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Long-term management of percutaneous endoscopic gastrostomy by a nutritional support team.
Clin Nutr. 2002 Feb; 21(1):27-31.CN

Abstract

BACKGROUND/AIMS

Percutaneous Endoscopic Gastrostomy (PEG) has become a commonly-performed procedure, to provide enteral nutrition for patients who are unable to eat. The aims of this study were to evaluate the long term efficacy, morbidity and mortality of percutaneous endoscopic gastrostomy (PEG).

MATERIAL AND METHODS

We analysed 144 patients who underwent a PEG procedure. Survival curves were done with the Kaplan-Meier method. The indication was long-term enteral nutrition in patients unable to maintain adequate nutrition by mouth.

RESULTS

The procedure was successful in all but one case. Mean age was 62 (18-85) years, 89 (62%) males. Seven patients recovered from their primary disease and gastrostomy tube was removed. Mean follow-up was 7.3+/-10.8 (1--66) months. Survival rates at 30 days, 1 year and 3 years following gastrostomy were 82%, 36% and 14%, respectively. Survival curves were better in females (P<0.0001). In almost all cases, patients were fed with current home-prepared food, and were ambulatory. There were no differences in survival curves according to the nutritional status.

CONCLUSIONS

There were few procedure-related complications, but a high short-term mortality, probably related with the underlying disease. The use of home-prepared food through the gastrostomy was very well tolerated, and should be encouraged.

Authors+Show Affiliations

Departamento de Medicina 2, Hospital de Santa Maria, Lisboa, Portugal.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11884009

Citation

Cortez-Pinto, H, et al. "Long-term Management of Percutaneous Endoscopic Gastrostomy By a Nutritional Support Team." Clinical Nutrition (Edinburgh, Scotland), vol. 21, no. 1, 2002, pp. 27-31.
Cortez-Pinto H, Correia AP, Camilo ME, et al. Long-term management of percutaneous endoscopic gastrostomy by a nutritional support team. Clin Nutr. 2002;21(1):27-31.
Cortez-Pinto, H., Correia, A. P., Camilo, M. E., Tavares, L., & De Moura, M. C. (2002). Long-term management of percutaneous endoscopic gastrostomy by a nutritional support team. Clinical Nutrition (Edinburgh, Scotland), 21(1), 27-31.
Cortez-Pinto H, et al. Long-term Management of Percutaneous Endoscopic Gastrostomy By a Nutritional Support Team. Clin Nutr. 2002;21(1):27-31. PubMed PMID: 11884009.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term management of percutaneous endoscopic gastrostomy by a nutritional support team. AU - Cortez-Pinto,H, AU - Correia,A Pinto, AU - Camilo,M E, AU - Tavares,L, AU - De Moura,M Carneiro, PY - 2002/3/9/pubmed PY - 2002/6/27/medline PY - 2002/3/9/entrez SP - 27 EP - 31 JF - Clinical nutrition (Edinburgh, Scotland) JO - Clin Nutr VL - 21 IS - 1 N2 - BACKGROUND/AIMS: Percutaneous Endoscopic Gastrostomy (PEG) has become a commonly-performed procedure, to provide enteral nutrition for patients who are unable to eat. The aims of this study were to evaluate the long term efficacy, morbidity and mortality of percutaneous endoscopic gastrostomy (PEG). MATERIAL AND METHODS: We analysed 144 patients who underwent a PEG procedure. Survival curves were done with the Kaplan-Meier method. The indication was long-term enteral nutrition in patients unable to maintain adequate nutrition by mouth. RESULTS: The procedure was successful in all but one case. Mean age was 62 (18-85) years, 89 (62%) males. Seven patients recovered from their primary disease and gastrostomy tube was removed. Mean follow-up was 7.3+/-10.8 (1--66) months. Survival rates at 30 days, 1 year and 3 years following gastrostomy were 82%, 36% and 14%, respectively. Survival curves were better in females (P<0.0001). In almost all cases, patients were fed with current home-prepared food, and were ambulatory. There were no differences in survival curves according to the nutritional status. CONCLUSIONS: There were few procedure-related complications, but a high short-term mortality, probably related with the underlying disease. The use of home-prepared food through the gastrostomy was very well tolerated, and should be encouraged. SN - 0261-5614 UR - https://www.unboundmedicine.com/medline/citation/11884009/Long_term_management_of_percutaneous_endoscopic_gastrostomy_by_a_nutritional_support_team_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0261561401904996 DB - PRIME DP - Unbound Medicine ER -