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2013, Number 2

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Rev Med MD 2013; 4.5 (2)

Demographic characteristics and percutaneous endoscopic gastrostomy indications

Velarde-Ruiz VJA, Barrera-Torres EH, Vázquez-González R, Núñez-Camarena E, Chávez-Ramírez RM, Cuevas-Tello J, Ibarra- Palomino J, Mora-Huerta JA

Language: Spanish
References: 23
Page: 73-79
PDF size: 617.36 Kb.


ABSTRACT

Background Dysphagia, regardless the cause, can make patient nutrition challenging. Percutaneous endoscopic gastrostomy (PEG) can be a good alternative to nasogastric tube feeding due to its security, efficiency, low cost and uncomplicated up keeping. PEG is a technique of choice in order to achieve proper nutrition in patients with deglutition disorders and an intact digestive system. An analysis was performed in order to describe characteristics, indications and employed technique in patients who underwent percutaneous endoscopic gastrostomy.
Material and methods A descriptive, retrospective, cross – sectional study was performed, which included patients who were admitted in to three different private sector hospitals in Guadalajara city who met precise criteria to undergo PEG between June 2006 to May 2009. 59 patients of both sexes in which deglutition was not possible, neuromotor or obstructive dysphagia were enrolled in the study.
Results Of the 59 patients included in the study, most were female (71.2%). Insertion of PEG was successful in all cases. Neurologic motor disease was the most frequently diagnosed problem, mostly due to cerebrovascular events (CVA), followed by aphagia and malnutrition. Complications were presented by 13.5% of patients; leaking from the stomach in four patients, wound infection in three patients (Pseudomona aureginosa in one patient), reflux in one patient, accidental removal of the tube and pneumonia in one patient. One patient was diseased due to severe sepsis, not related to the actual procedure. No mortality was related to technical procedure.
Conclusion PEG is a simple, safe and efficient procedure associated with a low percentage of complications, and it should be the first choice in patients who cannot tolerate oral feeding and have an intact gastrointestinal system.


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