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Percutaneous endoscopic gastrostomy: cross-sectional study for Slovenia
Hepato-Gastroenterology
|February 21, 2015
Summary
Percutaneous endoscopic gastrostomy (PEG) is a safe and effective method for long-term tube feeding in patients with swallowing difficulties. This study found PEG placement in Slovenia to be associated with low complication and mortality rates, primarily for neurological conditions.
Area of Science:
- Gastroenterology
- Endoscopy
- Clinical Nutrition
Background:
- Percutaneous endoscopic gastrostomy (PEG) is the preferred method for long-term enteral nutrition in patients with swallowing disorders.
- PEG was first introduced in Slovenia in 1995.
- This study presents the initial cross-sectional analysis of PEG procedures in Slovenia.
Purpose of the Study:
- To analyze the experience of PEG placements in Slovenia.
- To evaluate demographic characteristics, indications, survival rates, and complications associated with PEG procedures.
- To assess the efficacy and safety of PEG in a Slovenian patient cohort.
Main Methods:
- Retrospective review of medical records from seven Slovenian hospitals.
- Data collected for PEG placements between 2004 and 2008.
- Analysis included patient demographics, indications, survival, and complication rates.
Main Results:
- A total of 1173 PEG placements were performed.
- The majority of patients (67.5%) had neurological diseases.
- Major complications occurred in 1.28% of patients, with a mortality rate of 0.34%.
Conclusions:
- PEG is an effective and safe method for long-term enteral nutrition in patients with dysphagia.
- Neurological disorders are the most common indication for PEG insertion.
- A multidisciplinary approach is recommended for patient selection for PEG placement.
