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Enteral nutrition via percutaneous endoscopic gastrostomy and nutritional status of patients: five-year prospective study.
J Gastroenterol Hepatol. 2005 Jul; 20(7):1002-7.JG

Abstract

BACKGROUND

Since it was described in 1980, percutaneous endoscopic gastrostomy (PEG) has been a widely used method for insertion of a gastrostomy tube in patients who are unable to swallow or maintain adequate nutrition. The aim of the present paper was to determine the complications of PEG insertion and to study pre- and post-procedural nutritional status.

METHODS

During the period of March 1999-September 2004, placement of PEG tube was performed in 85 patients (22 women and 63 men). Patient nutritional status was assessed before and after PEG insertion via anthropometric measurements.

RESULTS

The most frequent indication for PEG insertion was neurological disorders (65.9%). Thirty patients died due to primary disease and two patients due to PEG-related complications within 5 years. There were 14 early complications in 10 patients (15.2%; <30 days), and 18 late complications in 12 patients (19.6%). Total mortality was 37.6%. All complications other than four were minor. Before PEG insertion, patients were assessed with subjective global assessment and it was determined that 43.2% of them had severe, and 41.9% of them had mild malnutrition. After PEG insertion, significant improvements on patient nutrition levels was observed.

CONCLUSION

Percutaneous endoscopic gastrostomy is a minimally invasive gastrostomy method with low morbidity and mortality rates, is easy to follow up and easy to replace when clogged.

Authors+Show Affiliations

Erdil A
Department of Gastroenterology, Gulhane Military Medical Academy, Ankara, Turkey. aerdil@gata.edu.tr
Saka M
No affiliation info available
Ates Y
No affiliation info available
Tuzun A
No affiliation info available
Bagci S
No affiliation info available
Uygun A
No affiliation info available
Yesilova Z
No affiliation info available
Gulsen M
No affiliation info available
Karaeren N
No affiliation info available
Dagalp K
No affiliation info available

MeSH

AdultAgedAged, 80 and overDeglutition DisordersEndoscopes, GastrointestinalEnteral NutritionFemaleFollow-Up StudiesGastrostomyHumansMaleMiddle AgedNutritional StatusProspective StudiesSurvival RateTreatment Outcome

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15955206

Citation

Erdil, Ahmet, et al. "Enteral Nutrition Via Percutaneous Endoscopic Gastrostomy and Nutritional Status of Patients: Five-year Prospective Study." Journal of Gastroenterology and Hepatology, vol. 20, no. 7, 2005, pp. 1002-7.
Erdil A, Saka M, Ates Y, et al. Enteral nutrition via percutaneous endoscopic gastrostomy and nutritional status of patients: five-year prospective study. J Gastroenterol Hepatol. 2005;20(7):1002-7.
Erdil, A., Saka, M., Ates, Y., Tuzun, A., Bagci, S., Uygun, A., Yesilova, Z., Gulsen, M., Karaeren, N., & Dagalp, K. (2005). Enteral nutrition via percutaneous endoscopic gastrostomy and nutritional status of patients: five-year prospective study. Journal of Gastroenterology and Hepatology, 20(7), 1002-7.
Erdil A, et al. Enteral Nutrition Via Percutaneous Endoscopic Gastrostomy and Nutritional Status of Patients: Five-year Prospective Study. J Gastroenterol Hepatol. 2005;20(7):1002-7. PubMed PMID: 15955206.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Enteral nutrition via percutaneous endoscopic gastrostomy and nutritional status of patients: five-year prospective study. AU - Erdil,Ahmet, AU - Saka,Mendane, AU - Ates,Yuksel, AU - Tuzun,Ahmet, AU - Bagci,Sait, AU - Uygun,Ahmet, AU - Yesilova,Zeki, AU - Gulsen,Mustafa, AU - Karaeren,Necmettin, AU - Dagalp,Kemal, PY - 2005/6/16/pubmed PY - 2005/10/14/medline PY - 2005/6/16/entrez SP - 1002 EP - 7 JF - Journal of gastroenterology and hepatology JO - J Gastroenterol Hepatol VL - 20 IS - 7 N2 - BACKGROUND: Since it was described in 1980, percutaneous endoscopic gastrostomy (PEG) has been a widely used method for insertion of a gastrostomy tube in patients who are unable to swallow or maintain adequate nutrition. The aim of the present paper was to determine the complications of PEG insertion and to study pre- and post-procedural nutritional status. METHODS: During the period of March 1999-September 2004, placement of PEG tube was performed in 85 patients (22 women and 63 men). Patient nutritional status was assessed before and after PEG insertion via anthropometric measurements. RESULTS: The most frequent indication for PEG insertion was neurological disorders (65.9%). Thirty patients died due to primary disease and two patients due to PEG-related complications within 5 years. There were 14 early complications in 10 patients (15.2%; <30 days), and 18 late complications in 12 patients (19.6%). Total mortality was 37.6%. All complications other than four were minor. Before PEG insertion, patients were assessed with subjective global assessment and it was determined that 43.2% of them had severe, and 41.9% of them had mild malnutrition. After PEG insertion, significant improvements on patient nutrition levels was observed. CONCLUSION: Percutaneous endoscopic gastrostomy is a minimally invasive gastrostomy method with low morbidity and mortality rates, is easy to follow up and easy to replace when clogged. SN - 0815-9319 UR - https://www.unboundmedicine.com/medline/citation/15955206/Enteral_nutrition_via_percutaneous_endoscopic_gastrostomy_and_nutritional_status_of_patients:_five_year_prospective_study_ DB - PRIME DP - Unbound Medicine ER -