Document Detail


Enteral nutrition via percutaneous endoscopic gastrostomy and nutritional status of patients: five-year prospective study.
MedLine Citation:
PMID:  15955206     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Since it was described in 1980, percutaneous endoscopic gastrostomy (PEG) has been a widely used method for insertion of a gastrostomy tube in patients who are unable to swallow or maintain adequate nutrition. The aim of the present paper was to determine the complications of PEG insertion and to study pre- and post-procedural nutritional status. METHODS: During the period of March 1999-September 2004, placement of PEG tube was performed in 85 patients (22 women and 63 men). Patient nutritional status was assessed before and after PEG insertion via anthropometric measurements. RESULTS: The most frequent indication for PEG insertion was neurological disorders (65.9%). Thirty patients died due to primary disease and two patients due to PEG-related complications within 5 years. There were 14 early complications in 10 patients (15.2%; <30 days), and 18 late complications in 12 patients (19.6%). Total mortality was 37.6%. All complications other than four were minor. Before PEG insertion, patients were assessed with subjective global assessment and it was determined that 43.2% of them had severe, and 41.9% of them had mild malnutrition. After PEG insertion, significant improvements on patient nutrition levels was observed. CONCLUSION: Percutaneous endoscopic gastrostomy is a minimally invasive gastrostomy method with low morbidity and mortality rates, is easy to follow up and easy to replace when clogged.
Authors:
Ahmet Erdil; Mendane Saka; Yuksel Ates; Ahmet Tuzun; Sait Bagci; Ahmet Uygun; Zeki Yesilova; Mustafa Gulsen; Necmettin Karaeren; Kemal Dagalp
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of gastroenterology and hepatology     Volume:  20     ISSN:  0815-9319     ISO Abbreviation:  J. Gastroenterol. Hepatol.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-15     Completed Date:  2005-10-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607909     Medline TA:  J Gastroenterol Hepatol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1002-7     Citation Subset:  IM    
Copyright Information:
(c) 2005 Blackwell Publishing Asia Pty Ltd.
Affiliation:
Department of Gastroenterology, Gulhane Military Medical Academy, Ankara, Turkey. aerdil@gata.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Deglutition Disorders / metabolism,  mortality,  therapy*
Endoscopes, Gastrointestinal*
Enteral Nutrition / instrumentation*,  mortality
Female
Follow-Up Studies
Gastrostomy / instrumentation*,  mortality
Humans
Male
Middle Aged
Nutritional Status*
Prospective Studies
Survival Rate / trends
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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