Indications, complications and long-term follow-up of patients undergoing percutaneous endoscopic gastrostomy: A retrospective study
Indications, complications and long-term follow-up of patients undergoing percutaneous endoscopic gastrostomy: A retrospective study
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DOI：
10.1007/s00508-011-0082-0
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发表时间：
2012-03-01
影响因子：
2.6
通讯作者：
Nazik, Hasan
中科院分区：
文献类型：
--
作者：
Ermis, Fatih;Ozel, Melih;Nazik, Hasan
引言：在过去的十年中，胃肠病学单位面临着PEG插入转诊的大幅增加。因此，我们决定审查PEG插入手术的适应症、并发症和随访情况。材料和方法：回顾性评价了2002年10月至2009年4月期间在海达尔帕萨训练医院Gulhane军事医学学院患者中进行PEG的适应症、手术成功率、并发症和长期结果。结果：81例患者接受了PEG插入，77例患者的随访信息可用。40例为男性，所有患者的平均年龄为70.74 ± 20.82岁（范围为20 - 104岁）。除1名患者在手术过程中发生胃出血外，所有患者均成功置入PEG。仅有1例死亡与置入手术相关。PEG最常见的适应症是71例（92%）患者的神经系统疾病。其他适应症为6例（8%）患者的头颈部癌症。中位随访期为12个月（范围：3天至78个月）。在16起事件中，仅在14例患者（18.2%）中观察到PEG相关并发症，总并发症发生率为21%。结论：PEG置入术是一种安全的手术，耐受性良好，即使在有多种合并症的老年患者中，死亡率和并发症发生率也较低，并采取了充分的预防措施。
INTRODUCTION: Gastroenterology units have faced a major increase in referrals for PEG insertion over the last decade. For this reason we decided to review our PEG insertion procedures with regard to indications, complications and follow-up. MATERIALS AND METHODS: The indications, success of procedure, complications, long-term results of PEG in patients of Gulhane Military Medical Academy, Haydarpasa Training Hospital between October 2002 and April 2009 were retrospectively evaluated. RESULTS: 81 patients had undergone PEG insertion and follow-up information has been available for 77 patients. 40 were men with the mean age of all patients 70.74 +/- 20.82 (range 20 to 104 years). PEG was successfully placed in all patients except in one patient who had gastric bleeding during the procedure. There was only one mortality related with the placement procedure. The most common indication for PEG was neurologic disorders in 71 (92%) patients. Other indications were head and neck cancers in 6 (8%) patients. Median follow-up period was 12 months (range, 3 days to 78 months). PEG related complications were seen in only 14 patients (18.2%) in 16 events with a total complication rate as 21%. CONCLUSIONS: PEG placement is a safe procedure and well-tolerated with a low mortality and complication rate even in older patients who have multiple co-morbidities under adequate precautions.