Percutaneous endoscopic gastrostomy in burn patients

R Sheridan1, J Schulz, C Ryan

  • 1Department of Surgery, Division of Burns and Trauma, Bigelow 1302, Massachusetts General Hospital, Shriners Burns Hospital, Harvard Medical School, Boston, MA 02114, USA.

Surgical Endoscopy
|March 27, 1999
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) offers a comfortable and safe method for prolonged enteral nutrition in severe burn patients. This technique minimizes complications compared to traditional nasogastric tubes.

Area of Science:

  • Medical procedures
  • Gastroenterology
  • Burn care

Background:

  • Seriously burned individuals occasionally require prolonged enteral feedings.
  • Percutaneous endoscopic gastrostomy (PEG) has been utilized for extended nutritional access in select burn patients.
  • This review examines the application of PEG in this patient population.

Purpose of the Study:

  • To evaluate the efficacy and safety of PEG for prolonged enteral nutrition in severely burned patients.
  • To compare PEG with nasogastric tubes for long-term feeding access in burn survivors.

Main Methods:

  • The PEG procedure was performed under general anesthesia in 14 patients, often concurrently with other surgical interventions.
  • Various commercially available needle and guidewire kits were used for tube placement.
  • Tube placement sites included unburned skin, healed donor sites, healed burns, and grafted burn areas.

Main Results:

  • The study included 14 patients with an average age of 55.2 years and burns affecting 38% of their body surface; 11 had inhalation injuries.
  • PEG tubes were placed a mean of 57 days post-injury through various skin sites, with one instance of local wound erosion.
  • While tubes remained in place for up to 155 days, long-term outcomes post-discharge were largely unknown, with no reported tube-related issues after acute care.

Conclusions:

  • Percutaneous endoscopic gastrostomy (PEG) provides a more comfortable alternative to nasogastric tubes for prolonged enteral feeding in selected burn patients.
  • The PEG procedure can be performed with minimal morbidity in this patient group.
  • PEG facilitates necessary nutritional support for recovery in severe burn cases.
Abstract

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