title: Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey.
abstract: OBJECTIVE
  The aim of this study was to perform a retrospective analysis characterizing patients receiving tube feeding following percutaneous endoscopic gastrostomy (PEG) tube placement between 2004 and 2012 at Erciyes University Hospital in Turkey.
  
  
  METHODS
  Patients above the age of 18 years who required long-term enteral tube feeding were studied. All PEGs were performed using the pull-through technique by one experienced endoscopist. Demographic, clinical outcomes and PEG-related complication data were collected.
  
  
  RESULTS
  Of the 128 subjects studied, 91 were men (71%) and 37 were women (29%). The mean age of this patient population was 54 ± 19 years. The most common reason for PEG tube insertion was the inability to consume oral diet due to complications of cerebrovascular disease (27%), while cerebral hypoxia, occurring after nonneurological medical disorders, was the second most common indication (23%). A total of 70 patients (55%) had chronic comorbidities, with hypertension being the most common (20%). The most common procedure-related complication was insertion-site bleeding, which occurred in 4% of patients. Long-term complications during 1 year were insertion-site cellulitis, gastric contents leakage and peristomal ulceration, which occurred in 14%, 5% and 0.5% of patients, respectively. There were no PEG insertion-related mortalities; 1-year mortality was unrelated to the indication for PEG tube insertion.
  
  
  CONCLUSIONS
  PEG tube insertion was a safe method to provide enteral access for nutrition support in this hospitalized patient population.
authors: Division of Medical Intensive Care, School of Medicine, Erciyes University, Kayseri, Turkey.
authors: K
authors: K
authors: Gundogan
authors: Department of Medicine, Division of Gastroenterology, School of Medicine, Erciyes University, Kayseri, Turkey.
authors: A
authors: A
authors: Yurci
authors: Division of Medical Intensive Care, School of Medicine, Erciyes University, Kayseri, Turkey.
authors: R
authors: R
authors: Coskun
authors: Department of Medicine, Division of Gastroenterology, School of Medicine, Erciyes University, Kayseri, Turkey.
authors: M
authors: M
authors: Baskol
authors: Department of Medicine, Division of Gastroenterology, School of Medicine, Erciyes University, Kayseri, Turkey.
authors: S
authors: S
authors: Gursoy
authors: Division of Endocrinology, Metabolism and Lipids, School of Medicine, Emory University, Atlanta, GA, USA.
authors: G
authors: G
authors: Hebbar
authors: Division of Medical Intensive Care, School of Medicine, Erciyes University, Kayseri, Turkey.
authors: M
authors: M
authors: Sungur
authors: Division of Endocrinology, Metabolism and Lipids, School of Medicine, Emory University, Atlanta, GA, USA.
authors: T R
authors: TR
authors: Ziegler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy / Q000379:methods*; D004750:Enteral Nutrition; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D014421:Turkey; D055815:Young Adult