Indications, effectiveness and safety of percutaneous endoscopic gastrostomy: A single center experience and literature review.

Saka B., ZIRTIL C., Erten S. N., Akpinar T. S., Altinkaynak M., Akyuz F., ...Daha Fazla

Asia Pacific journal of clinical nutrition, cilt.30, sa.1, ss.42-50, 2021 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 1
  • Basım Tarihi: 2021
  • Doi Numarası: 10.6133/apjcn.202103_30(1).0006
  • Dergi Adı: Asia Pacific journal of clinical nutrition
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE, Public Affairs Index, Veterinary Science Database
  • Sayfa Sayıları: ss.42-50
  • Anahtar Kelimeler: malnutrition, enteral nutrition, percutaneous endoscopic gastrostomy
  • İstanbul Üniversitesi Adresli: Evet

Özet

Background and Objectives: Percutaneous endoscopic gastrostomy (PEG) has been widely used since 1980 in enteral feeding of patients that are not able to be fed orally for a long time. The aim of this study is to evaluate the PEG indications, effectiveness and PEG related complications from a single center in Istanbul, Turkey. Methods and Study Design: 265 patients with PEG who were followed up by the clinical nutrition team of a university hospital between 2010-2018 were evaluated retrospectively. Nutritional Risk Screening-2002 (NRS-2002) test, anthropometric measurements, bioelectrical impedance analysis and laboratory data were used to evaluate the patients' nutritional status. Results: The most common indications for PEG were dementia (35.1%), amyotrophic lateral sclerosis (22.6%), stroke (15.8%), and cancer (14%). The mean body weight of the patients was increased after PEG (63.5 +/- 12.2 vs 62.0 +/- 12.7 kg). Mid upper arm circumference and calf circumference of the patients increased after PEG (27.5 +/- 2.5 vs 25.4 +/- 3.1 cm and 32.2 +/- 7.9 vs 29.6 +/- 5.9 cm, respectively). Serum albumin of the patients was increased significantly after PEG (3.34 +/- 0.69 g/dL to 3.64 +/- 0.65 g/dL) without any significant change in serum CRP. Subgroup analyses showed a significant increase in the mean serum albumin of patients with dementia after PEG (3.23 +/- 0.67 g/dL to 3.54 +/- 0.58 g/dL). Local insertion site infection occurred in 15 patients (5.6%) and only 3 patients had systemic inflammatory symptoms after local infection (1.1%). Conclusions: The results of our study showed that long-term enteral feeding with PEG is an effective and safe method that provides improvement in nutritional status.