Do we know all about percutaneous endoscopic gastrostomy?

Abstract

Objective: Percutaneous endoscopic gastrostomy (PEG) is a safe, easy-to-apply, frequently used and effective method for patients requiring long-term enteral nutrition. In recent years, it has become questionable in terms of its indications in the current literature due to the complication and mortality rates seen after the procedure. In our study, it was aimed to evaluate the morbidity and indications of the procedure by examining the PEG applications performed in our center. Material and Method: Patients who underwent PEG in our center between 2016 and 2020 were included in the study. All PEG procedures were performed by a single physician. The patients were analyzed in terms of demographic data, complications, American Society of Anesthesiologists (ASA) classification, survival, and underlying disease. The relationship between underlying disease, ASA score, age, sex and survey was evaulated. Underlying diseases were classified in 4 groups as dementia and other neurological diseases, head and neck malignancies, cerebrovascular disease, intensive care patients. Patients included in the group during the follow-up period were classified into 2 groups as ex and survivors. Chi-square test was used to compare sex, underlying disease and ASA score. Age factor was compared by student t test. Results: In the statistical studies conducted; it was observed that the survival time was significantly longer in the age range of 70 years and older. Apart from this, no statistically significant result was found between the underlying disease and ASA score, and life span and mortality. Conclusion: We think that consensus is needed in terms of the surveillance expectation and procedure indications stated in guidelines for the right patient selection under the light of literature discussions.

Keywords

• Percutaneous endoscopic gastrostomy
• enteral nutrition
• gastrostomy

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