Fluoroscopy-Assisted Percutaneous Endoscopic Gastrostomy (F-PEG)—Single-Center Experience and Outcome

摘要: Background Gastrointestinal route is considered for feeding in subjects who are unable to swallow, either as a temporary or permanent option. Percutaneous endoscopic gastrostomy (PEG) the preferred mode long-term enteral nutrition. The aim was study outcome of protocol-based PEG placement tertiary medical center. Materials and Methods All patients underwent between January 2017 December 2019 were included retrospective study. Study variables entered into uniform structured proforma. procedure done by two people using Ponsky-Gauderer pull-technique. Fluoroscopy guidance special situations. Post-procedure, all regularly followed per protocol evaluate adverse events. Results One hundred eighteen with mean age 49.6 ± 7 years 67.8% males. most common indication inability swallow associated head injury (43, 36.4%), carcinoma esophagus (35, 29.8%) stroke (24, 20.3%). useful 38 (32%) site identification. Tube dislodgement (16, 13.5%) aspiration pneumonia (20, 16.9%) Age more than 60 dysphagia neurologic disorders accounted 60% Forty-nine (42%) expired due primary illness sepsis after median time 139 days (range: 32–288 days). There no difference survival without PEG-related complications (p = 0. 74). Conclusions Fluoroscopy assistance helps accurate one third. > independent risk factors tube complications.