Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital
Yıl: 2022 Cilt: 12 Sayı: 1 Sayfa Aralığı: 17 - 20 Metin Dili: İngilizce DOI: 10.5505/kjms.2022.24022 İndeks Tarihi: 02-02-2023
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 Kelime: 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. Introduction Malnutrition is a condition that causes delays in recovery and increases morbidity and mortality by increasing susceptibility to infections, causing repeated hospitalizations and prolonged hospital stays. Enteral nutritional support is provided to prevent malnutrition in patients who cannot be fed naturally but do not have a functional disorder in the gastrointestinal tract1,2. In cases where enteral feeding will take longer than 4–6 weeks, percutaneous endoscopic gastrostomy (PEG) is a preferred method3–5. PEG is usually performed in patients with chronic underlying diseases. The most common indications of PEG are cerebrovascular diseases, various chronic neurological diseases such as Parkinson’s disease, dementia, motor neuron diseases, head and neck traumas, and specific malignancies6 . Although PEG has complications such as tube dislocation, PEG site infection, aspiration pneumonia, gastric perforation, and colocutaneous fistula, it is the most 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 Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Cantay H, Karataş A (2022). Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. , 17 - 20. 10.5505/kjms.2022.24022 |
| Chicago | Cantay Hasan,Karataş Ali Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. (2022): 17 - 20. 10.5505/kjms.2022.24022 |
| MLA | Cantay Hasan,Karataş Ali Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. , 2022, ss.17 - 20. 10.5505/kjms.2022.24022 |
| AMA | Cantay H,Karataş A Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. . 2022; 17 - 20. 10.5505/kjms.2022.24022 |
| Vancouver | Cantay H,Karataş A Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. . 2022; 17 - 20. 10.5505/kjms.2022.24022 |
| IEEE | Cantay H,Karataş A "Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital." , ss.17 - 20, 2022. 10.5505/kjms.2022.24022 |
| ISNAD | Cantay, Hasan - Karataş, Ali. "Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital". (2022), 17-20. https://doi.org/10.5505/kjms.2022.24022 |
| APA | Cantay H, Karataş A (2022). Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. Kafkas Tıp Bilimleri Dergisi, 12(1), 17 - 20. 10.5505/kjms.2022.24022 |
| Chicago | Cantay Hasan,Karataş Ali Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. Kafkas Tıp Bilimleri Dergisi 12, no.1 (2022): 17 - 20. 10.5505/kjms.2022.24022 |
| MLA | Cantay Hasan,Karataş Ali Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. Kafkas Tıp Bilimleri Dergisi, vol.12, no.1, 2022, ss.17 - 20. 10.5505/kjms.2022.24022 |
| AMA | Cantay H,Karataş A Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. Kafkas Tıp Bilimleri Dergisi. 2022; 12(1): 17 - 20. 10.5505/kjms.2022.24022 |
| Vancouver | Cantay H,Karataş A Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital. Kafkas Tıp Bilimleri Dergisi. 2022; 12(1): 17 - 20. 10.5505/kjms.2022.24022 |
| IEEE | Cantay H,Karataş A "Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital." Kafkas Tıp Bilimleri Dergisi, 12, ss.17 - 20, 2022. 10.5505/kjms.2022.24022 |
| ISNAD | Cantay, Hasan - Karataş, Ali. "Percutaneous Endoscopic Gastrostomy: A Retrospective Analysis in a Secondary Care Hospital". Kafkas Tıp Bilimleri Dergisi 12/1 (2022), 17-20. https://doi.org/10.5505/kjms.2022.24022 |
