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[Percutaneous endoscopic gastrostomy. Reality in the intra- and extra-community clinical nutritional practice].
Rev Clin Esp. 2005 Oct; 205(10):472-7.RC

Abstract

BACKGROUND

This study aimed to review our experience during 8 years in the use of percutaneous endoscopic gastrostomy (PEG) and its application in home enteral nutrition (HEN).

MATERIAL

We studied 207 patients (56 women and 151 men) who had undergone a PEG from the beginning of 1994 to the end of 2002 as they needed prolonged enteral nutrition (> 4 weeks). In those cases in which home enteral nutrition was programmed, the patients/relatives were trained in the techniques and care of the PEG and EN, and the control was done through the nutrition out-patient clinic.

RESULTS

Mean duration time of the PEG was 640 days and 175 patients (84.6%) needed PEG for more than 60 days and 135 for more than 6 months. Mean calorie supply was 1,730 +/- 288 Kcal/day. Administration mode was by intermittent infusion due to seriousness in 162 cases and continuous infusion through volemetric pump in 45 patients. In 2 patients with hyperemesis gravidarum, percutaneous endoscopic gastrojejunostomy (PEGJ) was done in the 3rd and 4th month of pregnancy, the pregnancy finishing successfully by vaginal delivery. Performance of PEG facilitated hospital discharge and programming of home enteral nutrition in 195 patients (94%). The most frequent complications were gastrostomy infection that occurred in 41 patients and the appearance of granuloma in the ostomy in 34 cases. Only one patient died in direct relationship due to peritonitis after PEG.

CONCLUSION

Our study includes the advantages of PEG as an enteral nutrition technique, permitting the establishment of a home enteral nutrition program with limited incidence of complications and very low mortality.

Authors+Show Affiliations

Servicio de Endocrinología, Hospital Virgen del Rocío, Sevilla. jpereira@cica.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

16238956

Citation

Pereira Cunill, J L., et al. "[Percutaneous Endoscopic Gastrostomy. Reality in the Intra- and Extra-community Clinical Nutritional Practice]." Revista Clinica Espanola, vol. 205, no. 10, 2005, pp. 472-7.
Pereira Cunill JL, Belda O, Serrano P, et al. [Percutaneous endoscopic gastrostomy. Reality in the intra- and extra-community clinical nutritional practice]. Rev Clin Esp. 2005;205(10):472-7.
Pereira Cunill, J. L., Belda, O., Serrano, P., Bozada, J. M., Fraile, J., Garrido, M., Guerrero, R., Fenoy, J. L., & García-Luna, P. P. (2005). [Percutaneous endoscopic gastrostomy. Reality in the intra- and extra-community clinical nutritional practice]. Revista Clinica Espanola, 205(10), 472-7.
Pereira Cunill JL, et al. [Percutaneous Endoscopic Gastrostomy. Reality in the Intra- and Extra-community Clinical Nutritional Practice]. Rev Clin Esp. 2005;205(10):472-7. PubMed PMID: 16238956.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Percutaneous endoscopic gastrostomy. Reality in the intra- and extra-community clinical nutritional practice]. AU - Pereira Cunill,J L, AU - Belda,O, AU - Serrano,P, AU - Bozada,J M, AU - Fraile,J, AU - Garrido,M, AU - Guerrero,R, AU - Fenoy,J L, AU - García-Luna,P P, PY - 2005/10/22/pubmed PY - 2006/2/28/medline PY - 2005/10/22/entrez SP - 472 EP - 7 JF - Revista clinica espanola JO - Rev Clin Esp VL - 205 IS - 10 N2 - BACKGROUND: This study aimed to review our experience during 8 years in the use of percutaneous endoscopic gastrostomy (PEG) and its application in home enteral nutrition (HEN). MATERIAL: We studied 207 patients (56 women and 151 men) who had undergone a PEG from the beginning of 1994 to the end of 2002 as they needed prolonged enteral nutrition (> 4 weeks). In those cases in which home enteral nutrition was programmed, the patients/relatives were trained in the techniques and care of the PEG and EN, and the control was done through the nutrition out-patient clinic. RESULTS: Mean duration time of the PEG was 640 days and 175 patients (84.6%) needed PEG for more than 60 days and 135 for more than 6 months. Mean calorie supply was 1,730 +/- 288 Kcal/day. Administration mode was by intermittent infusion due to seriousness in 162 cases and continuous infusion through volemetric pump in 45 patients. In 2 patients with hyperemesis gravidarum, percutaneous endoscopic gastrojejunostomy (PEGJ) was done in the 3rd and 4th month of pregnancy, the pregnancy finishing successfully by vaginal delivery. Performance of PEG facilitated hospital discharge and programming of home enteral nutrition in 195 patients (94%). The most frequent complications were gastrostomy infection that occurred in 41 patients and the appearance of granuloma in the ostomy in 34 cases. Only one patient died in direct relationship due to peritonitis after PEG. CONCLUSION: Our study includes the advantages of PEG as an enteral nutrition technique, permitting the establishment of a home enteral nutrition program with limited incidence of complications and very low mortality. SN - 0014-2565 UR - https://www.unboundmedicine.com/medline/citation/16238956/[Percutaneous_endoscopic_gastrostomy__Reality_in_the_intra__and_extra_community_clinical_nutritional_practice]_ L2 - http://www.elsevier.es/en/linksolver/ft/ivp/0014-2565/205/472 DB - PRIME DP - Unbound Medicine ER -