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Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi

Year 2018, Volume: 26 Issue: 1, 6 - 11, 26.04.2018
https://doi.org/10.17940/endoskopi.434900

Abstract

Giriş ve Amaç: Perkütanöz endoskopik gastrostomi, sıklıkla beslenme problemi olan ve uzun süreli tüple beslenme ihtiyacı olan bireylerde kullanılmaktadır. Bu çalışmanın amacı, öncelikle, kliniğimizde yıllar içinde değişen perkütanöz endoskopik gastrostomi kullanımı ve hasta özelliklerini saptamaktı. İkincil amaç olarak da, orta yaş ve yaşlı hasta popülasyonunda perkütanöz endoskopik gastrostomi endikasyonlarını, komplikasyonlarını ve perkütanöz endoskopik gastrostomi uygulaması sonrası sağ kalımı karşılaştırmaktı. Gereç ve Yöntem: Mayıs-2011 ve Haziran-2015 tarihleri arası merkezimizde perkütanöz endoskopik gastrostomi uygulanan hastaların verileri retrospektif olarak değerlendirildi. Demografik ve klinik özellikler kaydedildikten sonra, komplikasyonlar ve sağ kalım değerlendirildi. Bütün bu sonuçlar, orta yaş ve yaşlı hasta grubunda karşılaştırıldı. Bulgular: Çalışmada 298 hastanın bilgileri değerlendirildi. 156 kadın ve 142 erkek hastanın ortanca yaşı 82 idi. En sık perkütanöz endoskopik gastrostomi endikasyonu sereberovasküler hastalık idi. Yıllar içinde hasta popülasyonumuzun daha yaşlı bir hasta popülasyonu yönünde değiştiğini saptadık. Orta yaş ve yaşlı hasta gruplarında klinik sonuçlar ve perkütanöz endoskopik gastrostomi komplikasyonları açısından benzer sonuçlar gözlenirken, sadece hastanede kalma süresi yaşlı grupta daha uzundu. 3 aylık ve 1 yıllık sağ kalım karşılaştırıldığında iki grup açısından fark yoktu. Sonuç: Dünya ve ülkemiz nüfusu yaşlanırken, özellikle geriatrik hastalarda, perkütanöz endoskopik gastrostomi güvenli bir yöntem olup mortaliteyi arttırmamaktadır.

References

  • 1. http://www.un.org/en/development/desa/population/publications/pdf/ ageing/WPA2015_Report.pdf. United Nations, Department of Economic and Social Affairs, Population Division (2015). World Population Ageing 2015 (ST/ESA/SER.A/390))
  • 2. Muscedere J, Andrew MK, Bagshaw SM, et al. Screening for friality in Canada’s health care system: A time for action. Can J Aging 2016;35:281- 97.
  • 3. Löser C, Aschl G, Hébuterne X, et al. The European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines on enteral nutrition-percutaneous endoscopic gastrostomy. Clin Nutr 2005;24:848-61.
  • 4. Itkin M, DeLegge MH, Fang JC, et al; Society of Interventional Radiology; American Gastroenterological Association Institute; Canadian Interventional Radiological Association; Cardiovascular and Interventional Radiological Society of Europe. Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE). Gastroenterology 2011;141:742-65.
  • 5. Hucl T, Spicak J. Complications of percutaneous endoscopic gastrostomy. Best Prac Res Clin Gastroent 2016;30:769-81.
  • 6. Rahnemai-Azar AA, Rahnemai-Azar AA, Naghshizadian R, et al. Percutaneous endoscopic gastrostomy: Indications, technique, complications and management. World J Gastroenterol 2014;20: 739-51.
  • 7. Gauderer MW, Ponsky JL, Izant RJ. Gastrostomy without laparotomy: A percutaneous endoscopic technique. J Pediatric Surg 1980;15:872-5.
  • 8. www.tuik.gov.tr. Türkiye İstatistik Kurumu, Temel İstatistikleri, Nüfus ve Demografi, Nüfus Projeksiyonları.
  • 9. Schieneider AS, Schettler A, Markowski A, et al. Complication and mortality rate after percutaneous endoscopic gastrostomy are low and indication-dependent. Scand J Gastroenterol 2014;49:891-8.
  • 10. Kasuno C, Yamada N, Kikuchi K, et al. Current status of percutaneous endoscopic gastrostomy in general hospital in Japan: a cross-sectional study. J Rural Med 2016;11:7-10.
  • 11. Chang WK, Lin KT, Tsai CL, et al. Trends regarding percutaneous endoscopic gastrostomy: A nationwide population-based study from 1997 to 2010. Medicine (Baltimore)2016;95(24):e3910.
  • 12. Burney RE, Bryner BS. Safety and long-trem outcomes of percutaneous endoscopic gastrostomy in patients with head and neck cancer. Surg Endosc 2015;29:3685-9.
  • 13. Türkiye Halk Sağlığı Kurumu Kanser Daire Başkanlığı, 2014 Yılı Türkiye Kanser İstatistikleri www.kanser.gov.tr
  • 14. Loh KP, Kansagra A, Shieh MS, et al. Predictors of the use of spesific critical care therapies in patients with metastatic cancer. J Natl Compr Canc Netw 2017;15:22-30.
  • 15. Gündoğan K, Yurci A, Coşkun R, et al. Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey. Eur J Clin Nutr 2014;68:437-40.
  • 16. Lee SP, Lee KN, Lee OY, et al. Risk factors for complications of percutaneous endoscopic gastrostomy. Dig Dis Sci 2014;59:117-25.
  • 17. Lee C, Im JP, Kim JW, et al; Small Intestine Research Group of the Korean Association for the Study of Intestinal Disease (KASID). Risk factors for complications and mortality of percutaneous endoscopic gastrostomy: a multicenter, retrospective study. Surg Endosc 2013;27:3806- 15.
  • 18. Suzuki Y, Tamez S, Murakami A, et al. Survival of geriatrics patients afterpercutaneous endoscopic gastrostomy in Japan. World J Gastroenterol 2010;16:5084-91.
  • 19. Oh DJ, Kim B, Lee JK, et al. Can percutaneous endoscopic gastrostomy be carried out safely in the elderly? Geriatr Gerontol Int 2016;16:481-5.
  • 20. Wu K, Chen Y, Yan C, et al. Effects of percutaneous endoscopic gastrostomy on survival of patients in a persistent vegetative state after stroke. J Clin Nurs 2016;26:3232-8.
  • 21. Kara Ö, Kızılarslanoğlu MC, Canbaz B, et al. Survival after percutaneous endoscopic gastrostomy in older adults with neurologic disorders. Nutr Clin Pract 2016;31:799-804.

