[Percutaneous endoscopic gastrostomy: prospective experience at a national private center].
Percutaneous endoscopic gastrostomy tube feeding is a safe and effective method of providing long-term enteral nutrition in patients who are unable to swallow and offers important advantages over nasogastric tub feeding. The indications of this procedure have been received and over 7 years of practice on 103 patients and 128 procedures have been experienced with Ponsky pull techniques. All patients were given vitamin K and a prophylactic antibiotic (chephalotine) prior to testing. 1.56% of major deadly complications have been reports both for reflux and aspiration at 48 and 72 hours post treatment. The most common minor complication was wound infection in 8.9% of patients. There was no further mortality during testing or while undergoing treatment in the following 30 days. All patients were suffering from post heart attack dementia and stroke (CVA) at a rate of 23.3% and 21.4%, respectively. Percutaneous endoscopic gastrostomy has become the method of choice to sustain long-term enteral nutrition.
Yriberry Ureña
Simón
S
Grupo Gastroenterológico, Servicio de Gastroenterología, Unidad de Endoscopía, Clínica Ricardo Palma, Lima, Peru.
Monge Zapata
Victor
V
Salazar Cabrera
Fernando
F
Barriga Calle
Eduardo
E
Vesco Monteagudo
Eduardo
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003680:Deglutition Disorders / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005773:Gastroscopy / Q000379:methods; D005774:Gastrostomy / Q000379:methods*; D016304:Hospitals, Private; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D016896:Treatment Outcome