Yıl: 2021 Cilt: 6 Sayı: 3 Sayfa Aralığı: 158 - 161 Metin Dili: İngilizce DOI: 10.25000/acem.1005090 İndeks Tarihi: 05-07-2022

Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience

Öz:
Aim: The COVID-19 pandemic has negatively affected the whole world and health systems. Although the literature includes recommendations regarding the timing of Percutaneous endoscopic gastrostomy (PEG) in COVID-19 patients, there are no significant clinical studies yet. Therefore, we aim to contribute to the literature by sharing our data on this subject. Materials and Methods: Patients who underwent PEG between March 2020 and March 2021 were retrospectively evaluated in our clinic. The patients were compared statically in terms of age, gender, medical indications, comorbid diseases, hospitalization in the intensive care unit (ICU), blood tests, and post-intervention complications. PEG was inserted routinely in PCR-negative patients. Patients who underwent PEG were compared as outpatients and inpatients in the ICU. Moreover, patients who underwent PEG while hospitalized in the ICU were divided into two groups according to the presence of COVID-19 infection; patients noninfected with COVID-19 (group 1) and COVID-19 infected patients (group 2). Results: PEG was performed in 66 patients during the COVID-19 pandemic. These patients predominantly consisted of those with SVH, Alzheimer's, or traumatic brain injury. In the present study, thirty-two (%48.5) patients were female with a mean age of 69.4±17.6, and forty-seven patients underwent PEG in the ICU. Furthermore, eleven of these patients were COVID-19, infected patient group (group-2). There was no statistical difference in blood albumin levels, CRP, hemogram results, and 30-day mortality results between group 1 and group 2 (P>0.05). Conclusion: PEG is a minimally invasive intervention that is commonly used for enteral feeding. The timing of the procedure is crucial for inpatients with COVID-19. Although the most appropriate timing is the 30th day after the COVID-19 infection process, we think that PEG may insert on the 10th day in eligible patients.
Anahtar Kelime:

COVID-19 enfeksiyonunda perkütan endoskopik gastrostomi zamanlaması: Endoskopik cerrahi ünite deneyimi

