Korean J Helicobacter Up Gastrointest Res.  2017 Sep;17(3):138-143. 10.7704/kjhugr.2017.17.3.138.

Indication and Clinical Outcomes of Percutaneous Endoscopic Gastrostomy: A Single-center Retrospective Analysis

• Sim JS
• Kim SY
• Lee YJ
• Seo JH
• Kim DJ
• Choe JW
• Lee D
• Jung SW
• Lee SW

• KMID: 2389083
• DOI: http://doi.org/10.7704/kjhugr.2017.17.3.138

Abstract

BACKGROUND/AIMS
Percutaneous endoscopic gastrostomy (PEG) is performed to provide enteral nutrition to patients who require tube-feeding support due to impaired oral intake. As life expectancy increases, the need for, and use of PEG also tend to increase. We aimed to evaluate the indications and complications of PEG insertion, and to investigate any differences in the complication group.
MATERIALS AND METHODS
We conducted a retrospective analysis of 109 patients who received a PEG procedure between April 2011 and April 2016 in the Korea University Ansan Hospital. We reviewed the indications and complications related to PEG insertion and time interval of tube change.
RESULTS
Among 109 patients who underwent a PEG procedure, 71.6% were male, and the mean age was 68.2 years. The most common indications for PEG were central nervous system diseases, including stroke (33.9%), cerebral hemorrhage (29.4%), and hypoxic brain damage (8.3%). The overall complication rate was 14.7%, and the most common complication was peristomal infection (7.3%). Most of the complications occurred within 10 days in 14 of 16 patients (87.5%). The patients with complications were older than those without complications (74.6±11.1 vs. 67.1±14.0 years, P=0.043). The mean time interval for gastrostomy tube change was 7.3 months.
CONCLUSIONS
The most common indication of PEG was brain disease, and the complication rate cannot be ignored. Careful attention is needed after a PEG procedure especially in elderly patients.

Keyword

Complications; Endoscopy; Gastrostomy

MeSH Terms

Aged
Brain Diseases
Central Nervous System Diseases
Cerebral Hemorrhage
Endoscopy
Enteral Nutrition
Gastrostomy*
Gyeonggi-do
Humans
Hypoxia, Brain
Korea
Life Expectancy
Male
Retrospective Studies*
Stroke