Percutaneous endoscopic gastrostomy technique: the outcome and complications
Background: Percutaneous endoscopic gastrostomy (PEG) is one of the ways to non-oral feeding in patients with dysphagia caused by conditions such as stroke, oropharyngeal malignancy and motor neuron disease. The aim of study was assessment of early outcome of PEG in hospitalized patients according t...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Tehran University of Medical Sciences
2013-03-01
|
| Series: | Tehran University Medical Journal |
| Subjects: | |
| Online Access: | http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-46&slc_lang=en&sid=1 |
| _version_ | 1811269818099171328 |
|---|---|
| author | Sharifi A Dolatshahi Sh Naseri H Ramim T |
| author_facet | Sharifi A Dolatshahi Sh Naseri H Ramim T |
| author_sort | Sharifi A |
| collection | DOAJ |
| description | Background: Percutaneous endoscopic gastrostomy (PEG) is one of the ways to non-oral feeding in patients with dysphagia caused by conditions such as stroke, oropharyngeal malignancy and motor neuron disease. The aim of study was assessment of early outcome of PEG in hospitalized patients according to clinical situation and underlying disease. Methods: This study was cross- sectional and prospective. Sixty five patients were included with PEG from April 2011 to July 2012, at Sina University Hospital, Tehran, Iran. Tube function, feeding, and patients' symptoms were assessed and patients were followed six month at least to one year after procedure .The follow up of patients were stopped if the patient died or removal of tube.Results: Sixty five patients (33 men, 32 women) enrolled in this study. The mean age of patients was 57.45±16.83 years (19-94 years). Head trauma and postoperative thoracic surgery were in 15 (23.1%) and 4 (6.2%) cases. 36 of patients (55.39%) had no symptoms. The complications include lickage (11 cases), stenosis (9 cases), cellulitis (7 cases), and PEG separation (2 cases). A total of 29 patients were complicated and 21 patients (72%) of them complicated 2 -5 months after PEG. No statistical significant differences between two sexes in PEG complication. 27 patients (41%) died that have no relation to complications of PEG.Conclusion: Finally, the study showed the PEG is a safe method to enteral nutrition. The advantages of this method include its simplicity, no need to general anesthesia and low rate of complications especially in inpatient under the supervision of medical staff. Therefore it can be used as a favorable method. |
| first_indexed | 2024-04-12T21:48:49Z |
| format | Article |
| id | doaj.art-96d48222decd4c64babb11ddb8caacad |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-04-12T21:48:49Z |
| publishDate | 2013-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-96d48222decd4c64babb11ddb8caacad2022-12-22T03:15:32ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222013-03-017012781787Percutaneous endoscopic gastrostomy technique: the outcome and complicationsSharifi ADolatshahi ShNaseri HRamim TBackground: Percutaneous endoscopic gastrostomy (PEG) is one of the ways to non-oral feeding in patients with dysphagia caused by conditions such as stroke, oropharyngeal malignancy and motor neuron disease. The aim of study was assessment of early outcome of PEG in hospitalized patients according to clinical situation and underlying disease. Methods: This study was cross- sectional and prospective. Sixty five patients were included with PEG from April 2011 to July 2012, at Sina University Hospital, Tehran, Iran. Tube function, feeding, and patients' symptoms were assessed and patients were followed six month at least to one year after procedure .The follow up of patients were stopped if the patient died or removal of tube.Results: Sixty five patients (33 men, 32 women) enrolled in this study. The mean age of patients was 57.45±16.83 years (19-94 years). Head trauma and postoperative thoracic surgery were in 15 (23.1%) and 4 (6.2%) cases. 36 of patients (55.39%) had no symptoms. The complications include lickage (11 cases), stenosis (9 cases), cellulitis (7 cases), and PEG separation (2 cases). A total of 29 patients were complicated and 21 patients (72%) of them complicated 2 -5 months after PEG. No statistical significant differences between two sexes in PEG complication. 27 patients (41%) died that have no relation to complications of PEG.Conclusion: Finally, the study showed the PEG is a safe method to enteral nutrition. The advantages of this method include its simplicity, no need to general anesthesia and low rate of complications especially in inpatient under the supervision of medical staff. Therefore it can be used as a favorable method.http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-46&slc_lang=en&sid=1Endoscopyenteral nutritiongastrostomytube feeding |
| spellingShingle | Sharifi A Dolatshahi Sh Naseri H Ramim T Percutaneous endoscopic gastrostomy technique: the outcome and complications Tehran University Medical Journal Endoscopy enteral nutrition gastrostomy tube feeding |
| title | Percutaneous endoscopic gastrostomy technique: the outcome and complications |
| title_full | Percutaneous endoscopic gastrostomy technique: the outcome and complications |
| title_fullStr | Percutaneous endoscopic gastrostomy technique: the outcome and complications |
| title_full_unstemmed | Percutaneous endoscopic gastrostomy technique: the outcome and complications |
| title_short | Percutaneous endoscopic gastrostomy technique: the outcome and complications |
| title_sort | percutaneous endoscopic gastrostomy technique the outcome and complications |
| topic | Endoscopy enteral nutrition gastrostomy tube feeding |
| url | http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-46&slc_lang=en&sid=1 |
| work_keys_str_mv | AT sharifia percutaneousendoscopicgastrostomytechniquetheoutcomeandcomplications AT dolatshahish percutaneousendoscopicgastrostomytechniquetheoutcomeandcomplications AT naserih percutaneousendoscopicgastrostomytechniquetheoutcomeandcomplications AT ramimt percutaneousendoscopicgastrostomytechniquetheoutcomeandcomplications |