Complications of percutaneous endoscopic gastrostomy: a surgical experience.
OBJECTIVE
Percutaneous endoscopic gastrostomy (PEG) is a practical and safe option to place an alimentary gastrostomy. We observed that a relevant rate of complications are related to management of PEG.


METHODS
We registered the patients treated in our Unit from September 1994 to December 2005. We placed 293 PEG (243 pts). Preferably using a tube 16 Fr, in 7 cases 18 Fr, in 21 cases 20 Fr and only in 3 cases 9 Fr. The median age was 69.8 years; ratio female:male 3:1. In 67 cases the treatment was carried out in not hospitalized patients.


RESULTS
The incidence of late and early complications is statistically higher in hospitalized patients than at home.


CONCLUSIONS
We think that a correct management of PEG (nurses correct information) and the experience of endoscopist and a dietician can significantly reduce the rate of complications.
Del Rio
P
P
University of Parma, School of Medicine.
Dell'Abate
P
P
Soliani
P
P
Arcuri
M F
MF
Ghirarduzzi
A
A
Sianesi
M
M
D000368:Aged; D003680:Deglutition Disorders / Q000503:physiopathology / Q000628:therapy*; D004750:Enteral Nutrition / Q000009:adverse effects / Q000295:instrumentation; D005260:Female; D005773:Gastroscopy / Q000009:adverse effects*; D005774:Gastrostomy / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D016896:Treatment Outcome