Our Experience in Percutaneous Endoscopic Gastrostomy

Abstract

Objective: Enteral nutrition is essential for critically ill patients for energy intake, body resistance, protection of gastrointestinal flora and prevention of translocation. We aimed in this study to present indications and complications of PEG and the follow up data of the patients in our hospital. Methods: We retrospectively evaluated the data of 81 patients that planned to perform PEG in endoscopy unit of General surgery clinic of Abant Izzet Baysal University Hospital between 2010 January and December 2012. Results: Forty-two (56%) of 75 patients were male and 33 (44%) were female. Mean age was 62+/-22.47 years. Primary diseases of the patients were cerebrovascular diseases in 45 (60%), laryngeal carcinoma in 4 (5.3%), eosophageal carcinoma in 2 (%2.6) hypoxic ischemic encephalopathy in 9 (12%), posttraumatic encephalopathy in 3 (4%), respiratory failure in 10 (13.3%), neurobehcet in 1 (1.3%), and lymphosarcoma in 1 (1.3%) patients. Mean follow up period was 263+/-254.4 days. Four ( 5.3%) patients died within 1 month, and 8 (10.6%) patients died within 3 months after PEG operation. None of the patients died associated with PEG and complications. Conclusion: PEG is a safe and effective intervention because it does not require general anesthesia, may be performed in a short period of time bedside or in endoscopy unit. It should be used effectively because it has low mortality and complication (major or minor) rates. Key Words: Percutaneous endoscopic gastrostomy, indications, enteral nutrition