Research Article
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Year 2021, Volume: 22 Issue: 1, 28 - 31, 30.04.2021
https://doi.org/10.4274/meandros.galenos.2021.26213

Abstract

References

  • 1. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980; 15: 872-5.
  • 2. Koçak E, Levent F. Perkütan endoskopik gastrostomi. Endoskopi 2009; 17: 124-7.
  • 3. Lucendo AJ, Friginal-Ruiz AB. Percutaneous endoscopic gastrostomy: An update on its indications, management, complications, and care. Rev Esp Enferm Dig 2014; 106: 529-39.
  • 4. Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol 2014; 20: 7739-51.
  • 5. 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: 1101-9.
  • 6. Ljungdahl M, Sundbom M. Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial. Surg Endosc 2006; 20: 1248-51.
  • 7. Braunschweig CL, Levy P, Sheean PM, Wang X. Enteral compared with parenteral nutrition: a meta-analysis. Am J Clin Nutr 2001; 74: 534-42.
  • 8. 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: 2549-57.
  • 9. Chang WK, Huang HH, Lin HH, Tsai CL. Percutaneous Endoscopic Gastrostomy versus Nasogastric Tube Feeding: Oropharyngeal Dysphagia Increases Risk for Pneumonia Requiring Hospital Admission. Nutrients 2019; 11: 2969.
  • 10. Feinberg J, Nielsen EE, Korang SK, Halberg Engell K, Nielsen MS, Zhang K, et al. Nutrition support in hospitalised adults at nutritional risk. Cochrane Database Syst Rev 2017; 5: 11598.
  • 11. Mekhail TM, Adelstein DJ, Rybicki LA, Larto MA, Saxton JP, Lavertu P. Enteral nutrition during the treatment of head and neck carcinoma: is a percutaneous endoscopic gastrostomy tube preferable to a nasogastric tube? Cancer 2001; 91: 1785-90.
  • 12. Golestanian E, Liou JI, Smith MA. Long-term survival in older critically ill patients with acute ischemic stroke. Crit Care Med 2009; 37: 3107-13.
  • 13. Oud L. Intensive Care Unit (ICU) - Managed Elderly Hospitalizations with Dementia in Texas, 2001-2010: A Population-Level Analysis. Med Sci Monit 2016; 22: 3849-59.
  • 14. Doğu C, Kayır S, Doğan G, Akdağlı Ekici A, Özçiftçi S, Yağan Ö. Tracheotomy among patients in geriatric age group treated in intensive care units. Turkish J Geriatr 2019; 22: 172-80.
  • 15. Ozguc H, Gokce E, Altınel Y, Kırdak T. Percutaneous endoscopic gastrostomi experience in a general surgery clinic. Turkish J Surg 2011; 27: 145-8.
  • 16. Kahramanoğlu Aksoy E, Sapmaz F, Akpınar M, Göktaş Z, Uzman M, Nazlıgül Y. Long-term Follow-up Results of Patients with Percutaneous Endoscopic Gastrostomy and Factors Affecting Survival. J Ankara Univ Fac Med 2019; 72: 179-83.
  • 17. Schneider AS, Schettler A, Markowski A, Luettig B, Kaufmann B, Klamt S, et al. Complication and mortality rate after percutaneous endoscopic gastrostomy are low and indication-dependent. Scand J Gastroenterol 2014; 49: 891-8.

Percutaneous Endoscopic Gastrostomy Experience in A Tertiary Intensive Care Unit

Year 2021, Volume: 22 Issue: 1, 28 - 31, 30.04.2021
https://doi.org/10.4274/meandros.galenos.2021.26213

Abstract

Objective: Percutaneous endoscopic gastrostomy (PEG) is a procedure performed for nutrition in patients whose gastrointestinal system functions are impaired. This study aimed to evaluate patients who were treated in our clinic and underwent PEG.
Materials and Methods: Patients older than 18 years who underwent PEG between November 2013 and November 2015 were studied. Patient follow-up forms and hospital electronic records were analysed retrospectively.
Results: Overall, 117 patients were enrolled, including 47 (40%) male patients. The mean Acute Physiology and Chronic Health Evaluation II score was 20±8; mean age, 72±15 years; mean length of stay, 43±42 days and mean procedure day, 14±5 days. About 35% of patients had dementia, 23.9% had malignancy and 22.3% had cerebrovascular disease. The total complication rate was 17%.
Conclusion: PEG is a safe procedure and provides patient comfort while maintaining enteral nutrition. Therefore, it is an effective method in feeding patients who cannot be fed orally in the long term.

