TY  - JOUR
TT  - EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC
AU  - Akıcı, Murat
AU  - Erşen, Ogün
AU  - Çelik, Girayhan
AU  - Çilekar, Murat
PY  - 2019
DA  - September
Y2  - 2019
DO  - 10.17343/sdutfd.532154
JF  - Medical Journal of Süleyman Demirel University
JO  - Med J SDU
PB  - Süleyman Demirel University
WT  - DergiPark
SN  - 1300-7416
SP  - 234
EP  - 238
VL  - 26
IS  - 3
LA  - en
KW  - Percutaneous endoscopic gastrostomy
KW  - gastrostomy
KW  - dysphagia
N2  - Aim: In our study, we aimed to present the results of our experiencesand the results we detected in the retrospective examination of patientsundergoing percutaneous endoscopic gastrostomy.Material and Method: 378 patients in whom percutaneous endoscopic gastrostomytube were placed at the patient's bedside in AfyonKocatepeUniversityof Health Sciences,Faculty of Medicine, Department of General SurgeryEndoscopy Unit between January 1, 2008 and December 31, 2017 were included inthe study. Patient records were examined by the file scanning methods. Therecords were evaluated in terms of demographic information, technicalinformation, indications, complications and results.Results: Of a total of 378 patients in whom PEG catheter was placed, 230(60.9%) were male and 148 (39.1%) were female. The mean age of all patients was73.4 ± 2 (20-93). While 244 (64.5%) of the patients had swallowing disorder dueto neurological causes, PEG procedure was performed in 98 (26%) due toswallowing disorder caused by mechanical reasons. In 36 patients (9.5%) PEGcatheter was opened for diversion due to surgical reasons. No procedure-relatedmortality or major complication was observed in any patient after the procedure.The rate of wound infection was determined to be significantly higher inpatients with high subcutaneous adipose tissue when compared to the level atwhich the gastrostomy catheter was detected. The risk of complicationdevelopment was detected higher in patients over the age of sixty (p = 0.038). Conclusion: In a general surgical clinic, peg catheterplacement procedure is performed in patients with surgical or medical diseases inaccordance with the complication and success rates in the literature.
CR  - 1- Stratton RJ, Elia M. Who benefits from nutritional support: what is the evidence? Eur J Gastroenterol Hepatol 2007:19; 353-358.
CR  - 2- Vanis N, Saray A, Gornjakovic S, Mesihovic R. Percutaneous endoscopic gastrostomy (PEG): retrospective analysis of a 7-year clinical experience. Acta Inform Med 2012; 20: 235-237
CR  - 3- Vyawahare MA, Shirodkar M, Gharat A, Patil P, Mehta S, Mohandas KM. A comparative observational study of early versus delayed feeding after percutaneous endoscopic gastrostomy. Indian J Gastroenterol 2013; 32: 366-368
CR  - 4- Conroy T. The Prevention and Management of Complications associated with established Percutaneous Gastrostomy Tubes in Adults: A Systematic Review. JBI Lib Sys Rev 2009; 7: 1-37
CR  - 5- Heyland DK, Dhaliwal R, Drover JW, et al. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN J Parenter Enteral Nutr 2003;27:355-373.
CR  - 6- Gauderer MWL, Ponsky JL, Izant RJ. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Paediatr Surg 1980;15:872–875.
CR  - 7- Toporowska-Kowalska E, Gèbora-Kowalska B, Jabłoñski J, Fendler W, Wásowska-Królikowska K. Influence of percutaneous endoscopic gastrostomy on gastro-oesophageal reflux evaluated by multiple intraluminal impedance in children with neurological impairment. Dev Med Child Neurol 2011; 53: 938-43.
CR  - 8- Pulkkinen J, Rekola J, Asanti M, Grénman R. Prophylactic percutaneous endoscopic gastrostomy in head and neck cancer patients: results of tertiary institute. Eur Arch Otorhinolaryngol 2014; 271: 1755-1758
CR  - 9- Blomberg J, Lagergren J, Martin L, Mattsson F, Lagergren P. Complications after percutaneous endoscopic gastrostomy in a prospective study. Scand J Gastroenterol 2012; 47: 737-742
CR  - 10- RS Kwon, S Banerjee, D Desilets, DL Diehl, FA Farraye, V Kaul et al.Enteral nutrition access devices Gastrointest Endosc, 72 (2)(2010), pp.236-248
CR  - 11- Evi Van Dyck, Elisabeth J Macken, Bernard Roth, Paul A Pelckmans, Tom G Moreels. Safety of pull-type and introducer percutaneous endoscopic gastrostomy tubes in oncology patients: a retrospective analysis BMC Gastroenterol, 11(2011), p.23
CR  - 12- Demirci H, Kilciler G, Öztürk K, Kantarcıoglu M, Uygun A., Bagcı S. Our experience in percutaneous endoscopic gastrostomy. Endoscopy Gastrointestinal 2015;23:73-76.
CR  - 13-  Ekin, N., Uçmak, F., Oruç, M., Tuncer, E. T., Yalçin, K. The results of the percutaneous endoscopic gastrostomy insertion: Analysis of 113 cases. Dicle Medical Journal, 2015;42(3), 346.
CR  - 14- Şenol, Z., Karakaş, D. Ö., Yılmaz, İ., Balta, A. Z., Özdemir, Y., Kendirli, T., & Sücüllü, İ. Our experience in percutaneous endoscopic gastrostomy: Analysis of 113 cases. Van Med J, 2013;20, 52-6.
CR  - 15- Blomberg, J., Lagergren, P., Martin, L., Mattsson, F., & Lagergren, J. Novel approach to antibiotic prophylaxis in percutaneous endoscopic gastrostomy (PEG): randomised controlled trial. Bmj 2010;341, c3115.
UR  - https://doi.org/10.17343/sdutfd.532154
L1  - https://dergipark.org.tr/en/download/article-file/798514
ER  -