Yıl: 2020 Cilt: 27 Sayı: 2 Sayfa Aralığı: 78 - 83 Metin Dili: İngilizce DOI: 10.14744/less.2020.12499 İndeks Tarihi: 05-12-2020

Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit

Öz:
Introduction: Percutaneous Endoscopic Gastrostomy (PEG) is the preferred method of nutrition for patientsthat are in need of long term enteral feeding. In this study, we aim to convey a six–year experience of a surgical endoscopy unit in the light of the literature.Materials and Methods: Patients that underwent PEG in our clinic between the years 2015 and 2020 were included in this study. Demographic and clinical data, indications, early and late complications, and long termresults of the patients were analyzed retrospectively. PEG was employed using the standard pull method.Results: One hundred six patients participated in our study. The age average was 61, and the male sex waspredominant (71%). The findings obtained in this study showed that 81.2% of the patients had comorbidities. Eight patients had an abdominal operation history. The most frequent indications were chronic neurological disease (36.8%), prolonged coma after head trauma (11.3%), and head and neck cancers (10.4%).The incidence of catheter–related early complications was observed to be 17.9%, and the most frequentcomplication was the leakage in the catheter insertion site. The incidence of general complications wasobserved as early complications (<30 days) (4.7%) and late complications (>30 days) (0.9%), respectively.Catheter dysfunction developed in eight patients during their follow–up examinations. Recurrent medicalinterventions were performed on five patients. The incidence of catheter–related unplanned arrivals at thehospital was 8.5%.Conclusion: PEG is a safe, minimally invasive, effective, well–tolerated practice with a low incidence of complications and is used in the provision of nutritional support enterally. The most frequent complications arerelated to the care of the catheter insertion site. To reduce such complications, emphasis should be placedon training related to catheter care.
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  • 1. Rahnemai-Azar AA, Rahnemaiazar AA, Naghshizadian R, Kurtz A, Farkas DT. Percutaneous endoscopic gastrostomy: indications, technique, complications and management. WJG 2014; 20:7739–51.
  • 2. Gramlich L, Kichian K, Pinilla J, Rodych NJ, Dhaliwal R, Heyland DK. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature. Nutrition 2004;20:843–8.
  • 3. Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med 2001;29:2264–70.
  • 4. Demirci H, Kilciler G, Öztürk K, Kantarcıoglu M, Uygun A, Bagcı S. Our experience in percutaneous endoscopic gastrostomy. 82 Laparosc Endosc Surg Sci Endoscopy Gastrointestinal 2015;23:73–6.
  • 5. Gauderer M. Twenty years of percutaneous endoscopic gastrostomy: origin and evolution of a concept and its expanded applications. Gastrointest Endosc 1999;50:879–83.
  • 6. Vizhi K, Rao HB, Venu RP Percutaneous endoscopic gastrostomy site infections—Incidence and risk factors. Indian J Gastroenterol 2018;37:103–7.
  • 7. Karaca AS, Ali R, Capar M, Karaca S. Percutaneous Endoscopic Gastrostomy Experience İn A General Surgery Clinic J Clin Anal Med 2015;6:71–4.
  • 8. Gauderer MW, Ponsky JL, Izant RJ. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980;15:872–5.
  • 9. Kirby DF, Delegge MH, Fleming CR. American Gastroenterological Association technical review on tube feeding for enteral nutrition. Gastroenterology 1995;108:1282–301.
  • 10. Pih GY, Na HK, Ahn JY, Jung KW, Kim DH, Lee J, et al. Risk factors for complications and mortality of percutaneous endoscopic gastrostomy insertion. BMC gastroenterology 2018;18:101.
  • 11. Fortunato JE, Troy AL, Cuffari C, Davis JE, Loza MJ, OlivaHemker M, et al. Outcome after percutaneous endoscopic gastrostomy in children and young adults. J Pediatr Gastroenterol Nutr 2010;50:390–3.
  • 12. Özgüç H, Gökçe E, Altınel Y, Kırdak T. Percutaneous endoscopic gastrostomy experience in a general surgery clinic. Ulus Cerrahi Derg 2011;27:145–8.
  • 13. Vanis N, Saray A, Gornjakovic S, Mesihovic R. Percutaneous endoscopic gastrostomy (PEG): retrospective analysis of a 7-year clinical experience. Acta Informatica Medica 2012;20:235–7.
  • 14. Raykher A, Russo L, Schattner M, Schwartz L, Scott B, Shike M. Enteral nutrition support of head and neck cancer patients. Nutr Clin Pract 2007;22:68–73.
  • 15. Min YW, Jang EY, Jung JH, Lee H, Min BH, Lee JH, et al. Comparison between gastrostomy feeding and self-expandable metal stent insertion for patients with esophageal cancer and dysphagia. PloS one 2017;12:e0179522.
  • 16. Salas S, Baumstarck-Barrau K, Alfonsi M, Digue L, Bagarry D, Feham N, et al. Impact of the prophylactic gastrostomy for unresectable squamous cell head and neck carcinomas treated with radio-chemotherapy on quality of life: prospective randomized trial. Radiother Oncol 2009;93:503–9.