References

  • 1. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980; 15: 872-5.
  • 2. Koçak E, Levent F. Perkütan endoskopik gastrostomi. Endoskopi 2009; 17: 124-7.
  • 3. Lucendo AJ, Friginal-Ruiz AB. Percutaneous endoscopic gastrostomy: An update on its indications, management, complications, and care. Rev Esp Enferm Dig 2014; 106: 529-39.
  • 4. Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. World J Gastroenterol 2014; 20: 7739-51.
  • 5. 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: 1101-9.
  • 6. Ljungdahl M, Sundbom M. Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial. Surg Endosc 2006; 20: 1248-51.
  • 7. Braunschweig CL, Levy P, Sheean PM, Wang X. Enteral compared with parenteral nutrition: a meta-analysis. Am J Clin Nutr 2001; 74: 534-42.
  • 8. 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: 2549-57.
  • 9. Chang WK, Huang HH, Lin HH, Tsai CL. Percutaneous Endoscopic Gastrostomy versus Nasogastric Tube Feeding: Oropharyngeal Dysphagia Increases Risk for Pneumonia Requiring Hospital Admission. Nutrients 2019; 11: 2969.
  • 10. Feinberg J, Nielsen EE, Korang SK, Halberg Engell K, Nielsen MS, Zhang K, et al. Nutrition support in hospitalised adults at nutritional risk. Cochrane Database Syst Rev 2017; 5: 11598.
  • 11. Mekhail TM, Adelstein DJ, Rybicki LA, Larto MA, Saxton JP, Lavertu P. Enteral nutrition during the treatment of head and neck carcinoma: is a percutaneous endoscopic gastrostomy tube preferable to a nasogastric tube? Cancer 2001; 91: 1785-90.
  • 12. Golestanian E, Liou JI, Smith MA. Long-term survival in older critically ill patients with acute ischemic stroke. Crit Care Med 2009; 37: 3107-13.
  • 13. Oud L. Intensive Care Unit (ICU) - Managed Elderly Hospitalizations with Dementia in Texas, 2001-2010: A Population-Level Analysis. Med Sci Monit 2016; 22: 3849-59.
  • 14. Doğu C, Kayır S, Doğan G, Akdağlı Ekici A, Özçiftçi S, Yağan Ö. Tracheotomy among patients in geriatric age group treated in intensive care units. Turkish J Geriatr 2019; 22: 172-80.
  • 15. Ozguc H, Gokce E, Altınel Y, Kırdak T. Percutaneous endoscopic gastrostomi experience in a general surgery clinic. Turkish J Surg 2011; 27: 145-8.
  • 16. Kahramanoğlu Aksoy E, Sapmaz F, Akpınar M, Göktaş Z, Uzman M, Nazlıgül Y. Long-term Follow-up Results of Patients with Percutaneous Endoscopic Gastrostomy and Factors Affecting Survival. J Ankara Univ Fac Med 2019; 72: 179-83.
  • 17. Schneider AS, Schettler A, Markowski A, Luettig B, Kaufmann B, Klamt S, et al. Complication and mortality rate after percutaneous endoscopic gastrostomy are low and indication-dependent. Scand J Gastroenterol 2014; 49: 891-8.
There are 17 citations in total.

Details

Primary Language English
Subjects Intensive Care
Journal Section Research Article
Authors

Cihangir Doğu

Pakize Özçiftçi Yılmaz This is me

Publication Date April 30, 2021
Published in Issue Year 2021 Volume: 22 Issue: 1

Cite

EndNote Doğu C, Özçiftçi Yılmaz P (April 1, 2021) Percutaneous Endoscopic Gastrostomy Experience in A Tertiary Intensive Care Unit. Meandros Medical And Dental Journal 22 1 28–31.