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Evaluation of percutaneous endoscopic gastrostomy in a university hospital.
Hepatogastroenterology. 1998 Nov-Dec; 45(24):2060-3.H

Abstract

BACKGROUND/AIMS

Percutaneous endoscopic gastrostomy (PEG) has become a commonly performed procedure to provide nutritional support for chronically ill patients. The aim of this study was to review the safety and results of PEG in a teaching hospital.

METHODOLOGY

A retrospective review of 44 patients who underwent PEG procedure. The indication was long-term enteral feeding in patients who were unable to maintain adequate nutrition by mouth with an otherwise functioning gut. The most common primary diagnosis was cerebrovascular accident (17 patients). All patients were unable to swallow.

RESULTS

There were six (13.6%) minor complications, and two mortalities from peritonitis (4.5%). The most common complication was gastrostomy site infection, which did not require exchange of the feeding tube.

CONCLUSIONS

PEG is a useful means of providing nutrition in patients unable to swallow without the necessity for laparotomy and general anesthesia. This method provides an adequate avenue for enteral alimentation in selected patients and is relatively safe. Careful attention to the technique of insertion is important to prevent leakage or bowel perforation.

Authors+Show Affiliations

Department of Surgery, National University Hospital, Singapore.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9951866

Citation

Tan, W, et al. "Evaluation of Percutaneous Endoscopic Gastrostomy in a University Hospital." Hepato-gastroenterology, vol. 45, no. 24, 1998, pp. 2060-3.
Tan W, Rajnakova A, Kum CK, et al. Evaluation of percutaneous endoscopic gastrostomy in a university hospital. Hepatogastroenterology. 1998;45(24):2060-3.
Tan, W., Rajnakova, A., Kum, C. K., Alponat, A., & Goh, P. M. (1998). Evaluation of percutaneous endoscopic gastrostomy in a university hospital. Hepato-gastroenterology, 45(24), 2060-3.
Tan W, et al. Evaluation of Percutaneous Endoscopic Gastrostomy in a University Hospital. Hepatogastroenterology. 1998 Nov-Dec;45(24):2060-3. PubMed PMID: 9951866.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of percutaneous endoscopic gastrostomy in a university hospital. AU - Tan,W, AU - Rajnakova,A, AU - Kum,C K, AU - Alponat,A, AU - Goh,P M, PY - 1999/2/10/pubmed PY - 1999/2/10/medline PY - 1999/2/10/entrez SP - 2060 EP - 3 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 45 IS - 24 N2 - BACKGROUND/AIMS: Percutaneous endoscopic gastrostomy (PEG) has become a commonly performed procedure to provide nutritional support for chronically ill patients. The aim of this study was to review the safety and results of PEG in a teaching hospital. METHODOLOGY: A retrospective review of 44 patients who underwent PEG procedure. The indication was long-term enteral feeding in patients who were unable to maintain adequate nutrition by mouth with an otherwise functioning gut. The most common primary diagnosis was cerebrovascular accident (17 patients). All patients were unable to swallow. RESULTS: There were six (13.6%) minor complications, and two mortalities from peritonitis (4.5%). The most common complication was gastrostomy site infection, which did not require exchange of the feeding tube. CONCLUSIONS: PEG is a useful means of providing nutrition in patients unable to swallow without the necessity for laparotomy and general anesthesia. This method provides an adequate avenue for enteral alimentation in selected patients and is relatively safe. Careful attention to the technique of insertion is important to prevent leakage or bowel perforation. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/9951866/Evaluation_of_percutaneous_endoscopic_gastrostomy_in_a_university_hospital_ L2 - https://medlineplus.gov/endoscopy.html DB - PRIME DP - Unbound Medicine ER -