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Percutaneous endoscopic gastrostomy following previous abdominal surgery
Annals of Surgery
|July 1, 1984
Summary
Percutaneous endoscopic gastrostomy is a safe and effective procedure for patients, including those with prior abdominal surgery. This method offers a low complication rate and is the preferred choice for establishing tube gastrostomy.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure.
- Patients with prior abdominal surgery present unique challenges for PEG placement.
Purpose of the Study:
- To evaluate the safety and efficacy of PEG in a diverse patient population.
- To assess PEG outcomes in patients with a history of abdominal procedures.
Main Methods:
- A retrospective review of 89 patients undergoing PEG over 36 months.
- Analysis of complications, anesthesia types, and indications for PEG placement.
Main Results:
- No mortality was observed in 89 PEG procedures.
- One major complication (gastrocolic fistula) was successfully managed.
- 22 gastrostomies were placed for feeding, with all patients achieving successful alimentation.
- The procedure was safely performed in 25 patients with prior abdominal surgery.
Conclusions:
- Percutaneous endoscopic gastrostomy is a safe and effective procedure, even in patients with prior abdominal surgery.
- Local anesthesia is feasible for the majority of PEG placements.
- PEG is the technique of choice for establishing tube gastrostomy in most cases.