Use of percutaneous endoscopic gastrostomy in acute dysphagic stroke.
BACKGROUND
Percutaneous endoscopic gastrostomy (PEG) is a widely used method for insertion of gastrostomy tube for patients with dysphagia due neuromuscular disorders. Aim : this article highlights the role of PEG for such patients, how safe, effective than standard gastrostomy in providing long -term nutritional support for patients with dysphagic stroke.


METHODS
Over a four-year period (1995-1998), 27 patients had percutaneous endoscopic gastrostomy performed for neuromuscular dysphagia. A Wilson Cook (24G) gastrostomy tube was used and it was inserted with Ponsky-Gauderer pull technique.


RESULTS
All the patients tolerated the procedure well. Stroke (81%) was the most common indication for PEG. Major gastroscopic finding was found in eight patients (29%). Minor complication was seen in only three patients (11%).


CONCLUSIONS
PEG Feeding is safe, simple and effective procedure with no serious side effects. Patients and their relatives accept PEG better than nasogastric tube feeding. However, the ideal timing at which to institute gastrostomy feeding after dysphagic stroke is still not clear.
Department of Medicine, Armed Forces Hospital, Al Khaod, Seeb, Sultanate of Oman.
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