Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey

• Published in: European journal of clinical nutrition Vol. 68; no. 4; pp. 437 - 440
• Main Authors: Gundogan, K, Yurci, A, Coskun, R, Baskol, M, Gursoy, S, Hebbar, G, Sungur, M, Ziegler, T R
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 01.04.2014; Nature Publishing Group
• Subjects: 692/700/565/2072; 692/700/565/545; Adolescent; Adult; Aged; Aged, 80 and over; Biological and medical sciences; Cellulitis; Cerebrovascular diseases; Clinical Nutrition; Clinical outcomes; Diseases of the digestive system; Endoscopy; Endoscopy - methods; Enteral feeding; Enteral Nutrition; Epidemiology; Feeding. Feeding behavior; Female; Fundamental and applied biological sciences. Psychology; Gastrostomy - methods; Hospitals, University; Humans; Hypertension; Hypoxia; Indication; Insertion; Internal Medicine; Male; Medical sciences; Medicine; Medicine & Public Health; Metabolic Diseases; Middle Aged; Mortality; Nutrition; Nutrition research; original-article; Ostomy; Patient outcomes; Patients; Percutaneous endoscopic gastrostomy; Public Health; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Retrospective Studies; Tertiary Care Centers; Treatment Outcome; Tube feeding; Turkey; Vertebrates: anatomy and physiology, studies on body, several organs or systems; Young Adult; Asia; Turkey; enteral nutrition; tube feeding; PEG; Turkey; gastrostomy; Human; Prognosis; Percutaneous endoscopic gastrostomy; Metabolic diseases; Care; Enteral administration; Feeding; Evolution
• ISSN: 0954-3007; 1476-5640
• DOI: 10.1038/ejcn.2014.11

Background/objectives: The aim of this study was to perform a retrospective analysis characterizing patients receiving tube feeding following percutaneous endoscopic gastrostomy (PEG) tube placement between 2004 and 2012 at Erciyes University Hospital in Turkey. Subjects/Methods: Patients above the age of 18 years who required long-term enteral tube feeding were studied. All PEGs were performed using the pull-through technique by one experienced endoscopist. Demographic, clinical outcomes and PEG-related complication data were collected. Results: Of the 128 subjects studied, 91 were men (71%) and 37 were women (29%). The mean age of this patient population was 54±19 years. The most common reason for PEG tube insertion was the inability to consume oral diet due to complications of cerebrovascular disease (27%), while cerebral hypoxia, occuring after nonneurological medical disorders, was the second most common indication (23%). A total of 70 patients (55%) had chronic comorbidities, with hypertension being the most common (20%). The most common procedure-related complication was insertion-site bleeding, which occurred in 4% of patients. Long-term complications during 1 year were insertion-site cellulitis, gastric contents leakage and peristomal ulceration, which occurred in 14%, 5% and 0.5% of patients, respectively. There were no PEG insertion-related mortalities; 1-year mortality was unrelated to the indication for PEG tube insertion. Conclusions: PEG tube insertion was a safe method to provide enteral access for nutrition support in this hospitalized patient population.