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Use of percutaneous gastrostomy in the intensive care patient

K M Kelly1, B Lewis, D R Gentili

  • 1Department of Surgery, Mount Sinai Medical Center, City University of New York, NY 10029.

Critical Care Medicine
|January 1, 1988
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) is a safe and effective feeding method for intensive care unit (ICU) patients. This study found a low complication rate, making PEG a valuable alternative to surgical gastrostomy.

Area of Science:

  • Gastroenterology
  • Critical Care Medicine
  • Endoscopic Procedures

Background:

  • Enteral nutrition is crucial for critically ill patients.
  • Traditional operative gastrostomy carries risks.
  • Percutaneous endoscopic gastrostomy (PEG) offers a less invasive alternative.

Purpose of the Study:

  • To evaluate the safety and efficacy of PEG in ICU patients.
  • To compare PEG with operative gastrostomy in this population.

Main Methods:

  • A prospective evaluation of 30 ICU patients undergoing PEG.
  • Monitoring for complications and outcomes.

Main Results:

  • 14% incidence of minor complications.
  • No major complications were reported.
  • Zero mortality associated with the procedure.

Conclusions:

  • Percutaneous endoscopic gastrostomy is a safe and useful procedure for ICU patients.
  • PEG presents a viable alternative to operative gastrostomy in the intensive care setting.

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