PERCUTANEOUS ENDOSCOPIC GASTROSTOMY RESULTS IN A SECONDARY STATE HOSPITAL

Authors : Kemal Yetiş GÜLSOY, Ferit ÇELİK, Semiha ORHAN

Pages : 6-10

Doi:10.48176/esmj.2023.96

View : 11 | Download : 6

Publication Date : 2023-03-29

Article Type : Research Paper

Abstract :Introduction: The aim of this study was to determine the indications of Percutaneous endoscopic gastrostomy insert ignore into journalissuearticles values(PEG); patients treated in a secondary state Burdur hospital over a period of three years, the unit where the patient was hospitalized, survival time with PEG therapy, and the complications observed in these patients. Methods: Patients who underwent PEG in the endoscopy unit of our hospital, between January 2019 and January 2022, were retrospectively evaluated. Age, gender, the unit of inpatient, indications for PEG therapy, complications after PEG, and survival status of the patients were recorded in the form of case reports. Patients with coagulation disorders, hemodynamic instability, peritonitis, sepsis, infection at the insertion area, peritonitis carcinomatosis, a history of total gastrectomy and gastric varices were excluded. Results:The median age of the 120 patients included in the study was 79 insert ignore into journalissuearticles values(17–100); years, and 66 insert ignore into journalissuearticles values(55%); of the patients were male. Complications were observed in 14 insert ignore into journalissuearticles values(11.7%); patients, all of which were minor, including seven insert ignore into journalissuearticles values(5.8%); PEG site infections, three insert ignore into journalissuearticles values(2.5%); PEG site leakages, three insert ignore into journalissuearticles values(2.5%); PEG occlusions, and one insert ignore into journalissuearticles values(0.9%); PEG removal. It was determined that 73 insert ignore into journalissuearticles values(60.8%); patients survived at least 30 days; the patients were most frequently referred by the neurology unit, with a rate of 52.7%. The most common indications for PEG insertion were cerebrovascular disease insert ignore into journalissuearticles values(56.7%); and dementia insert ignore into journalissuearticles values(29.2%);. Conclusion: Maintenance of nutritional requirements via PEG allows for the preservation of mucosal integrity and barrier function, intestinal immune response, and normal flora. It is superior to other enteral feeding methods due to the lower risk of aspiration. In conclusion, our study, which presented the experiences of the PEG insertion and therapy in a secondary state hospital, stated that the complication rates, indications, and referring clinics were found to be consistent with available literature.
Keywords : Percutaneous endoscopic gastrostomy, cerebrovascular event, survival, indication, complication