Percutaneous endoscopic gastrostomy. Initial placement by single endoscopic technique and long-term follow-up.

摘要: Of 598 patients, 595 underwent placement of a percutaneous endoscopic gastrostomy (PEG) tube using single endoscopy technique and polyurethane tube. Primary indications were altered mental status dysphagia. All procedures performed in the operating room, with 74 patients receiving general anesthesia 524 intravenous sedatives or without topical anesthesia. Average room time was 34 minutes. 208 prior intra-abdominal surgery, 207 successful placement. The overall complication rate 4.9%, major 1.3%. One death occurred from presumed leakage at site peritonitis. hundred twenty subsequently died causes unrelated to after 75 +/- 164 days (range, 1 972). fifty-four recovered an adequate oral diet had PEG removed 169 244 6 1337). remaining 319 continued use their for 1532 411 134 2251). has been very durable; none required replacement because deterioration.