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Percutaneous Endoscopic Gastrostomy: Technical Problems, Complications, and Management.
Savas Yuruker1, Bulent Koca1, Ilhan Karabicak1
1Department of General Surgery, Ondokuz Mayis University Medical School, Kurupelit, Atakum, 55200 Samsun, Turkey.
Percutaneous endoscopic gastrostomy (PEG) is a safe feeding method. While complications like granulomas occur, the procedure has a high success rate and low mortality, making it effective for long-term nutritional support.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Percutaneous endoscopic gastrostomy (PEG) is crucial for nutritional support.
- Evaluating PEG procedures is essential for optimizing patient care.
Purpose of the Study:
- To analyze technical aspects, indications, and complications of PEG procedures.
- To assess the safety and efficacy of PEG in a clinical setting.
Main Methods:
- Retrospective analysis of 221 patients undergoing PEG between 2007 and 2013.
- Data collection on patient demographics, indications, technical issues, and outcomes.
Main Results:
- High success rate (98%) with a 22% overall complication rate.
- Most common indication: intensive care unit admission (46%); neurological disease (41%).
- Granulomas (8%) were the most frequent complication; no mortalities reported.
Conclusions:
- PEG is a safe and effective method for long-term enteral feeding.
- Associated morbidity is generally manageable with conservative treatments.
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