Percutaneous Endoscopic Gastrostomy Tube Placement: A Single Center Experience

作者: Ankur Gupta , Anil K Singh , Deepak Goel , Akash N Gaind , Shireesh Mittal

DOI: 10.1055/S-0039-3401391

关键词:

摘要: Introduction Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the recommended methods for providing enteral feeding in patients with swallowing difficulty and intact gastrointestinal tract. We review our three years experience pertaining to PEG hospital. Methods Records all patients, who underwent between May 2014 September 2017, were reviewed relevant clinical procedural details noted. For procedure was conducted under antibiotic prophylaxis, moderate sedation, local anesthesia. The placed by “pull up” method. Telephonic follow-up carried out after month study completion. Results The 73 (male 51 [69.9%]; age median [range] 67 [16–91] years). 42 stroke (57.6%), other neurologic disorders 17 (23.3%), coma due head injury 5 (6.8%), terminal malignancy 9 (12.3%). Technical success achieved (97%) patients. Eleven procedure-related complications occurred nine (15.5%) including death peritonitis. Of 57 could be followed-up discharge, 41 died their primary illness 65 (1–751) days, alive continuing on feed, seven removed because it not needed. Conclusion PEG a useful feeding. Although high, may accompanied significant complications.

参考文章(10)
Vismit P Joshipura, Nitin R Patel, Rahul P Naik, Sanjeev P Haribhakti, Complications of PEG--prevention and management. Tropical gastroenterology : official journal of the Digestive Diseases Foundation. ,vol. 30, pp. 186- 194 ,(2009)
Allyson Lipp, Gail Lusardi, Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy. Cochrane Database of Systematic Reviews. ,vol. 2013, ,(2006) , 10.1002/14651858.CD005571.PUB2
Michael W.L. Gauderer, Jeffrey L. Ponsky, Robert J. Izant, Gastrostomy without laparotomy: A percutaneous endoscopic technique Journal of Pediatric Surgery. ,vol. 15, pp. 872- 875 ,(1980) , 10.1016/S0022-3468(80)80296-X
Hala Mansoor, Muhammad Adnan Masood, Muhammed Aasim Yusuf, Complications of percutaneous endoscopic gastrostomy tube insertion in cancer patients: a retrospective study. Journal of Gastrointestinal Cancer. ,vol. 45, pp. 452- 459 ,(2014) , 10.1007/S12029-014-9630-Y
Anjana Sadasivan, Bini Faizal, Madhumita Kumar, Nasogastric and percutaneous endoscopic gastrostomy tube use in advanced head and neck cancer patients: a comparative study. Journal of Pain and Palliative Care Pharmacotherapy. ,vol. 26, pp. 226- 232 ,(2012) , 10.3109/15360288.2012.702199
Ari J. Wiesen, Kostas Sideridis, Angelo Fernandes, Jonathan Hines, Anant Indaram, Lenny Weinstein, Samuel Davidoff, Simmy Bank, True incidence and clinical significance of pneumoperitoneum after PEG placement: a prospective study Gastrointestinal Endoscopy. ,vol. 64, pp. 886- 889 ,(2006) , 10.1016/J.GIE.2006.06.088
Subhas Banerjee, Bo Shen, Todd H Baron, Douglas B Nelson, Michelle A Anderson, Brooks D Cash, Jason A Dominitz, S Ian Gan, M Edwyn Harrison, Steven O Ikenberry, Sanjay B Jagannath, David Lichtenstein, Robert D Fanelli, Ken Lee, Trina van Guilder, Leslie E Stewart, None, Antibiotic prophylaxis for GI endoscopy Gastrointestinal Endoscopy. ,vol. 67, pp. 791- 798 ,(2008) , 10.1016/J.GIE.2008.02.068
Brintha K. Enestvedt, Jennifer Jorgensen, Robert E. Sedlack, Walter J. Coyle, Keith L. Obstein, Mohammad A. Al-Haddad, Jennifer A. Christie, Raquel E. Davila, Daniel K. Mullady, Nisa Kubiliun, Richard S. Kwon, Ryan Law, Waqar A. Qureshi, Endoscopic approaches to enteral feeding and nutrition core curriculum Gastrointestinal Endoscopy. ,vol. 80, pp. 34- 41 ,(2014) , 10.1016/J.GIE.2014.02.011
Nicolas Magné, P. Y. Marcy, C. Foa, M. N. Falewee, M. Schneider, F. Demard, R. J. Bensadoun, Comparison between nasogastric tube feeding and percutaneous fluoroscopic gastrostomy in advanced head and neck cancer patients. European Archives of Oto-rhino-laryngology. ,vol. 258, pp. 89- 92 ,(2001) , 10.1007/S004050000311
Shou-jiang Tang, Ruonan Wu, Percutaneous Endoscopic Gastrostomy (pull method) and Jejunal Extension Tube Placement Video Journal and Encyclopedia of GI Endoscopy. ,vol. 2, pp. 40- 45 ,(2014) , 10.1016/J.VJGIEN.2013.10.004