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Related Experiment Videos

[Percutaneous endoscopic gastrostomy. 174 cases].

J A Seyrig1, J Gordin, B Costa

  • 1Centre hospitalier Intercommunal de Créteil.

Presse Medicale (Paris, France : 1983)
|June 2, 1990
PubMed
Summary

Percutaneous endoscopic gastrostomy (PEG) provides nutritional support for patients with swallowing disorders or malnutrition. While generally safe and effective, complications can occur, necessitating careful patient selection and technique.

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Area of Science:

  • Gastroenterology
  • Endoscopic Procedures
  • Nutritional Support

Context:

  • 174 patients with neurological diseases, ENT tumors, or malnutrition received nutritional support.
  • Patients had deglutition disorders, inhalation risk, severe malnutrition, or intolerance to nasogastric tubes.
  • Percutaneous endoscopic gastrostomy (PEG) was chosen over nasogastric tubes or surgical gastrostomy.

Purpose:

  • To evaluate the efficacy and safety of percutaneous endoscopic gastrostomy (PEG) for nutritional assistance.
  • To identify complications associated with PEG insertion and long-term use.
  • To compare PEG with surgical gastrostomy.

Summary:

  • PEG was successfully installed in 98% of cases, with 29% managed as outpatients.
  • Common issues included flange blockade and thread rupture; transoperative accidents occurred in 5%.

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  • Short-term complications (15%) included hyperthermia and local infection; long-term complications (25%) involved inflammatory reactions and leakage. Local infections were higher in ENT tumor patients.

    • Impact:

    • PEG is a fast, reliable technique for nutritional support, often preferred over surgical gastrostomy.
    • Despite frequent (46%) but generally minor complications, careful technique and adherence to contraindications are crucial.
    • This study highlights the importance of meticulous PEG insertion to minimize risks and optimize patient outcomes.