Perkütan Endoskopik Gastrostomi: İkinci Basamak Hastanede Retrospektif Analiz

Öz

Amaç: 2. Basamak hastanedeki perkütan endoskopik gastrostomi (PEG) takılma endikasyonlarını, işlem sonrası komplikasyon ve takipleri ile ilgili verileri ortaya koymaktır. Materyal ve Metot: 2018–2020 tarihleri arasında PEG takılma endikasyonu konulan 34 hastanın verileri retrospektif olarak değerlendirildi. Uzun süre oral alamayan ve enteral beslenemeyeceği düşünülerek PEG endikasyonu konulan hastaların yaşları, cinsiyetleri, primer tanıları, komorbidite durumu, işlem sonrası komplikasyonları, trakeostomi açılıp açılmadığı, ilk gastrostomi ya da değişim durumları değerlendirildi. Bulgular: Vakaların %74,2’si yoğun bakımda yatmakta olup, PEG endikasyonu olarak en sık %67,7 ile nörolojik hastalıklar, %22,6 ile malignite ve %9,7 ile travma ve elekrik yanığı gibi diğer nedenler şeklindeydi. PEG işlemine ait major komplikasyon olmayıp, iki hastada minor komplikasyon gelişti. PEG işlemine ait mortalite gözlenmedi. Sonuç: Enteral beslemenin 4–6 haftadan uzun süreceği durumlarda, malnütrisyonun önlenmesi için enteral beslenme desteğinin sağlanmasında PEG tercih edilen bir yöntemdir. Düşük morbidite ve mortalitesiyle PEG yöntemi güvenli ve pratik bir beslenme yöntemi olup, 2. basamak hastanede güvenle uygulanabilir.

Anahtar Kelimeler

• gastrostomi
• perkütan endoskopik gastrostomi
• enteral beslenme
• beslenme tüpü; endoskopi

Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital

Öz

Aim: It was aimed to reveal data on indications of percutaneous endoscopic gastrostomy (PEG) insertion in a secondary care hospital, postoperative complications, and follow-up. Material and Method: The data of 34 patients with PEG insertion indication between 2018 and 2020 were evaluated retrospectively. The age, sex, primary diagnosis, comorbidity status, postoperative complications, whether tracheostomy was performed, and first gastrostomy or change status of the patients, who were given a PEG indication, considering they could not take food orally and would require to be fed enterally for a long time, were evaluated. Results: 74.2% of the cases were hospitalized in the intensive care unit, and the most common indications of PEG were neurological diseases with a rate of 67.7%, malignancy with a rate of 22.6%, and other causes such as trauma and electrical burns with a rate of 9.7%. There were no significant complications of the PEG procedure, and minor complications developed in two patients. No mortality was observed in the PEG procedure. Conclusion: In cases where enteral feeding will take longer than 4–6 weeks, PEG is a preferred method for providing enteral nutritional support to prevent malnutrition. With low morbidity and mortality, the PEG method is a safe and practical feeding method and can be safely applied in a secondary care hospital.

Anahtar Kelimeler

• gastrostomy
• percutaneous endoscopic gastrostomy
• enteral nutrition
• feeding tube; endoscopy

Kaynakça

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