Percutaneous Endoscopic Gastrostomy: Single–Center Experience

Abstract

Aim: Percutaneous endoscopic gastrostomy (PEG) is a common method for patients who cannot be oral-fed. This study aims to evaluate the demographic characteristics, indication of PEG and early ( days) complications of PEG patients performed in our hospital over four years. Material and Method: The study is a retrospective study. This study includes patients who underwent percutaneous endoscopy gastrostomy between 2016-2020 in the endoscopy unit and intensive care units in the general surgery clinic of our hospital. The age, gender, comorbidities, length of hospital stay, PEG indications, the day of hospitalization, the complications, if any, and the day the complications developed were recorded on the computer. Complications before 30 days were divided into groups as early complications and those developing after 30 days of late complications. Results: A total of 207 patients the PEG procedure. When PEG indications were examined, it was observed that the most common cause was cerebrovascular events with a rate of 44.93%. Complications were observed in 19 (9.18%) of the patients after the procedure. 68.42% (13) of complications were seen before 30 days. In the evaluation, which was grouped as non-complicated and complicated patients, no significant difference was observed between age, gender, systemic diseases, time to PEG procedure, endoscopic or surgical opening, and mortality rates. Conclusion: Although PEG is a more invasive method compared to other methods in terms of enteral nutrition, it is the most preferred feeding method due to its low complication rate, fast and easy application, and low cost. PEG is recommended for eligible patients who are scheduled for long-term enteral nutrition.

Keywords

• percutaneous endoscopic gastrostomy
• nutrition
• indication
• complications
• perkütan endoskopik gastrostomi
• beslenme
• endikasyon
• komplikasyonlar