Perkutan Endoskopik Gastrostomi: Tek merkez Retrospektif Analiz

Year 2019, Volume: 11 Issue: 3, 68 - 70, 30.12.2019

Mustafa Yakut , H.civan Tiryaki

Abstract

Memorial Diyarbakır Hastanesinde altı yıl
süresince PEG uygulanan hastalar retrospektif olarak değerlendirldi. Altı
yıllık dönem içeriside toplam 51 hastaya PEG açıldı.Hastaların 29’u erkek 22’si
kadındı.yaş arlığı 14-82 arasında idi. PEG açılan hastalrın 44’ü yoğun bakım
hastası idi. Hastaların 37’sinin nedeni nörölojik hastalık veya serebal iskemi idi.
Diğer 11 hasta da onkolojik hastalığı olup beslenme bozukluğu olanlardı. 3
hatda baş-boyun tumour vardı obstrukdiyon ve radyoterapi öncesi işlem yapıldı.
İki hastada minimal cilt kesisi yerinde hemoraji kayıt edilmişti. Üç hastada
PEG yerinden sızıntı tarzında kesi yerinden mama sızıntısı oldu, ancak sadece
bir hastada sürekli idi. Bir hastada buried bumper izlendi. Beş hastada da PEG
yerinde cilt enfeksiyonu saptandı ve antibiyotik tedavisine yanıt vermişlerdi.
Bir hasta, PEG setini çekmişti, ciddi komplikasyon gelişmemişti ve tekrar aynı
yerden PEG yerleştirilmişti.  Hiç bir
hastada mortalite izlenmedi.

Keywords

Perkutan Endoskopik Gastrostomi, yoğun bakım

References

• 1-Ata A Rahnemai-Azar, Amir A Rahnemaiazar, Rozhin Naghshizadian, Amparo Kurtz, and Daniel T Farkas. Percutaneous endoscopic gastrostomy: Indications, technique, complications and management. World J Gastroenterol. 2014 Jun 28; 20(24): 7739–7751. Published online 2014 Jun 28. doi: 10.3748/wjg.v20.i24.77392-Gencosmanoglu R. Percutaneous endoscopic gastrostomy: a safe and effective bridge for enteral nutrition in neurological or non-neurological conditions. Neurocrit Care. 2004;1(3):309-17.
• 3-Nenad Vanis, Aida Saray, Srdjan Gornjakovic, and Rusmir Mesihovic. PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG): RETROSPECTIVE ANALYSIS OF A 7-YEAR CLINICAL EXPERIENCE. Acta Inform Med. 2012 Dec; 20(4): 235–237. doi: 10.5455/aim.2012.20.235-2374- Gauderer MW, Ponsky JL, Izant RJ., Jr Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980;15:872–875. [PubMed] [Google Scholar]5-Grant JP. Comparison of percutaneous endoscopic gastrostomy with Stamm gastrostomy. Ann Surg. 1988 May;207(5):598–603. [PMC free article] [PubMed] [Google Scholar]6-Löser C. Clinical aspects of long-term enteral nutrition via percutaneous endoscopic gastrostomy (PEG) J Nutr Health Aging. 2000;4(1):47–50. [PubMed] [Google Scholar]7-McClave SA, Ritchie CS. The role of endoscopically placed feeding or decompression tubes. Gastroenterol Clin North Am. 2006;35:83–100. [PubMed] [Google Scholar]8-Park RH, Allison MC, Lang J, Spence E, Morris AJ, Danesh BJ, Russell RI, Mills PR. Randomised comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with persisting neurological dysphagia. BMJ. 1992;304:1406–1409. [PMC free article] [PubMed] [Google Scholar]9- Baeten C, Hoefnagels J. Feeding via nasogastric tube or percutaneous endoscopic gastrostomy. A comparison. Scand J Gastroenterol Suppl. 1992;194:95–98. [PubMed] [Google Scholar]10-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. [PubMed] [Google Scholar]11-Rimon E, Kagansky N, Levy S. Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups. Age Ageing. 2005;34:353–357. [PubMed] [Google Scholar]12-Bannerman E, Pendlebury J, Phillips F, Ghosh S. A cross-sectional and longitudinal study of health-related quality of life after percutaneous gastrostomy. Eur J Gastroenterol Hepatol. 2000;12:1101–1109. [PubMed] [Google Scholar]13-Löser C, Wolters S, Fölsch UR. Enteral long-term nutrition via percutaneous endoscopic gastrostomy (PEG) in 210 patients: a four-year prospective study. Dig Dis Sci. 1998;43:2549–2557. [PubMed] [Google Scholar]14-Kimyagarov S, Turgeman D, Fleissig Y, Klid R, Kopel B, Adunsky A. Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters. J Nutr Health Aging. 2013;17:162–165. [PubMed] [Google Scholar]15-Gordon C, Hewer RL, Wade DT. Dysphagia in acute stroke. Br Med J (Clin Res Ed) 1987;295:411–414. [PMC free article] [PubMed] [Google Scholar]16-Hutchinson E, Wilson N. Acute stroke, dysphagia and nutritional support. Br J Community Nurs. 2013;Suppl:S26–S29. [PubMed] [Google Scholar]17-Corrigan ML, Escuro AA, Celestin J, Kirby DF. Nutrition in the stroke patient. Nutr Clin Pract. 2011;26:242–252. [PubMed] [Google Scholar]18-Wanklyn P, Cox N, Belfield P. Outcome in patients who require a gastrostomy after stroke. Age Ageing. 1995;24:510–514. [PubMed] [Google Scholar]19-Geeganage C, Beavan J, Ellender S, Bath PM. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev. 2012;10:CD000323. [PubMed] [Google Scholar]20-Mathus-Vliegen LM, Louwerse LS, Merkus MP, Tytgat GN, Vianney de Jong JM. Percutaneous endoscopic gastrostomy in patients with amyotrophic lateral sclerosis and impaired pulmonary function. Gastrointest Endosc. 1994;40:463–469. [PubMed] [Google Scholar]21- Bassett MR, Dobie RA. Patterns of nutritional deficiency in head and neck cancer. Otolaryngol Head Neck Surg. 1983;91:119–125. [PubMed] [Google Scholar]22-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. [PubMed] [Google Scholar]23- Fietkau R, Iro H, Sailer D, Sauer R. Percutaneous endoscopically guided gastrostomy in patients with head and neck cancer. Recent Results Cancer Res. 1991;121:269–282. [PubMed] [Google Scholar]24- Disario J. Endoscopic approaches to enteral nutritional support. Best Pract Res Clin Gastroenterol. 2006;20:605–630. [PubMed] [Google Scholar]25-- Lin HS, Ibrahim HZ, Kheng JW, et al. Percutaneous endoscopic gastrostomy: strategies for prevention and management of complications. Laryngoscope. 2001;111:1874–1852. [PubMed] [Google Scholar]