Percutaneous endoscopic gastrostomy.
From March 87 to March 92, fifty eight patients were referred to our department for percutaneous endoscopic gastrostomy (PEG). The modality of the feeding tube insertion is described. The most common indications for placement were neurologic disorders in 62% of the cases (n = 36) and malignant diseases in 32% (n = 19). The success rate of the technique was 98.3% (n = 57). No procedure-related mortality was observed. A low rate of major complication (1.7%) and minor complication (10.5%) was noted. Feeding tubes were removed in 21% of patients (n = 12); none of them with malignant disease. Survival curve analysis demonstrated that 50% of patients died within 3 months of PEG placement. Such results raise questions about the selection of patients undergoing PEG. Our experience of patients undergoing PEG. Our experience suggests that PEG is easy and safe, even in debilitated patients, having an acceptable life expectancy.
Gay
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F
Department of Gastroenterology, Hôpital Erasme, Brussels, Belgium.
el Nawar
A
A
Van Gossum
A
A
D002493:Central Nervous System Diseases / Q000628:therapy; D004750:Enteral Nutrition / Q000379:methods; D005773:Gastroscopy / Q000379:methods*; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D006801:Humans; D009369:Neoplasms / Q000628:therapy; D010166:Palliative Care; D012189:Retrospective Studies