Single endoscopist-performed percutaneous endoscopic gastrostomy tube placement

Erdogan, Askin

doi:10.3748/wjg.v19.i26.4172

Cited by 8 publications

(10 citation statements)

References 21 publications

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“… 10 – 12 Over more than 30 years of use, PEG tube insertion has been found to be a relatively safe procedure; nevertheless, PEG tube insertion is associated with a procedure-related mortality rate of 0–2% and morbidity rate of 3–12%. 13 , 14 , 15 Complications of PEG tube insertion can be divided into major and minor groups. Major complications include necrotizing fasciitis, buried bumper syndrome, bowel perforation, and gastrocolic or colocutaneous fistulae.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey

et al. 2014

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BACKGROUND / OBJECTIVESThe aim of this study was to perform a retrospective analysis characterizing patients receiving tube feeding following percutaneous endoscopic gastrostomy ( PEG) tube placement between 2004 and 2012 at Erciyes University Hospital in Turkey.METHODSPatients above the age of 18 years, who required long term enteral tube feeding were studied. All PEGs were performed using the pull-through technique by one experienced endoscopist Demographic, clinical outcomes, and PEG-related complication data were collected.RESULTSOf the 128 subjects studied, 91 were male (71%) and 37 were female (29%). The mean age of this patient population was 54±19 years. The most common reason for PEG tube insertion was inability to consume oral diet due to complications of cerebrovascular disease (CVD; 27%), while cerebral hypoxia, occuring after non-neurological medical disorders, was the second most common indication (23%). A total of 70 patients (55%) had chronic comorbidities, with hypertension the most common (20%). The most common procedure related complication was insertion site bleeding, which occurred in 4 % of patients. Long term complications, during one year were insertion site cellulitis, gastric contents leakage, and peristomal ulceration occurred in 14%, 5%, and 0.5% of patients, respectively. There were no PEG insertion-related mortalities; one-year mortality was unrelated to the indication for PEG tube insertion.CONCLUSIONSPEG tube insertion was a safe method to provide enteral access for nutrition support in this hospitalized patient population.

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Section: Introductionmentioning

confidence: 99%

Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey

et al. 2014

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“…PEG really brings some slight complications, such as, skin infection, gastroesophageal regurgitation, PEG tube displacement and catheter obstruction 27. But these complications can be controlled by symptomatic treatment like anti-infection treatment, semi-liquid nutrient intake, and replacement of PEG tube.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic efficacy of nutritional support by percutaneous endoscopic gastrostomy in critically ill patients: A self-control clinical trial

Fei¹,

Gao²,

Liu³

et al. 2017

Pak J Med Sci

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Background & Objective:Percutaneous endoscopic gastrostomy (PEG) is a procedure to provide enteral nutrition for critically ill patients. It is commonly used in clinical practice; however, the widespread use of PEG is controversial. Our objective was to evaluate the therapeutic effect of nutritional support by PEG in these critically ill patients.Methods:A total of 64 critically ill patients including 41 males and 23 females (aged 23-84) were identified by the Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system during September 2004 to June 2012. The nutritional status before and after PEG was mainly assessed by the tricep skinfold thickness and serum albumin level. The nutritional status and pathological condition were assessed at 4, 8 and 12 weeks before and after PEG feeding. The assessment was according to the classical method of the human nutritional status. Follow-up was performed at one month, three months and 1.5 year after gastrostomy. Statistical analysis was performed by SPSS 11.5 software. The incidence of inhalation pneumonia and gastroesophageal regurgitation was compared by chi square (χ2) test. P<0.05 were considered statistically significant.Results:Among the 64 patients, 9 patients died of their former diseases or related symptoms. Postoperative follow-up showed that both nutritional status and complications were improved after PEG in 55 patients (P<0.05). The serum albumin and tricep skinfold thickness levels were significantly increased. The incidence of hypoglycemia, hypocalcemia, hypokalemia and hyponatremia were lower than pre-operation. The frequencies of complications were significantly reduced. No severe complications occurred in any patient.Conclusions:Our study confirmed that PEG was a good long-term route of nutritional supply with no serious complications for critically ill patients.

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“…Like the placement of percutaneous gastric tubes, G-J tube placement may be associated with major complications, such as sepsis, hemorrhage, buried bumper, and gastrointestinal perforation, or minor complications, such as tube dislodgement, leaking, diarrhea, and vomiting [ 4 – 6 ]. In addition to these, gastrojejunostomy tubes have more commonly been associated with obstruction, intussusception, and antegrade enteral tube migration [ 7 – 9 ].…”

Section: Discussionmentioning

confidence: 99%

Retrograde Gastrojejunostomy Tube Migration

Adesina

Rammohan

Jeanmonod

2014

Case Reports in Emergency Medicine

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Percutaneous enteral feeding tubes are placed about 250,000 times each year in the United States. Although they are relatively safe, their placement may be complicated by perforation, infection, bleeding, vomiting, dislodgment, and obstruction. There have been numerous reports of antegrade migration of gastrojejunostomy (G-J) tubes. We report a case of G-J tube regurgitation following protracted vomiting and discuss the management of this very rare entity.

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Single endoscopist-performed percutaneous endoscopic gastrostomy tube placement

Abstract: The incidence of major and minor complications is in keeping with literature. This finding may be noteworthy, especially in developing countries.

Cited by 8 publications

References 21 publications

Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey

Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey

Therapeutic efficacy of nutritional support by percutaneous endoscopic gastrostomy in critically ill patients: A self-control clinical trial

Retrograde Gastrojejunostomy Tube Migration

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