[Long-term usefulness and late complications of percutaneous endoscopic gastrostomy].
OBJECTIVE
To investigate the usefulness of endoscopic gastrostomy and long-term complications.


BACKGROUND
Endoscopic gastrostomy is well established as the procedure of choice for long-term feeding, given the low morbidity-mortality and ease of placement.


METHODS
We evaluated retrospectively one hundred endoscopically placed gastrostomy feeding tubes and complications occurring more than 30 days after placement were recorded.


RESULTS
Gastrostomy feeding tubes remained in place for a mean of 92 days (range 30-547 days). Fifteen percent developed evident gastroesophageal reflux, two patients developed aspiration pneumonia and one presented with infection at the site of gastrostomy. Our long-term complications rate thus was 3.0% and 0% mortality.


CONCLUSIONS
Our experience suggests that endoscopic gastrostomy is a relatively simple procedure, associated with very low morbidity and mortality. It is the procedure of choice in patients requiring long-term enteral nutrition.
Farca Belsaguy
A
A
Servicio de Gastroenterología, Hospital General Dr. Manuel Gea González SSA, México, D.F.
Chávez García
C
C
Presenda Miller
F
F
Palacios Ruíz
J A
JA
de la Mora Levy
G
G
Rodríguez Vanegas
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004724:Endoscopy; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000209:etiology; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000209:etiology; D012189:Retrospective Studies; D013997:Time Factors
Utilidad a largo plazo y complicaciones tardías de la gastrostomía endoscópica percutánea.