Related Experiment Videos
[Percutaneous endoscopic gastrostomy in the ICU]
I O Akinci1, P Ozcan, S Tuğrul
1I.U. Istanbul Tip Fak. Anesteziyoloji ve Reanimasyon A.D. Monoblok 34390 Capa, Istanbul.
Summary
Percutaneous endoscopic gastrostomy (PEG) reduces aspiration events and positive tracheal cultures in ICU patients requiring long-term enteral nutrition. This procedure improves outcomes for patients with gastroesophageal reflux and coma.
Area of Science:
- Medicine
- Gastroenterology
- Intensive Care Medicine
Background:
- Aspiration pneumonia is a common complication in intensive care units (ICUs).
- Gastroesophageal reflux frequently leads to aspiration pneumonia.
- Long-term enteral nutrition is often required for patients with prolonged ICU stays and coma.
Purpose of the Study:
- To evaluate the effectiveness of percutaneous endoscopic gastrostomy (PEG) in reducing aspiration.
- To assess the impact of PEG on feeding interruptions and tracheal aspirate cultures.
- To determine if PEG shortens hospital stay and reduces the risk of aspiration in ICU patients.
Main Methods:
- Retrospective evaluation of 31 patients who underwent PEG between 1997-1998.
- Indication for PEG was long-term ICU stay and coma necessitating enteral nutrition.
- Aspiration events, feeding interruptions, and positive tracheal aspirate cultures were assessed before and after PEG placement.
Main Results:
- Aspiration and feeding interruptions decreased from 1.57 to 0.67 events post-PEG.
- Positive tracheal aspirate cultures reduced from 3.14 to 1.52 instances after PEG.
- PEG placement was associated with a reduction in aspiration-related complications.
Conclusions:
- Percutaneous endoscopic gastrostomy is an effective method for long-term enteral access in ICU patients.
- PEG significantly reduces the incidence of aspiration and associated complications.
- PEG improves outcomes for critically ill patients requiring prolonged enteral nutrition.