  • 17. Löser C, Aschl G, Hebuterne X, Mathus-Vliegen EM, Muscaritoli M, Niv Y, et al. ESPEN guidelines on artificial enteral nutrition Percutaneous endoscopic gastrostomy (PEG). Clin Nutr 2005;24:848–61.
  • 18. Arora G, Rockey D, Gupta S. High in-hospital mortality after percutaneous endoscopic gastrostomy: results of a nationwide population-based study. Clin Gastroenterol Hepatol 2013;11:1437–44.
  • 19. Yuruker S, Koca B, Karabicak I, Kuru B, Ozen N. Percutaneous endoscopic gastrostomy: technical problems, complications, and management. Indian J Surg 2015;77:1159–64.
  • 20. Foutch PG, Talbert GA, Waring JP, Sanowski RA. Percutaneous endoscopic gastrostomy in patients with prior abdominal surgery: virtues of the safe tract. Am J Gastroenterol 1988;83:147–50.
  • 21. Rosenberger LH, Newhook T, Schirmer B, Sawyer RG. Late accidental dislodgement of a percutaneous endoscopic gastrostomy tube: an underestimated burden on patients and the health care system. Surg Endosc 2011;25:3307–11.
  • 22. Dwyer KM, Watts DD, Thurber JS, Benoit RS, Fakhry SM Percutaneous endoscopic gastrostomy: the preferred method of elective feeding tube placement in trauma patients. J Trauma 2002;52:26–32.
  • 23. Cinar H, Akalin C, Ozdemir O. Outcomes of percutaneous endoscopic gastrostomy: One surgeon experience. Ann Med Res 2019;26:148–51.
  • 24. Mıranda LE, Penha MRCD, Mıranda ACG, Lıma DL, Costa MWF, Amorım ADO. Risk factors associated with early mortality after percutaneous endoscopic gastrostomy in patients at a tertiary care center in Brazil: a retrospective single-center survival study. Arq Gastroenterol 2019;56:412–8.
APA Sözüer E, Akyuz M, DAL F, Talih T, gök m, topal u (2020). Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. , 78 - 83. 10.14744/less.2020.12499
Chicago Sözüer Erdoğan Mütevelli,Akyuz Muhammet,DAL Fatih,Talih Tutkun,gök mustafa,topal uğur Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. (2020): 78 - 83. 10.14744/less.2020.12499
MLA Sözüer Erdoğan Mütevelli,Akyuz Muhammet,DAL Fatih,Talih Tutkun,gök mustafa,topal uğur Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. , 2020, ss.78 - 83. 10.14744/less.2020.12499
AMA Sözüer E,Akyuz M,DAL F,Talih T,gök m,topal u Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. . 2020; 78 - 83. 10.14744/less.2020.12499
Vancouver Sözüer E,Akyuz M,DAL F,Talih T,gök m,topal u Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. . 2020; 78 - 83. 10.14744/less.2020.12499
IEEE Sözüer E,Akyuz M,DAL F,Talih T,gök m,topal u "Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit." , ss.78 - 83, 2020. 10.14744/less.2020.12499
ISNAD Sözüer, Erdoğan Mütevelli vd. "Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit". (2020), 78-83. https://doi.org/10.14744/less.2020.12499
APA Sözüer E, Akyuz M, DAL F, Talih T, gök m, topal u (2020). Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. Laparoscopic Endoscopic Surgical Science, 27(2), 78 - 83. 10.14744/less.2020.12499
Chicago Sözüer Erdoğan Mütevelli,Akyuz Muhammet,DAL Fatih,Talih Tutkun,gök mustafa,topal uğur Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. Laparoscopic Endoscopic Surgical Science 27, no.2 (2020): 78 - 83. 10.14744/less.2020.12499
MLA Sözüer Erdoğan Mütevelli,Akyuz Muhammet,DAL Fatih,Talih Tutkun,gök mustafa,topal uğur Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. Laparoscopic Endoscopic Surgical Science, vol.27, no.2, 2020, ss.78 - 83. 10.14744/less.2020.12499
AMA Sözüer E,Akyuz M,DAL F,Talih T,gök m,topal u Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. Laparoscopic Endoscopic Surgical Science. 2020; 27(2): 78 - 83. 10.14744/less.2020.12499
Vancouver Sözüer E,Akyuz M,DAL F,Talih T,gök m,topal u Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit. Laparoscopic Endoscopic Surgical Science. 2020; 27(2): 78 - 83. 10.14744/less.2020.12499
IEEE Sözüer E,Akyuz M,DAL F,Talih T,gök m,topal u "Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit." Laparoscopic Endoscopic Surgical Science, 27, ss.78 - 83, 2020. 10.14744/less.2020.12499
ISNAD Sözüer, Erdoğan Mütevelli vd. "Our six years experiences about percutaneous endoscopic gastrostomy in surgical endoscopy unit". Laparoscopic Endoscopic Surgical Science 27/2 (2020), 78-83. https://doi.org/10.14744/less.2020.12499