EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC
Yıl: 2019 Cilt: 26 Sayı: 3 Sayfa Aralığı: 234 - 238 Metin Dili: İngilizce DOI: 10.17343/sdutfd.532154 İndeks Tarihi: 24-06-2020
EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC
Öz: ObjectiveIn our study, we aimed to present the results of our experiences and the results we detected in the retrospective examination of patients undergoing percutaneous endoscopic gastrostomy.Material and Method378 patients in whom percutaneous endoscopic gastrostomy tube were placed at the patient’s bedside in Afyon Kocatepe University of Health Sciences, Faculty of Medicine, Department of General Surgery Endoscopy Unit between January 1, 2008 and December 31, 2017 were included in the study. Patient records were examined by the file scanning methods. The records were evaluated in terms of demographicinformation, technical information, indications, complications and results.ResultsOf a total of 378 patients in whom PEG catheter was placed, 230 (60.9%) were male and 148 (39.1%) were female. The mean age of all patients was 73.4 ± 2 (20-93). While 244 (64.5%) of the patients had swallowing disorder due to neurological causes, PEG procedure was performed in 98 (26%) due to swallowing disorder caused by mechanical reasons. In 36 patients (9.5%) PEG catheter was opened for diversion due to surgical reasons. No procedure-related mortality or major complication was observed in any patient after the procedure. The rate of wound infection was determined to be significantly higher in patients with high subcutaneous adipose tissue when compared to the level at which the gastrostomy catheter was detected. The risk of complication development was detected higher in patients over the age of sixty (p = 0.038).ConclusionIn a general surgical clinic, peg catheter placement procedure is performed in patients with surgical or medical diseases in accordance with the complicationand success rates in the literature.
Anahtar Kelime: BİR GENEL CERRAHİ KLİNİĞİNDE PERKÜTAN ENDOSKOPİK GASTROSTOMİ DENEYIMLERİ
Öz: Amaç Çalışmamızda perkutan endoskopik gastrostomi uyguladığımız hastaların retrospektif bakısında bulduğumuz sonuçları ve edindiğimiz tecrübeleri sunmayı amaçladık.Gereç ve Yöntem 01 Ocak 2008-31 Aralık 2017 tarihleri arasında Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği Endoskopi Ünitesinde ve hasta yatağı başında perkutan endoskopik gastrostomi tüpü takılan 378 hasta çalışmaya alındı. Hasta kayıtları dosya tarama yöntemiyle incelendi. Kayıtlar demografik bilgiler, teknik bilgiler, endikasyon, komplikasyon ve sonuçlar açsından değerlendirildi.Bulgular PEG kateteri takılan toplam 378 hastanın 230’u (%60,9) erkek, 148’i (%39,1) ise kadındı. Tüm hastaların ortalama yaşı 73,4±2 (20-93) idi. Hastaların 244’ünde (%64,5) nörolojik nedenlere bağlı yutma bozukluğu mevcut iken 98’inde (%26) ise mekanik nedenlere bağlı yutma bozukluğu sebebiyle PEG işlemi uygulanmıştı. 36 hastada (%9,5) ise cerrahi nedenlerle diversiyon için PEG kateteri açılmıştır. İşlem sonrası hiçbir hastada işlem nedenli mortalite veya major komplikasyon gözlenmedi. Gastrostomi kateterinin tespit edildiği seviyeye göre ciltalt yağ dokusu fazla olan hastalarda yara yeri enfeksiyonu oranı anlamlı olarak fazla tespit edildi. Komplikasyon gelişme riski altmış yaş üstünde hastalarda daha yüksek saptandı (p=0,038).Sonuç Bir genel cerrahi kliniğinde peg kateteri takılması işlemi cerrahi veya medikal hastalıkları bulunan hastalara literatürdeki komplikasyon ve başarı oranları ile uyumlu olarak uygulanmaktadır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Akıcı M, Erşen O, ÇELİK G, Çilekar M (2019). EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. , 234 - 238. 10.17343/sdutfd.532154 |
| Chicago | Akıcı Murat,Erşen Ogün,ÇELİK Girayhan,Çilekar Murat EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. (2019): 234 - 238. 10.17343/sdutfd.532154 |
| MLA | Akıcı Murat,Erşen Ogün,ÇELİK Girayhan,Çilekar Murat EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. , 2019, ss.234 - 238. 10.17343/sdutfd.532154 |
| AMA | Akıcı M,Erşen O,ÇELİK G,Çilekar M EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. . 2019; 234 - 238. 10.17343/sdutfd.532154 |
| Vancouver | Akıcı M,Erşen O,ÇELİK G,Çilekar M EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. . 2019; 234 - 238. 10.17343/sdutfd.532154 |
| IEEE | Akıcı M,Erşen O,ÇELİK G,Çilekar M "EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC." , ss.234 - 238, 2019. 10.17343/sdutfd.532154 |
| ISNAD | Akıcı, Murat vd. "EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC". (2019), 234-238. https://doi.org/10.17343/sdutfd.532154 |
| APA | Akıcı M, Erşen O, ÇELİK G, Çilekar M (2019). EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, 26(3), 234 - 238. 10.17343/sdutfd.532154 |
| Chicago | Akıcı Murat,Erşen Ogün,ÇELİK Girayhan,Çilekar Murat EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 26, no.3 (2019): 234 - 238. 10.17343/sdutfd.532154 |
| MLA | Akıcı Murat,Erşen Ogün,ÇELİK Girayhan,Çilekar Murat EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, vol.26, no.3, 2019, ss.234 - 238. 10.17343/sdutfd.532154 |
| AMA | Akıcı M,Erşen O,ÇELİK G,Çilekar M EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi. 2019; 26(3): 234 - 238. 10.17343/sdutfd.532154 |
| Vancouver | Akıcı M,Erşen O,ÇELİK G,Çilekar M EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi. 2019; 26(3): 234 - 238. 10.17343/sdutfd.532154 |
| IEEE | Akıcı M,Erşen O,ÇELİK G,Çilekar M "EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC." Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, 26, ss.234 - 238, 2019. 10.17343/sdutfd.532154 |
| ISNAD | Akıcı, Murat vd. "EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC". Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 26/3 (2019), 234-238. https://doi.org/10.17343/sdutfd.532154 |
