Experience of Percutaneous Endoscopic Gastrostomy in the Intensive Care Unit
Journal Title: Journal of Anesthesia and Surgery - Year 2018, Vol 5, Issue 1
Abstract
Background: During enteral nutrition in the reanimation unit, reflux and associated aspiration pneumonia are frequently encountered. Percutaneous endoscopic gastrostomy (PEG) is often selected as it facilitates patient care by decreasing this risk and shortens length of stay in hospital. The aim of this study was to share our PEG experience as it is frequently applied in our hospital. Methods: The study included 29 patients who were applied with a PEG tube in the reanimation clinic between January 2016 and November 2017. Patients were evaluated in respect of indications, length of stay in Intensive Care Unit (ICU), complications and outcomes. Results: The most common indication for the application of PEG was impaired nutrition associated with cerebrovascular disease in 22 (65.5%) patients. No major complications were encountered related to the procedure. The most common minor complications were nutrition intolerance in 4 patients, tube blockage in 3, displacement of the tube in 3, leakage from the side of the tube in 2, and severe wound site infection progressing to necrosis that required surgical debridement in 3. Conclusion: Although PEG has only been defined recently, it is a simple, safe and effective nutrition method for intensive care patients that can be applied with a minimally invasive intervention and has very low rates of morbidity and mortality.
Authors and Affiliations
Erhan Gokcek
Keywords
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- EP ID EP418948
- DOI 10.15436/2377-1364.18.100
- Views 105
- Downloads 0
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