Percutaneous endoscopic gastrostomy – experience of one PEG centre in years 2002–2008


Authors: P. Kohout;  Z. Beneš;  Z. Antoš;  M. Rozmahel;  G. Puškárová;  P. Sokol;  M. Černík
Authors‘ workplace: II. interní klinika ;  Fakultní Thomayerova nemocnice, Praha ;  Primář: MUDr. Zdeněk Beneš, CSc.
Published in: Prakt. Lék. 2008; 88(12): 710-716
Category: Of different specialties

Overview

Percutaneous endoscopic gastrostomy (PEG) is a minimally invasive method used to determine the method for the application of enteral nutrition. It is used for patients who have been identified as needing the long-term application of enteral nutrition (for at least 4–6 weeks). This method has now made surgical gastrostomy almost redundant. Percutaneous endoscopic gastrostomy (PEG) is introduced with the assistance of gastroscopy, mostly using the“pull” method, although in patients with head and neck cancer the “push – introducer” method is preferred. A feeding button is used for the application of enteral nutrition for the long time, it is introduced through gastrocutaneous fistula after extraction of gastrostomic tube. Between 2002 and 2008, 498 PEGs were introduced in 490 patients at the Thomayer’s Hospital PEG Centre (222 males and 268 females, with an average age of 69 – from 3 months old to 98 years old). A feeding button PEG version was used in 48 cases. Mortality associated with the PEG application was 0 %, complications were seen in less than 10 % of cases.

Key words:
enteral nutrition, percutaneous endoscopic gastrostomy (PEG), feeding button.


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