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Percutaneous endoscopic gastrostomy.

W Sangster¹, G D Cuddington, B L Bachulis

¹Department of Surgery, Emanuel Hospital and Health Center, Portland, Oregon 97227.

American Journal of Surgery

|May 1, 1988

Summary

Percutaneous endoscopic gastrostomy (PEG) is a safe and effective method for gastrointestinal access. This study found PEG to be superior to operative gastrostomy for patients unable to nourish themselves orally.

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Area of Science:

Gastroenterology
Minimally Invasive Surgery

Background:

Percutaneous endoscopic gastrostomy (PEG) is a widely accepted procedure.
Patients requiring nutritional support often face challenges with oral intake.

Purpose of the Study:

To evaluate the safety and efficacy of PEG.
To compare PEG with operative gastrostomy.

Main Methods:

A retrospective review of 155 PEG procedures performed over 3.5 years.
Utilized the Ponsky et al. technique, with preoperative antibiotics in most cases.
Procedures often performed under local anesthesia, sometimes concurrently with tracheostomies.

Main Results:

155 PEGs were performed on patients with inability to nourish orally.
17 complications (11%) occurred, including 2 deaths (1%).
PEG demonstrated superiority compared to operative gastrostomy.

Conclusions:

PEG is a safe and rapid method for gastrointestinal access.
PEG should be considered the preferred method for tube gastrostomy placement.

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