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[The risks of percutaneous endoscopic gastrostomy]
L Gossner1, J Ludwig, E G Hahn
1Medizinische Universitätsklinik I mit Poliklinik, Universität Erlangen-Nürnberg.
Deutsche Medizinische Wochenschrift (1946)
|December 22, 1995
Summary
Percutaneous endoscopic gastrostomy (PEG) is a safe and effective method for long-term artificial nutrition. This study evaluated PEG complications, finding a low mortality rate and manageable side effects, highlighting its cost-effectiveness.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Clinical Nutrition
Context:
- Percutaneous endoscopic gastrostomy (PEG) is the established standard for long-term artificial enteral nutrition.
- Evaluating the safety and efficacy of PEG is crucial for patient care and healthcare economics.
Purpose:
- To retrospectively evaluate the complications and clinical course following PEG procedures.
- To assess the safety, efficacy, and cost-effectiveness of long-term enteral nutrition via PEG.
Summary:
- A retrospective study analyzed 1182 patients undergoing PEG between 1984 and 1993.
- The procedure demonstrated a low mortality rate (0.5%) and a low incidence of severe complications (0.9%).
- Common issues included peristomal wound infection (8.7%) and gastrointestinal symptoms (39.3%), with a mean duration of 216.2 days per patient.
Impact:
- PEG is a safe, effective, and cost-efficient treatment for long-term nutritional support.
- The procedure reduces hospital care demands and associated costs.
- Findings support the continued use of PEG in clinical practice for appropriate patients.