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Clinical nutrition, enteral and parenteral nutrition

Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey

European Journal of Clinical Nutrition volume 68, pages 437–440 (2014)Cite this article

Subjects

Abstract

Background/objectives:

The aim of this study was to perform a retrospective analysis characterizing patients receiving tube feeding following percutaneous endoscopic gastrostomy (PEG) tube placement between 2004 and 2012 at Erciyes University Hospital in Turkey.

Subjects/Methods:

Patients above the age of 18 years who required long-term enteral tube feeding were studied. All PEGs were performed using the pull-through technique by one experienced endoscopist. Demographic, clinical outcomes and PEG-related complication data were collected.

Results:

Of the 128 subjects studied, 91 were men (71%) and 37 were women (29%). The mean age of this patient population was 54±19 years. The most common reason for PEG tube insertion was the inability to consume oral diet due to complications of cerebrovascular disease (27%), while cerebral hypoxia, occuring after nonneurological medical disorders, was the second most common indication (23%). A total of 70 patients (55%) had chronic comorbidities, with hypertension being the most common (20%). The most common procedure-related complication was insertion-site bleeding, which occurred in 4% of patients. Long-term complications during 1 year were insertion-site cellulitis, gastric contents leakage and peristomal ulceration, which occurred in 14%, 5% and 0.5% of patients, respectively. There were no PEG insertion-related mortalities; 1-year mortality was unrelated to the indication for PEG tube insertion.

Conclusions:

PEG tube insertion was a safe method to provide enteral access for nutrition support in this hospitalized patient population.

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Acknowledgements

This work was supported, in part, by National Institutes of Health grant K24 DK096574 (to TRZ). The authors acknowledge the ICU nurses of the Division of Medical Intensive Care and the Division of Gastroenterology, Erciyes University Hospital, Kayseri, Turkey.

Author contributions

KG, RC and MS designed and coordinated the study, collected and analyzed the data; MB, SG and AY carried out PEG tube placement; KG, GH and TRZ drafted the manuscript. All authors read and approved the final manuscript.

Author information

Authors and Affiliations

  1. Division of Medical Intensive Care, School of Medicine, Erciyes University, Kayseri, Turkey

    K Gundogan, R Coskun & M Sungur

  2. Department of Medicine, Division of Gastroenterology, School of Medicine, Erciyes University, Kayseri, Turkey

    A Yurci, M Baskol & S Gursoy

  3. Division of Endocrinology, Metabolism and Lipids, School of Medicine, Emory University, Atlanta, GA, USA

    G Hebbar & T R Ziegler

Authors
  1. K Gundogan
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  2. A Yurci
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Correspondence to T R Ziegler.

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Gundogan, K., Yurci, A., Coskun, R. et al. Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey. Eur J Clin Nutr 68, 437–440 (2014). https://doi.org/10.1038/ejcn.2014.11

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  • DOI: https://doi.org/10.1038/ejcn.2014.11

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