Clinical Course of Percutaneous Endoscopic Gastrostomy: A Single-center Observational Study
- Author:
Jihyun LEE
1
;
Ki Nam SHIM
;
Kang Hoon LEE
;
Ko Eun LEE
;
Ji Young CHANG
;
Chung Hyun TAE
;
Chang Mo MOON
;
Seong Eun KIM
;
Hye Kyung JUNG
;
Sung Ae JUNG
Author Information
- Publication Type:Original Article
- Keywords: Enteral nutrition; Gastrostomy; Endoscopy
- MeSH: Endoscopy; Enteral Nutrition; Female; Follow-Up Studies; Gastrostomy; Head and Neck Neoplasms; Humans; Medical Records; Methods; Observational Study; Parkinson Disease; Stroke
- From:The Korean Journal of Gastroenterology 2018;71(1):24-30
- CountryRepublic of Korea
- Language:Korean
- Abstract: BACKGROUND/AIMS: Percutaneous endoscopic gastrostomy (PEG) is a widely used method for long-term tube feeding. This study aimed to investigate the clinical characteristics and outcomes of patients who utilized long-term feeding tube via PEG. METHODS: The medical records of 137 patients who underwent PEG tube insertion at Ewha Womans University Mokdong Hospital between January 2002 and December 2013 were reviewed. RESULTS: PEG was indicated most frequently for cerebrovascular accidents (66 patients, 48.2%), followed by head and neck cancer (20 patients, 14.6%), and Parkinson's disease (10 patients, 7.3%). The tubes were endoscopically inserted in 133 patients (97.1%); 4 patients (2.9%) underwent radiologic intervention. The tubes of 90 patients (65.7%) were exchanged at least once during the follow-up period. At the first exchange, 71 patients (78.9%) had their tubes exchanged by endoscopy, 24 patients (16.7%) by manually, and 4 patients (4.4%) by radiologic intervention. Of the 61 patients (44.5%) who had their tubes exchanged twice, 44 patients (72.1%) changed their tubes by endoscopic exchange, 13 patients (21.3%) by manually, and 4 patients (4.4%) via radiologic intervention. The mean time interval between the initial insertion and the first exchange was 9.83±6.19 months, and that between the initial insertion and the second exchange was 10.7±6.25 months. Of all the 137 patients, acute complications at initial insertion occurred in only 18 patients (13.1%), with insertion site infection (9 patients, 6.6%) being the most common acute complication. CONCLUSIONS: PEG appears to be a safe procedure for providing long-term tube feeding. Our results may help to develop strategies for further management of subjects receiving feeding tubes via PEG.
