common complication was wound infection. During follow-up, 102 patients died of primary disease. 30 days (early) and 1 year mortality rates were 14.3% and 39.5%. Overall mortality rate was 41,3% and mean survival was 17.34 ± 0.7 months. PEG tube was removed in 10 cases because of a adequate oral intake. The mean duration of a PEG tube stay was 16 ± 1.2 months. PEG is a procedure requiring no general anesthesia with low morbidity and mortality rates. It is also an effective, safe method which can be performed at the bedside. It should be one of methods prefered for patients who need long-term enteral nutrition

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