[Percutaneous endoscopic gastrostomy: its value in assisted alimentation in malnutrition in elderly patients. Apropos of 101 consecutive cases in patients over 70 years of age].
This is a prospective study concerning 101 percutaneous endoscopic gastrostomies (PEG) performed in patients aged from 70 to 98 (83.6). We obtained a success in 99%. Indications were stroke and its consequences in 36%, dementia in 22%, depressive syndrome in 38% (7% in the postoperative period) laryngeal or oesophageal tumors in 4%. This technique was carried out in outpatients without anesthesia but PEG must be considered to be a surgical method. Only 5% patients presented major immediate complications with three deaths (3%) due to the technique. Follow-up (30 days) demonstrated 11 other deaths. Would earlier PEG have given better results? Oral feedings (alone or both oral and PEG) were possible in 51% patients. PEG is a valuable technique of feeding assistance in the aged, offering an alternative to nasogastric tube and could be used more extensively in old patients.
Bussone
M
M
Service de Chirurgie Générale et Gériatrique, Centre Hospitalier, Etampes.
Lalo
M
M
Piette
F
F
Hirsch
J F
JF
Senecal
P
P
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000150:complications; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005774:Gastrostomy / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D009422:Nervous System Diseases / Q000150:complications; D009748:Nutrition Disorders / Q000209:etiology / Q000628:therapy*; D010300:Parkinson Disease / Q000150:complications; D011183:Postoperative Complications; D012189:Retrospective Studies
La gastrostomie percutanée endoscopique: intérêt dans l'alimentation assistée du sujet âgé dénutri. A propos de 101 cas consécutifs chez des patients âgés de 70 ans et plus.