Nutrition-Related Mortality after Surgical Gastrostomy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: In this study, in the cases when the endoscopic route was failed or contraindicated, nutrition-related mortality after surgical gastrostomy was investigated. In this study, patients who underwent surgical gastrostomy with mini-laparotomy under local anesthesia for nutrition in a tertiary hospital were retrospectively investigated. The demographic data, surgical gastrostomy indications, ASA scores, complications, and nutrition-related mortality after gastrostomy were evaluated in 71 patients included in the study. The mean age of the patients is 64.9 ± 16.7 years. Thirteen (18.3%) patients had ASA III and 58 (81.7%) had ASA IV scores. The target calorie and protein intake were reached within 3.36 ± 0.46 days according to the tolerance of the patients. Complications occurred in 16 patients (22.4%) after surgical gastrostomy and 15 patients (19.6%) developed mortality within the first month. In 5 of these patients (33.3%), aspiration pneumonia due to nutrition was detected as mortality reason. Most of the deaths in the first thirty days after surgical gastrostomy have been found to be preventable if nutritional therapy principles are considered. Aspiration pneumonia has a high mortality rate after surgical gastrostomy and effective nutritional training should be given to those who will take care of patient after discharge, as well as to determine and apply correct treatment in the hospital.
Authors and Affiliations
Elvan Yılmaz Akyüz, Cebrail Akyüz
Keywords
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