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Percutaneous Endoscopic Gastrostomies: A Prospective Evaluation and Review of the Literature
Author(s) -
Kirby Donald F.,
Craig Robert M.,
Tsang TatKin,
Plotnick Bennett H.
Publication year - 1986
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607186010002155
Subject(s) - medicine , percutaneous , surgery , percutaneous endoscopic gastrostomy , enteral administration , parenteral nutrition , cellulitis , prospective cohort study , catheter , gastrostomy , finance , peg ratio , economics
The results of the first 55 consecutive percutaneous endoscopic gastrostomies (PEGs) that were performed over an 18‐month period in a tertiary care center are presented. We followed these cases prospectively to assess the morbidity, mortality, staff acceptance, short‐ and long‐term complications, and cost effectiveness of the technique. Fifty‐one (93%) were successful with no mortality. Long‐term morbidity included 6/ 55 (11%) tube extrusions; 5/55 (9%) cellulitis around the catheter site; 5/55 (9%) aspiration pneumonias; and 2/55 (3.6%) clogged tubes requiring replacement. Morbidity was considered minor and easily dealt with in all but five instances (9%) where more prolonged treatment was required. A review of the literature including other techniques used for percutaneous gastrostomy is also presented. It is concluded that percutaneous gastrostomies are relatively safe, cost‐effective, and should be given first consideration for long‐term enteral therapy in appropriate patients. (Journal of Parenteral and Enteral Nutrition 10:155–159, 1986)