[Percutaneous endoscopic gastrostomy (PEG)--analysis in one hospital].
Percutaneous endoscopic gastrostomy (PEG) has been investigated over the past 5 years at the author's hospital, together with the establishment of home PEG on a trial basis. PEG was performed in 176 cases from 1995 to 1999 with the goal of nutritional management, and in 26 cases with the goal of decompression drainage of the digestive tract. Patients who could be transferred to home management due to the establishment of the PEG included 92 (52%) with the goal of nutrition and 4 (15%) for decompression drainage. There is no remarkable difference in the effective treatment period between home and hospital management, and patients who could be transferred to their own homes were thus able to spend most of their remaining time at home; therefore, PEG contributes to home care. Complications associated with the establishment of PEG occurred in 17 (8.4%) patients, the majority of which were absesses at the site of insertion. Three patients who underwent PEG at home experienced no complications and could be transferred to parenteral nutrition via PEG. PEG is a useful method for nutritional management and digestive tract drainage, and contributes to home treatment and the improvement of patient quality of life. We would like to attempt further use of these methods including home PEG.
Yokoyama
M
M
Dept. of Surgery, Aoto Hospital, Jikei University School of Medicine.
Sakuyama
T
T
Shimono
S
S
Takahashi
N
N
D000368:Aged; D002561:Cerebrovascular Disorders / Q000628:therapy; D004322:Drainage; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006699:Home Care Services; D006801:Humans; D009369:Neoplasms / Q000628:therapy; D018529:Nutritional Support; D011788:Quality of Life