Öz:
Amaç: COVID-19 pandemisi tüm dünyayı ve sağlık sistemlerini olumsuz şekilde etkisi altına almıştır. Literatürde COVID-19 hastalarında Perkütan endoskopik gastrostomi (PEG) zamanlaması ile ilgili öneriler yer alsa da henüz önemli bir klinik çalışma bulunmamaktadır. Bu konudaki verilerimizi paylaşarak literatüre katkı sağlamayı amaçlıyoruz. Gereç ve Yöntem: Mart 2020-Mart 2021 tarihleri arasında PEG takılan hastalar geriye dönük olarak değerlendirildi. Hastalar yaş, cinsiyet, tıbbi endikasyonlar, eşlik eden hastalıkları, kan testleri ve müdahale sonrası komplikasyonlar ile işlem sırasında hastanın yoğun bakım ünitesinde olup olmadığı kaydedildi. PCR negatif hastalarda rutin olarak PEG yapıldı. PEG uygulanan hastalar ayaktan ve yoğun bakım ünitesinde yatan hastalar olarak karşılaştırıldı. Daha sonra yoğun bakım ünitesinde yatarken PEG uygulanan hastalar, COVID-19 enfeksiyonu varlığına göre iki gruba ayrıldı. ( grup-1 ve grup-2) Bulgular: Pandemi sırasında uygun endikasyonları olan 66 hastaya PEG yerleştirildi. Bu hastalar ağırlıklı olarak SVH, Alzheimer veya travmatik beyin hasarı olanlardan oluşuyordu. Çalışmada otuziki (%48.5) hasta kadındı ve yaş ortalaması 69.4±17.6 idi. Ayrıca, kırkyedi hastaya yoğun bakımdayken PEG uygulandı; bu hastalardan 11'i COVID-19 enfekte hasta grubuydu (grup-2). Grup-1 ve grup-2 arasında kan albümin düzeyleri, CRP, hemogram sonuçları ve 30 günlük mortalite sonuçları açısından istatistiksel fark yoktu (P>0.05) Sonuç: Minimal invaziv bir işlem olan peg enteral beslenme amacıyla yaygın olarak kullanılmaktadır. COVID- 19 enfekte hastalara işlemin zamanlaması önemlidir. En uygun zamanlama enfeksiyon sürecinden sonraki 30. gün olmakla birlikte uygun hastalarda 10. Gün peg uygulanabilceğini düşünmekteyiz.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Firat N, Aziret M, Çapoğlu R, Mantoglu B, Demir H, Dikicier E, Akin E, HARMANTEPE A, Altintoprak F (2021). Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. , 158 - 161. 10.25000/acem.1005090
Chicago Firat Necattin,Aziret Mehmet,Çapoğlu Recayi,Mantoglu Baris,Demir Hakan,Dikicier Enis,Akin Emrah,HARMANTEPE AHMET TARIK,Altintoprak Fatih Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. (2021): 158 - 161. 10.25000/acem.1005090
MLA Firat Necattin,Aziret Mehmet,Çapoğlu Recayi,Mantoglu Baris,Demir Hakan,Dikicier Enis,Akin Emrah,HARMANTEPE AHMET TARIK,Altintoprak Fatih Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. , 2021, ss.158 - 161. 10.25000/acem.1005090
AMA Firat N,Aziret M,Çapoğlu R,Mantoglu B,Demir H,Dikicier E,Akin E,HARMANTEPE A,Altintoprak F Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. . 2021; 158 - 161. 10.25000/acem.1005090
Vancouver Firat N,Aziret M,Çapoğlu R,Mantoglu B,Demir H,Dikicier E,Akin E,HARMANTEPE A,Altintoprak F Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. . 2021; 158 - 161. 10.25000/acem.1005090
IEEE Firat N,Aziret M,Çapoğlu R,Mantoglu B,Demir H,Dikicier E,Akin E,HARMANTEPE A,Altintoprak F "Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience." , ss.158 - 161, 2021. 10.25000/acem.1005090
ISNAD Firat, Necattin vd. "Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience". (2021), 158-161. https://doi.org/10.25000/acem.1005090
APA Firat N, Aziret M, Çapoğlu R, Mantoglu B, Demir H, Dikicier E, Akin E, HARMANTEPE A, Altintoprak F (2021). Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. Archives of Clinical and Experimental Medicine, 6(3), 158 - 161. 10.25000/acem.1005090
Chicago Firat Necattin,Aziret Mehmet,Çapoğlu Recayi,Mantoglu Baris,Demir Hakan,Dikicier Enis,Akin Emrah,HARMANTEPE AHMET TARIK,Altintoprak Fatih Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. Archives of Clinical and Experimental Medicine 6, no.3 (2021): 158 - 161. 10.25000/acem.1005090
MLA Firat Necattin,Aziret Mehmet,Çapoğlu Recayi,Mantoglu Baris,Demir Hakan,Dikicier Enis,Akin Emrah,HARMANTEPE AHMET TARIK,Altintoprak Fatih Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. Archives of Clinical and Experimental Medicine, vol.6, no.3, 2021, ss.158 - 161. 10.25000/acem.1005090
AMA Firat N,Aziret M,Çapoğlu R,Mantoglu B,Demir H,Dikicier E,Akin E,HARMANTEPE A,Altintoprak F Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. Archives of Clinical and Experimental Medicine. 2021; 6(3): 158 - 161. 10.25000/acem.1005090
Vancouver Firat N,Aziret M,Çapoğlu R,Mantoglu B,Demir H,Dikicier E,Akin E,HARMANTEPE A,Altintoprak F Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience. Archives of Clinical and Experimental Medicine. 2021; 6(3): 158 - 161. 10.25000/acem.1005090
IEEE Firat N,Aziret M,Çapoğlu R,Mantoglu B,Demir H,Dikicier E,Akin E,HARMANTEPE A,Altintoprak F "Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience." Archives of Clinical and Experimental Medicine, 6, ss.158 - 161, 2021. 10.25000/acem.1005090
ISNAD Firat, Necattin vd. "Timing of percutaneous endoscopic gastrostomy in COVID-19 infection: Endoscopic surgery unit experience". Archives of Clinical and Experimental Medicine 6/3 (2021), 158-161. https://doi.org/10.25000/acem.1005090