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[Percutaneous endoscopic gastrostomy: study on 35 patients]

A Martín1, J C Espinós, M Forné

  • 1Servicios de Digestivo, Medicina Interna, Hospital de Mútua de Terrassa, Barcelona.

Medicina Clinica
|October 15, 1994
PubMed
Summary

Percutaneous endoscopic gastrostomy (PEG) is a safe and effective feeding technique with few severe complications. This method improves nutritional status and quality of life for patients needing long-term enteral feeding.

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Surgical Techniques

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
  • A review was conducted on the technique, indications, complications, and follow-up of PEG procedures.
  • The Ponsky technique was utilized for PEG placement between 1991 and 1993.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous endoscopic gastrostomy (PEG).
  • To analyze the indications, complications, and outcomes of PEG procedures.
  • To assess the impact of PEG on patient nutrition and quality of life.

Main Methods:

  • A retrospective analysis of 35 patients who underwent PEG placement using the Ponsky technique.
  • Patient data included underlying diseases (neurologic, tumoral, other) and follow-up information.

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  • Complications, cannula removal, and patient mortality were recorded.
  • Main Results:

    • PEG was successfully performed in 33 out of 35 patients.
    • No immediate complications were observed; 7 minor early complications (e.g., wound infection) and 5 late complications (1 severe: gastrocolic fistula) occurred.
    • Sixteen patients died during the study period, with only one death attributed to PEG (aspirative pneumonia).

    Conclusions:

    • Percutaneous endoscopic gastrostomy is a simple and safe procedure for prolonged enteral feeding.
    • The technique is associated with a low rate of severe complications.
    • PEG effectively improves nutritional status and enhances the quality of life for patients requiring long-term nutritional support.