Prevention and Management of Percutaneous Endoscopic Gastrostomy Complication
10.2185/jjrm.56.714
- Author:
Tomohiko SAKAI
;
Shinichi MIZUNO
;
Akitoshi SASAMOTO
;
Tomohiro KIKKAWA
;
Toshio TAMAUCHI
- Publication Type:Journal Article
- MeSH:
Percutaneous endoscopic gastrostomy;
Complications Specific to Antepartum or Postpartum;
Stomach;
Management;
Prevention
- From:Journal of the Japanese Association of Rural Medicine
2007;56(5):714-718
- CountryJapan
- Language:Japanese
-
Abstract:
Percutaneous endoscopic gastrostomy (PEG) is a common procedure for placing a feeding tube in the stomach to provide fluids and nutrition to patients who have difficulty in swallowing or in taking enough noutrishment through the mouth. Thought the procedure is simple and easy, PEG is not without its risks. The reported complication ratio is not low-, -between 5.7% and 33.3%. This is probably because the patients are lacking in reserves of physical faculties.The present study was conducted to work out measures to reduc the incidence of PEG complications by reviewing the complications cases treated in our hospital.From March 1997 to December 2005, we performed PEG on 110 patients, of which 11 patients (9.6%) had complications. In some cases, we inadvertently perforated the colon. From our experience, we have learned that it is not safe to perform PEG with the aid of radiography alone on cases in which the intervention of the transverse colon between stomach and abdominal wall was suspected by CT scan, and concluded PEG should be done using gastrography of the transverse colon, to guide the placement of a feeding tube in the stomach. In view of the systemic condition of the patients, we thought it necessary to take safety measures by all possible means.
