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Indications, complications and long-term follow-up of patients undergoing percutaneous endoscopic gastrostomy: A

Fatih Ermis1, Melih Ozel, Kemal Oncu

  • 1Department of Gastroenterology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey. fatihermis2@hotmail.com

Wiener Klinische Wochenschrift
|March 3, 2012
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) placement is a safe and well-tolerated procedure for patients requiring nutritional support. This review confirms low complication and mortality rates, even in elderly individuals with comorbidities.

Area of Science:

  • Gastroenterology
  • Medical Procedures

Background:

  • Increasing referrals for percutaneous endoscopic gastrostomy (PEG) insertion necessitate procedural review.
  • Gastroenterology units are experiencing a significant rise in PEG insertion cases.

Purpose of the Study:

  • To review percutaneous endoscopic gastrostomy (PEG) insertion procedures.
  • Evaluate indications, complications, and follow-up of PEG placements.

Main Methods:

  • Retrospective evaluation of PEG insertion procedures.
  • Data collected from October 2002 to April 2009 at Gulhane Military Medical Academy, Haydarpasa Training Hospital.
  • Analysis included indications, success rates, complications, and long-term outcomes.

Main Results:

  • 81 patients underwent PEG insertion; follow-up available for 77.
  • Successful PEG placement in 99% of cases, with one mortality related to the procedure.
  • Neurologic disorders (92%) were the primary indication; complication rate was 21% (16 events in 14 patients).

Conclusions:

  • Percutaneous endoscopic gastrostomy (PEG) placement is a safe procedure.
  • PEG is well-tolerated with low mortality and complication rates.
  • The procedure is suitable for elderly patients with comorbidities when adequate precautions are taken.
Abstract

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