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Percutaneous endoscopic gastrostomy in elderly patients.
P Finucane1, S M Aslan, D Duncan
1Department of Geriatric Medicine, Cardiff Royal Infirmary, UK.
Postgraduate Medical Journal
|April 1, 1991
Summary
Percutaneous endoscopic gastrostomy (PEG) offers a safe feeding alternative for elderly patients with dysphagia. This procedure was successful and well-tolerated, providing nutritional support for stroke survivors and others unable to use nasogastric tubes.
Area of Science:
- Geriatrics
- Gastroenterology
- Clinical Nutrition
Background:
- Dysphagia and intolerance to nasogastric feeding are common challenges in elderly patients, particularly those recovering from stroke.
- Percutaneous endoscopic gastrostomy (PEG) presents a potential solution for long-term nutritional support.
Purpose of the Study:
- To evaluate the safety, efficacy, and outcomes of percutaneous endoscopic gastrostomy (PEG) in elderly patients with dysphagia.
- To assess the long-term functionality and complications associated with PEG in this patient population.
Main Methods:
- A prospective study involving 28 elderly patients (mean age 82 years) with dysphagia and nasogastric feeding intolerance.
- The study monitored procedural success, patient tolerance, PEG functionality over time, and patient survival post-procedure.
Main Results:
- The PEG procedure was successful and well-tolerated in all 28 patients.
- Sixty-eight percent (19/28) of patients had a functioning PEG at a median of 14 weeks.
- Seven patients (25%) died from underlying conditions, with one procedure-related death from peritonitis.
Conclusions:
- Percutaneous endoscopic gastrostomy (PEG) is a safe and effective alternative to surgical gastrostomy for selected elderly patients with dysphagia.
- PEG provides valuable nutritional support for elderly individuals intolerant to nasogastric feeding, particularly stroke survivors.