Related Experiment Videos

Complications of percutaneous endoscopic gastrostomy: a surgical experience

P Del Rio1, P Dell'Abate, P Soliani

  • 1University of Parma, School of Medicine.

Il Giornale Di Chirurgia
|December 7, 2006
PubMed
Abstract

Insights

Percutaneous endoscopic gastrostomy (PEG) placement is safe, but complications arise from its management. Hospitalized patients experience higher complication rates than those managed at home, emphasizing the need for proper care.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Surgical Procedures

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a common and safe method for enteral feeding.
  • Management of PEG tubes can lead to significant complication rates.
  • Patient setting (hospitalized vs. home) may influence complication incidence.

Purpose of the Study:

  • To evaluate the complication rates associated with PEG management.
  • To identify factors influencing PEG-related complications.
  • To suggest strategies for reducing PEG complications.

Main Methods:

  • Retrospective analysis of 293 PEG placements (243 patients) between September 1994 and December 2005.
  • Data collected on patient demographics, tube size, and hospitalization status.
  • Comparison of complication rates between hospitalized and home-managed patients.

Main Results:

  • The incidence of both early and late complications was statistically higher in hospitalized patients compared to those managed at home.
  • Specific tube French sizes used were predominantly 16 Fr, with variations for specific cases.

Conclusions:

  • Effective PEG management, including proper patient education by nurses, is crucial for reducing complications.
  • Endoscopist and dietician expertise significantly contributes to minimizing PEG-related adverse events.
  • Optimizing patient care setting and management protocols can improve outcomes for PEG patients.

Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations: