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[Percutaneous endoscopic feeding gastrostomy. Initial experience with 6 cases]
J Cabriada1, V Orive, U Mendarte
1Servicio de Aparato Digestivo, Hospital de Galdácano, Vizcaya.
Revista Espanola De Enfermedades Digestivas
|February 1, 1993
Summary
Percutaneous endoscopic feeding gastrostomy (PEFG) provided adequate nutrition for 5 patients with severe illnesses. This minimally invasive procedure was safe and effective for long-term feeding support.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Patients with incurable or severe illnesses often require alternative feeding methods.
- Percutaneous endoscopic feeding gastrostomy (PEFG) is a minimally invasive option for nutritional support.
Observation:
- PEFG was performed on 5 patients (4 male, 1 female, aged 42-89) with conditions precluding oral feeding.
- The procedure utilized established methods (Gauderer and Ponsky, or traction).
- One case presented procedural difficulty, and another required a repeat PEFG due to catheter dislodgement.
Findings:
- PEFG ensured adequate nutrition for all patients until their demise from underlying conditions or other causes.
- Complications included ascites infection in one patient and self-resolving pneumoperitoneum in another.
- No procedure-related mortality was observed.
Implications:
- PEFG is a safe and effective method for providing long-term nutritional support in critically ill patients.
- The procedure has a low complication rate and no associated mortality.
- PEFG can significantly improve the quality of life for patients unable to feed orally.