Percutaneous endoscopic gastrostomy:experience at Sir Ganga Ram Hospital:indications,complications and outcome

Kumar, M.; Sud, R.; Arora, A.; Puri, R.; Saraf, N.; Anand, V.; Mohan, M.; Gupta, R. and Sama, S.K. (2002) Percutaneous endoscopic gastrostomy:experience at Sir Ganga Ram Hospital:indications,complications and outcome. Indian Journal of Gastroenterology, 21. A77.

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Abstract

Background and Objectives: Percutaneous endoscopic gastrostomy (PEG) is an excellent alternative for long term management of enteral nutrition in patients with inadequate caloric intake and who have a functionally intact gastrointestinal tract. The aim of this study was to determine the indications, success rate, procedure related mortality, major and minor complication in patients undergoing PEG. Methods: This is a retrospective review of 244 patient who underwent PEG in Department of Gastroenterology Sir Ganga Ram Hospital during the period Jan 1998 to May 2002. In all these patients PEG tube was placed using pull technique. Results: PEG was successfully placed in all 244 patients. There were 142 males (58.2%) and 102 females (41.18%) (aged 18-76 years). The most common indications for placement of the gastrostomy tube were neurologic n=230 (94.26%) and oropharyngeal disorders n=10 (4%). Most of the patients n=230 (94.26%) had the procedure performed as inpatients and rest n= 10 (4%) were out patients. No procedure related mortality was noted. Only two patients (.81%) had major complications, in form of perforation which was managed conservatively. 33 patients (13.5%) had minor complications. The most common minor complication observed was superficial wound infection n=15 (6%). Other Minor complications was peri-tubal leak n= 5 (2%) and tube pulling out by 3 patients (1.2%), and fever in 3 patients (1.2%). Aspiration occurred in 7 patients (2.8%). Replacement tube was put in 15 patients (6%) and in 60 (24.5%), the tube was removed later as they started oral nutrition. In 8 patients PEG was converted to PEJ (3.2%). The average time to PEG placement after neurological cause was 4 weeks. The average time of procedure was 10-15 minutes Conclusion: PEG is an easy, safe and useful procedure for optimal feeding for long period in patients who have neurologic illness. It has minimal complications and occasional need for replacement of the tube.

EPrint Type:Article
Uncontrolled Keywords:Percutaneous Endoscopic Gastrostomy, Enteral Nutrition, Gastrointestinal Tract, Complications, Patients, Success Rate
Subjects:Therapeutics > Nutrition Therapy
Therapeutics > Feeding Methods
Surgical Procedures, Operative > Digestive System Surgical Procedures
Surgical Procedures, Operative > Surgical Procedures, Minimally Invasive > Endoscopy
Pathological Conditions, Signs and Symptoms > Pathologic Processes > Postoperative Complications
-Institutional Repositories > Sir Ganga Ram Hospital, New Delhi
ID Code:2408
Deposited By:Sir Ganga Ram Hospital
Deposited On:17 October 2007

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