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Percutaneous endoscopic gastrostomy after abdominal surgery
E Eleftheriadis1, K Kotzampassi
1Department of Surgery, University of Thessaloniki, Thessaloniki, Greece.
Surgical Endoscopy
|April 5, 2001
Summary
Percutaneous endoscopic gastrostomy (PEG) is safe for patients with prior abdominal surgery. This minimally invasive procedure shows comparable success and complication rates to those without previous operations.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a standard procedure for nutritional support in patients with dysphagia.
- Previous abdominal surgery is considered a relative contraindication for PEG placement.
- Limited data exists on PEG safety and efficacy in patients with prior abdominal surgery.
Purpose of the Study:
- To evaluate the safety and efficacy of PEG in patients with a history of upper abdominal surgery.
- To compare PEG outcomes in patients with and without prior abdominal surgery.
Main Methods:
- Retrospective analysis of 37 patients who underwent PEG after upper abdominal surgery.
- Comparison with 291 patients who had an intact abdomen.
- Evaluation of procedure failure, major/minor complications, and mortality rates.
Main Results:
- Comparable procedure failure rates: 2.71% in the prior surgery group vs. 1.72% in the intact abdomen group.
- No major complications or mortality in either group.
- Similar minor complication rates: 2.77% vs. 2.44%.
Conclusions:
- PEG is a safe and effective procedure for patients with a history of upper abdominal surgery.
- Careful endoscopic technique, including transillumination and palpation, is crucial for successful PEG placement in this population.
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