TY - JOUR T1 - Perkütan Endoskopik Gastrostomi Takılan Hastaların Uzun Dönem Takip Sonuçları ve Sağkalımı Etkileyen Faktörler TT - Perkütan Endoskopik Gastrostomi Takılan Hastaların Uzun Dönem Takip Sonuçları ve Sağkalımı Etkileyen Faktörler AU - Kahramanoğlu Aksoy, Evrim PY - 2019 DA - October DO - 10.4274/atfm.galenos.2019.36854 JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 179 EP - 183 VL - 72 IS - 2 LA - en AB - Objectives: Percutaneous endoscopic gastrostomy (PEG) is a minimally invasive procedure with well-known efficacy and safety that is frequently used inpatients who cannot be fed orally. In the literature, studies investigating long-term follow-up results in patients undergoing PEG are limited. In this study,we aimed to determine the long-term follow-up results and the factors affecting mortality in patients undergoing PEG.Materials and Methods: Two hundred and three patients who underwent PEG placement between January 2013 and June 2018 were evaluatedretrospectively. The demographic characteristics of the patients, postoperative follow-up times, complications, PEG indications, laboratory parametersduring the procedure were recorded from the patient files. During the follow-up period, the mortality and time of the patients were determined via thedeath notification system.Results: A total of 203 patients (101 male, 102 female) were included in the study. The median age of the patients was 77 years (18-96). The most frequentPEG placement indication was stroke with a frequency of 34%, followed by dementia (28.6%), malignancy (10.8%) and other (15.8%) reasons. The medianfollow-up period was 33.6 months (30.5-36.7) and the median survival was 22 months [95% confidence interval (CI): 22.8-30.5]. Mortality rates were 1.5%in the first month, 3% in 3 months, 12.3% in 1 year, 26.6 years in 2 years, 34.5% in 3 years and 44.3% in 5 years. There was no correlation between PEGindications and mortality, but there was a statistically significant correlation between hyponatremia and mortality (Odds ratio: 1.07, p=0.027, %95 CI).Conclusion: There was no statistically significant relationship between PEG placement indications and mortality, but there was a statistically significantcorrelation between hyponatremia and mortality. KW - Percutaneous Endoscopic Gastrostomy KW - Mortality KW - Follow-up Results N2 - Amaç: Perkütan endoskopik gastrostomi (PEG), etkinlik ve güvenilirliği iyi bilinen, oral beslenemeyen hastalarda sıklıkla uygulanan minimal invazivbir yöntemdir. Literatürde PEG uygulanan hastalarda uzun dönem takip sonuçlarını inceleyen çalışmalar kısıtlıdır. Biz bu çalışmada PEG uygulananhastalarda uzun dönem takip sonuçlarını ve mortaliteyi etkileyen faktörleri ortaya koymayı amaçladık.Gereç ve Yöntem: Ocak 2013-Haziran 2018 tarihleri arasında PEG takılan 203 hasta retrospektif olarak değerlendirildi. Hastaların demografiközellikleri, işlem sonrası takip süreleri, varsa komplikasyonları, PEG endikasyonları, işlem sırasındaki laboratuvar parametreleri hasta dosyalarındankaydedildi. Takip süreleri boyunca hastalarda mortalite oluşumu ve zamanı, ölüm bildirim sistemi üzerinden tespit edildi.Bulgular: Çalışmaya toplam 203 hasta (101 erkek, 102 kadın) dahil edildi. Hastaların ortanca yaşları 77 idi (18-96). En sık PEG endikasyonu %34sıklıkta inme olarak gözlenirken bunu demans (%28,6), malignite (%10,8) ve diğer (%15,8) nedenler takip etti. Ortanca takip süresi 33,6 ay (30,5-36,7), ortanca sağkalım süresi 22 ay [%95 güven aralığı (CI): 22,8-30,5] olarak tespit edildi. Hastaların mortalite oranları ilk 1 ayda %1,5, 3 ayda %3,1 yılda %12,3, 2 yılda 26,6, 3 yılda %34,5, 5 yılda %44,3 olarak bulundu. PEG endikasyonları mortalite arasında ilişki saptanmazken hiponatremi ilemortalite arasında istatistiksel olarak anlamlı bir ilişki saptandı (olasılık oranı: 1,07; p=0,027; %95 CI).Sonuç: PEG endikasyonları mortalite arasında ilişki saptanmazken hiponatremi ile mortalite arasında istatistiksel olarak anlamlı bir ilişki saptandı CR - 1. Gauderer WL, Ponsky JL, İzant RJ. Gastrostomy without laparatomy: a percutaneous endoscopic technique. J Pediatry Surg. 1980;15:872-875. CR - 2. Ponsky JL, Gauderer MW, Stellato TA. Percutaneous endoscopic gastrostomy. Review of 150 cases. Arch Surg. 1983;118:913-914. CR - 3. Lucendo AJ, Friginal-Ruiz AB. 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