Related Experiment Videos
Day-case percutaneous endoscopic gastrostomy: a viable proposition?
A Mandal1, A Steel, A R Davidson
1Kettering General Hospital NHS Trust, Kettering, Northamptonshire NN16 8UZ, UK.
Insights
Day-case percutaneous endoscopic gastrostomy (PEG) is a successful procedure for stable patients. This approach shows no increased risk of complications, morbidity, or mortality, making it a safe option.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Patient Outcomes
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure.
- Evaluating day-case PEG is important for optimizing patient care and hospital resources.
Purpose of the Study:
- To assess the success rate of day-case PEG procedures.
- To identify complications and long-term outcomes associated with same-day discharge PEG.
- To determine the safety and efficacy of performing PEG as an outpatient procedure.
Main Methods:
- Retrospective study conducted at a UK District General hospital.
- Inclusion of 36 patients (28-90 years) undergoing PEG insertion.
- Data collection from medical and dietetic records.
Main Results:
- High success rate: 92% of PEG procedures were successful.
- Early discharge: 97% of patients were discharged home on the same day.
- Complication rate: 76% had no complications; 21% experienced complications within one month.
- Mortality: 15% died from their primary disease within a month; no deaths directly related to the PEG procedure.
Conclusions:
- Day-case PEG is a viable and safe procedure for selected stable patients.
- No increase in complication rates, morbidity, or mortality was observed compared to traditional inpatient procedures.
- PEG can be effectively managed in an outpatient setting, improving patient flow and potentially reducing healthcare costs.
Abstract:
The aim of our study was to evaluate the success rate, complications, and long term outcomes following day-case percutaneous endoscopic gastrostomy (PEG). This retrospective study was carried out in a 650-bed District General hospital in Northamptonshire, UK. Thirty-six patients, aged 28-90 years, were included in the study, 21 males (58%) and 15 females (42%). Indications for PEG insertion included head and neck cancer, dysphagia as a result of primary disease, and AIDS-related malnutrition. Data were collected from the medical and dietetic records. The PEG procedure was successful in 33 patients (92%). In 32 cases (97%) the patient was discharged home. Twenty five of the patients (76%) suffered no complications whilst seven (21%) suffered complications within a month of the procedure. No patient required further surgical intervention. Five patients (15%) died of their primary disease within a month of the procedure. Patients had had their PEG tubes in situ for up to 2.5 years at the end of data collection. We conclude that PEG can be performed as a day-case procedure in stable patients with no increase in complication rate, morbidity, or mortality.