Percutaneous endoscopic gastrostomy in older patient population

Year 2018, Volume: 26 Issue: 1, 6 - 11, 26.04.2018
https://doi.org/10.17940/endoskopi.434900

Abstract

Background and Aims: Percutaneous endoscopic gastrostomy is commonly used in patients with nutrition problems who require long-term tube feeding. The first aim of this study was to investigate the change in percutaneous endoscopic gastrostomy utilization and patient characteristics over time in our clinic. Our second aim was to compare older and middle-aged patients in terms of indications for percutaneous endoscopic gastrostomy, complications,and survival following percutaneous endoscopic gastrostomy insertion. Materials and Methods: We conducted a retrospective study in which the data on patients who underwent percutaneous endoscopic gastrostomy placement between May 2011 and June 2015 were analyzed. After demographic and clinical variables were collected, complications and survival were assessed. All outcomes of older and middle-aged patients were compared. Results: Data on 298 patients were evaluated. There were 156 women and 142 men, with a median age of 82 years. The prevailing indication for percutaneous endoscopic gastrostomy insertion was cerebrovascular disorders. We noticed that the mean age of our patient population had increased over the years. Clinical outcomes and complications, except length of stay in hospital, were similar in the two groups. There was no difference in the 3-month- and 1-year survival rates between older and middle-aged patients. Conclusion: As the national and global populations age, percutaneous endoscopic gastrostomy is a safe procedure and is not associated with increased mortality, especially in geriatric patients.

