[Clinical study of percutaneous endoscopic gastrostomy in neurosurgery].
We investigated the efficacy of percutaneous endoscopic gastrostomy (PEG) in neurosurgery. PEG was applied 94 feeding patients using One-Step Button. The mean age was 70.8 +/- 15.4 years old, and the mean duration between the onset of swallowing disturbance and PEG was 3 months. Minor complication associated with PEG was 8 cases (8.5%), which treated conservatively. Body weight, BMI, and biochemical data were increased one month after PEG, so nutrition was improved. Aspiration pneumonia was improved in 9/18 patients. Fourteen patients got oral intake, and PEG was extracted in 10 patients. PEG was evaluated to be superior to transnasal feeding with regard to simplicity, efficacy, improvement of good nutrition or aspiration pneumonia, and rehabilitation.
Horie
Nobutaka
N
Department of Neurosurgery, Fukuoka Memorial Hospital.
Takahashi
Nobuaki
N
Furuichi
Shoji
S
Mori
Katsuharu
K
Shibata
Shobu
S
D000368:Aged; D001927:Brain Diseases / Q000150:complications*; D003680:Deglutition Disorders / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery; D018529:Nutritional Support; D010289:Parenteral Nutrition, Total; D011015:Pneumonia, Aspiration / Q000534:rehabilitation / Q000628:therapy; D012189:Retrospective Studies