title: [Percutaneous endoscopic gastrostomy: 5-year experience at out center (1997-2002)].
abstract: Gauderer and Ponsky first described percutaneous endoscopic gastrostomy (PEG) in 1979. It was introduced as a routine method in the Division of Gastroenterology, University Hospital Rebro, Zagreb, in 1995. Over the years the number of PEG insertions has increased significantly. We reviewed the available literature and compared the results with our experience according to indications, complications and efficacy of the procedure. We inserted PEG in 86 patients from January 1, 1997 until January 31, 2002. There were 40 females and 46 males. The most frequent indication for PEG insertion was a neurological condition (60/86). There were no deaths directly related to the procedure. One patient had a leakage of PEG feeding into the peritoneal cavity that caused severe peritonitis and required urgent laparatomy within 24 hours of the PEG insertion. Two patients had local infection and the tube had to be removed. The antibiotic prophylaxis has been given to 65 patients. Our experience confirms that PEG is a relatively safe and well tolerated procedure.
authors.affiliation: Centar za intervencijsku gastroenterologiju, Zavod za gastroenterologiju, Klinika za internu medicinu, Klinićki bolnićki centar Rebro, Kispatićeva 12, 10 000 Zagreb.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Brkić
authors.forename: Roland
authors.initials: R
authors.lastname: Pulanić
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Krznarić
authors.forename: Milorad
authors.initials: M
authors.lastname: Opacić
authors.forename: Nadan
authors.initials: N
authors.lastname: Rustemović
authors.forename: Vesna
authors.initials: V
authors.lastname: Vegar
authors.forename: Boris
authors.initials: B
authors.lastname: Vucelić
authors.forename: Irena
authors.initials: I
authors.lastname: Hrstić
authors.forename: Silvija Cuković
authors.initials: SC
authors.lastname: Cavka
authors.forename: Marina
authors.initials: M
authors.lastname: Premuzić
authors.forename: Rajko
authors.initials: R
authors.lastname: Ostojić
authors.forename: Mirjana
authors.initials: M
authors.lastname: Kalauz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects; D004750:Enteral Nutrition; D005260:Female; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged