Percutaneous Endoscopic Gastrostomy Experience: Early and Late Complications

Authors : Ekmel Burak Özşenel, Güldan Kahveci, Zuhal Çalışkan, Sema Uçak Basat

Pages : 82-88

Doi:10.31832/smj.1388895

View : 59 | Download : 94

Publication Date : 2024-03-31

Article Type : Research

Abstract :Purpose: This study retrospectively evaluated the early and late complications of patients who had a percutaneous endoscopic gastrostomy (PEG) tube placed, discussed complication frequency of different diseases and finally pointed on some advices to reduce complications. Method: The study was conducted with 99 patients who had a PEG tube placed in the endoscopy unit of a training and research hospital. Patients’ age, gender, diagnosis, types of early and late complications, and complication development rates were evaluated. Results: Mean age of the patients was 70.42±16.75(18-94) years and 48.50% were male. Early complications occurred in 11.10%, of which 6.05% were bleeding at the entry site of the PEG tube, and 5.05% were peristomal infection. 39.40% of the patients had late complications, including tube dislodgement in 18%, infection in 8.10%, aspiration pneumonia in 7.10% and other complications in 6%. No complications were observed in 51.50% of the patients, and early or late complications were observed in 48.50% of the patients. 2% of the patients had both early and late complications. The incidence of late complications was significantly higher in patients with Alzheimer’s disease (p=0.027). Conclusion: In the follow-up of patients who had a PEG tube placed in the previous six months, the most common early complication was bleeding in 6.05%, and the most common late complication was tube dislodgement in 18%. Despite its potential complications, the PEG tube is a safe method for long-term enteral feeding. Alzheimer patients are at risk for late complications more than other diseases.
Keywords : Enteral beslenme, Perkütan endoskopik gastrostomi, Erken komplikasyonlar, Geç komplikasyonlar