Akademik Veri Yönetim Sistemi
ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.1, ss.1, 2025 (ESCI)
AimPercutaneous endoscopic gastrostomy (PEG) is a frequently preferred method for patients with swallowing disorders who are unable to take oral food for more than one month. PEG has many minor and major complications. 30-day mortality rate after PEG is variable.
Materials and MethodsAll data from patients with PEG application at the endoscopy unit of Antalya Serik State Hospital, between October 2019 and September 2022, were retrospectively analyzed.
ResultsMedian age of 83 patients was 81. Majority of the patients (97.6%) were hospitalised at palliative care or intensive care units before PEG, most having multiple concomitant diseases. Dementia and cerebrovascular problems were major indications. All of the procedures were successful.
Minor complication rate was 20.4% while major was 2.4%. There was no mortality related to the interventions. 30-day mortality rate was 18.2% whereas mean survival time was 10 (%95 CI: 7.7-13.1) months.
DiscussionPEG procedure is an easily tolerated, effective, and safe method, with a low rate of major complications. For maintenance of enteral nutrition due to swallowing dysfunction, PEG should be considered. Great attention to the patient’s present conditions and 30-day life expectancy should be given while patient selection for PEG. A surgical perspective, proper education of the patients’ relatives, and a regular home care service are needed for accurate evaluation of complications.