[Percutaneous endoscopic gastrostomy. Is it safe to start eating immediately?].
BACKGROUND
Percutaneous endoscopic gastrostomy (PEG) is a simple procedure with few associated complications. Traditionally, diet can be initiated 24 after the placement of the probe, but there is no information concerning safety with immediate feeding.


OBJECTIVE
To compare safety of immediate feeding against late feeding after placement of PEG.


METHODS
A total of 62 patients referred for placement of a PEG were assigned alternatively to start feeding during the first 30 min after the procedure was finished (group A), or 24 h later (group B). All patients received the same formula and remained hospitalized for three days. During follow-up, data for local infection and mild or severe complications were intentionally sought.


RESULTS
Each group was composed of 31 patients; both groups were similar in age, gender, indication for placement of PEG, presence of infections, and use of antibiotics. Two patients of group A and six of group B developed local infections (six vs. 19%, p = NS value). Mild complications were found in three patients of group A and two A of group B (10 vs. 6%, p = NS). Severe complications were found in one patient of group A and two of group B (3 vs. 6%, p = NS).


CONCLUSIONS
Immediate feeding after placement of a PEG is a safe practice.
Carmona-Sánchez
Ramón
R
Servicio de Gastroenterología, Hospital Central Dr. Ignacio Morones Prieto, San Luis Potosí, S.L.P. rcarmonas@prodigy.net.mx
Navarro-Cano
Gregorio
G
D004435:Eating; D005260:Female; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors
Gastrostomía endoscópica percutánea. Es seguro iniciar la alimentación inmediatamente?