[Role of percutaneous endoscopic gastrostomy in amyotrophic lateral sclerosis].
Percutaneous endoscopic gastrostomy (PEG) is an enteral nutritional assistance technique using a simple device compatible with conventional feeding and thus enabling the patient to be integrated into his or her social and familial surroundings. This inexpensive device is quickly and easily inserted under local anaesthesia. It causes little morbidity and virtually no mortality and has many advantages for patients with amyotrophic lateral sclerosis (ALS). We report the results of PEG in 28 ALS patients with bulbar involvement. Three of these patients developed minor complications during 6 consecutive months of PEG-assisted nutrition (2 had periostomial infection, 1 had mild haematemesis). There were no major complications, and mortality directly ascribable to PEG was nil. All patients put on weight or had their weight stabilized, and GEP was well accepted in all cases.
Rozier
A
A
Centre SLA, Hôtel Dieu de Paris.
Ruskone Fourmestraux
A
A
Rosenbaum
A
A
Delvigne
J M
JM
Besançon
F
F
Meininger
V
V
D000328:Adult; D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000150:complications* / Q000628:therapy; D003680:Deglutition Disorders / Q000628:therapy*; D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D005773:Gastroscopy / Q000009:adverse effects / Q000379:methods; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors
Place de la gastrostomie endoscopique percutanée dans la sclérose latérale amyotrophique.