Nutritional Impact of Percutaneous Endoscopic Gastrostomy: A Retrospective Single-center Study
- Author:
Sang Ok JUNG
1
;
Hee Seok MOON
;
Tae Hyung KIM
;
Jae Ho PARK
;
Ju Seok KIM
;
Sun Hyung KANG
;
Jae Kyu SUNG
;
Hyun Yong JEONG
Author Information
- Publication Type:ORIGINAL ARTICLE
- From:The Korean Journal of Gastroenterology 2022;79(1):12-21
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background/Aims:Several conditions may cause difficulties with oral feeding. Percutaneous endoscopic gastrostomy (PEG) is commonly performed on patients who require enteral feeding for >2-3 weeks. This study examined the nutritional state of patients who required enteral feeding and underwent PEG to quantify the benefits of the procedure.
Methods:This retrospective study included patients who underwent PEG at the Chungnam National University Hospital between January 2013 and December 2018. A gastroenterologist performed all PEG procedures using the pull technique, and all patients were followed up for >3 weeks postoperatively. The BMI and lymphocyte count, along with the levels of hemoglobin, total protein, albumin, total cholesterol, BUN, and creatinine pre-PEG and between 3 weeks and 6 months post-PEG were evaluated.
Results:Overall, 151 patients (116 males; mean age 64.92 years) were evaluated. Of these patients, 112 (74.2%), 34 (22.5%), and five (3.3%) underwent PEG tube insertion because of neurological diseases, malignancy, and other conditions, respectively. The BMI and the hemoglobin, total protein, albumin, and total cholesterol levels were significantly higher post-PEG than pre-PEG.
Conclusions:These findings highlight the usefulness of PEG in the management of nutritionally poor patients with difficulties in feeding orally.
