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PERCUTANEOUS ENDOSCOPIC GASTROSTOMY: THE HEIDELBERG REPATRIATION HOSPITAL EXPERIENCE
Author(s) -
Sali Avni,
Wong PakTing,
Read Anthony,
McQuillan Trevor,
Conboy Dawn
Publication year - 1993
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1993.tb00449.x
Subject(s) - medicine , percutaneous endoscopic gastrostomy , swallowing , gastrostomy , surgery , enteral administration , percutaneous , dysphagia , stroke (engine) , peg ratio , parenteral nutrition , mechanical engineering , finance , engineering , economics
Percutaneous endoscopic gastrostomy (PEG) was performed on 32 patients (mean age 75 years) who were dysphagic but enteral alimentation was possible. Seventeen patients were recovering from a stroke; the interval between the onset of stroke and PEG averaged 44 days. The procedure was successful and well tolerated by 16 of these 17 patients. Ten patients (31%) still had a functioning PEG, a median of 30 weeks after placement. Seven patients whose swallowing recovered had their tubes removed an average of 3 months after their insertion. Fifteen patients (47%) subsequently died from their underlying disease, a mean of 126 days following PEG. There were no deaths directly related to catheter placement. Percutaneous endoscopic gastrostomy is a useful alternative to surgical gastrostomy in elderly patients with long‐term oral feeding problems.