References

  • 1. http://www.un.org/en/development/desa/population/publications/pdf/ ageing/WPA2015_Report.pdf. United Nations, Department of Economic and Social Affairs, Population Division (2015). World Population Ageing 2015 (ST/ESA/SER.A/390))
  • 2. Muscedere J, Andrew MK, Bagshaw SM, et al. Screening for friality in Canada’s health care system: A time for action. Can J Aging 2016;35:281- 97.
  • 3. Löser C, Aschl G, Hébuterne X, et al. The European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines on enteral nutrition-percutaneous endoscopic gastrostomy. Clin Nutr 2005;24:848-61.
  • 4. Itkin M, DeLegge MH, Fang JC, et al; Society of Interventional Radiology; American Gastroenterological Association Institute; Canadian Interventional Radiological Association; Cardiovascular and Interventional Radiological Society of Europe. Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE). Gastroenterology 2011;141:742-65.
  • 5. Hucl T, Spicak J. Complications of percutaneous endoscopic gastrostomy. Best Prac Res Clin Gastroent 2016;30:769-81.
  • 6. Rahnemai-Azar AA, Rahnemai-Azar AA, Naghshizadian R, et al. Percutaneous endoscopic gastrostomy: Indications, technique, complications and management. World J Gastroenterol 2014;20: 739-51.
  • 7. Gauderer MW, Ponsky JL, Izant RJ. Gastrostomy without laparotomy: A percutaneous endoscopic technique. J Pediatric Surg 1980;15:872-5.
  • 8. www.tuik.gov.tr. Türkiye İstatistik Kurumu, Temel İstatistikleri, Nüfus ve Demografi, Nüfus Projeksiyonları.
  • 9. Schieneider AS, Schettler A, Markowski A, et al. Complication and mortality rate after percutaneous endoscopic gastrostomy are low and indication-dependent. Scand J Gastroenterol 2014;49:891-8.
  • 10. Kasuno C, Yamada N, Kikuchi K, et al. Current status of percutaneous endoscopic gastrostomy in general hospital in Japan: a cross-sectional study. J Rural Med 2016;11:7-10.
  • 11. Chang WK, Lin KT, Tsai CL, et al. Trends regarding percutaneous endoscopic gastrostomy: A nationwide population-based study from 1997 to 2010. Medicine (Baltimore)2016;95(24):e3910.
  • 12. Burney RE, Bryner BS. Safety and long-trem outcomes of percutaneous endoscopic gastrostomy in patients with head and neck cancer. Surg Endosc 2015;29:3685-9.
  • 13. Türkiye Halk Sağlığı Kurumu Kanser Daire Başkanlığı, 2014 Yılı Türkiye Kanser İstatistikleri www.kanser.gov.tr
  • 14. Loh KP, Kansagra A, Shieh MS, et al. Predictors of the use of spesific critical care therapies in patients with metastatic cancer. J Natl Compr Canc Netw 2017;15:22-30.
  • 15. Gündoğan K, Yurci A, Coşkun R, et al. Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey. Eur J Clin Nutr 2014;68:437-40.
  • 16. Lee SP, Lee KN, Lee OY, et al. Risk factors for complications of percutaneous endoscopic gastrostomy. Dig Dis Sci 2014;59:117-25.
  • 17. Lee C, Im JP, Kim JW, et al; Small Intestine Research Group of the Korean Association for the Study of Intestinal Disease (KASID). Risk factors for complications and mortality of percutaneous endoscopic gastrostomy: a multicenter, retrospective study. Surg Endosc 2013;27:3806- 15.
  • 18. Suzuki Y, Tamez S, Murakami A, et al. Survival of geriatrics patients afterpercutaneous endoscopic gastrostomy in Japan. World J Gastroenterol 2010;16:5084-91.
  • 19. Oh DJ, Kim B, Lee JK, et al. Can percutaneous endoscopic gastrostomy be carried out safely in the elderly? Geriatr Gerontol Int 2016;16:481-5.
  • 20. Wu K, Chen Y, Yan C, et al. Effects of percutaneous endoscopic gastrostomy on survival of patients in a persistent vegetative state after stroke. J Clin Nurs 2016;26:3232-8.
  • 21. Kara Ö, Kızılarslanoğlu MC, Canbaz B, et al. Survival after percutaneous endoscopic gastrostomy in older adults with neurologic disorders. Nutr Clin Pract 2016;31:799-804.
There are 21 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Diğdem Özer Etik 0000-0002-4724-0728

Nuretdin Suna This is me 0000-0001-6234-7788

Serkan Öcal 0000-0003-3719-9482

Haldun Selçuk This is me 0000-0002-8445-6413

Publication Date April 26, 2018
Published in Issue Year 2018 Volume: 26 Issue: 1

Cite

APA Özer Etik, D., Suna, N., Öcal, S., Selçuk, H. (2018). Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi. Endoskopi Gastrointestinal, 26(1), 6-11. https://doi.org/10.17940/endoskopi.434900
AMA Özer Etik D, Suna N, Öcal S, Selçuk H. Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi. Endoskopi Gastrointestinal. April 2018;26(1):6-11. doi:10.17940/endoskopi.434900
Chicago Özer Etik, Diğdem, Nuretdin Suna, Serkan Öcal, and Haldun Selçuk. “Yaşlı Hasta popülasyonunda perkütan Endoskopik Gastrostomi”. Endoskopi Gastrointestinal 26, no. 1 (April 2018): 6-11. https://doi.org/10.17940/endoskopi.434900.
EndNote Özer Etik D, Suna N, Öcal S, Selçuk H (April 1, 2018) Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi. Endoskopi Gastrointestinal 26 1 6–11.
IEEE D. Özer Etik, N. Suna, S. Öcal, and H. Selçuk, “Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi”, Endoskopi Gastrointestinal, vol. 26, no. 1, pp. 6–11, 2018, doi: 10.17940/endoskopi.434900.
ISNAD Özer Etik, Diğdem et al. “Yaşlı Hasta popülasyonunda perkütan Endoskopik Gastrostomi”. Endoskopi Gastrointestinal 26/1 (April 2018), 6-11. https://doi.org/10.17940/endoskopi.434900.
JAMA Özer Etik D, Suna N, Öcal S, Selçuk H. Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi. Endoskopi Gastrointestinal. 2018;26:6–11.
MLA Özer Etik, Diğdem et al. “Yaşlı Hasta popülasyonunda perkütan Endoskopik Gastrostomi”. Endoskopi Gastrointestinal, vol. 26, no. 1, 2018, pp. 6-11, doi:10.17940/endoskopi.434900.
Vancouver Özer Etik D, Suna N, Öcal S, Selçuk H. Yaşlı hasta popülasyonunda perkütan endoskopik gastrostomi. Endoskopi Gastrointestinal. 2018;26(1):6-11.