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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2015, Number 1

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Rev Esp Med Quir 2015; 20 (1)

Morbidity and mortality associated with percutaneous endoscopic gastrostomy at Hospital Juárez de México

Escandón-Espinoza YM, Manrique-Martín A, Chávez-García MÁ, Gómez Peña-Alfaro NS, Pérez-Corona T, Pérez-Valle E, Hernández-Velázquez NN

Language: Spanish
References: 15
Page: 36-44
PDF size: 894.38 Kb.


ABSTRACT

Percutaneous endoscopicgastrostomy (PEG) due to its simplicity, usefulness, safety, speed, low cost and easy maintenance is preferred to treat patients with intact digestive system but who can not eat food and where is foreseeable that the enteral access required for life or for more than one month. The main indication is the diminished ability of in take because neuromotor processes produce neurological dysphagia, followed by head or neck or esophageal cancer. Overall complications are rare, with little clinical relevance and easily treated.
Objective: Assess and identify causes of morbidity and mortality in post-endoscopic gastrostomy patients seen in our service.
Material and methods: Observational, cross-sectional, descriptive, analytical and retrospective review or the Gastrointestinal Endoscopy service at Hospital Juarez of Mexico; from January 2013 to March 2014, including 60 patients with Ponsky-Gaudeder technique.
Results: Of the 60 cases; 37 men (62%) and 23 women (38%) were included. The age range was 1.5 years to 89 years, with a mean age of 53.9 years. The most common diagnosis was neurological disease followed by central nervous system tumors and tumors of the head and neck. 2 Serious complications (3.3%) and 1 complication of surgical wound infection (1.6%): morbidity of 5% (3 patients) was presented. Mortality is reported after two months of 3 patients (5%) that were not related to the placement of the probe, but by the same underlying disease.
Conclusions: The placement of the feeding tube through a percutaneous endoscopic gastrostomy is a safe and effective method.


REFERENCES

  1. Gauderer MWL, Ponsky JL, Izant RJ. Gastrostomy without laparoscopy: a percutaneous endoscopic technique. J PediatSurg 1980;15:872-5.

  2. Ponsky JL, Gauderer MWL. Percutaneous endoscopi cgastrostomy: a nonoperative technique for feeding gastrostomy. Gastrointest Endosc 1981;27:9-11.

  3. EspinósPérez JC. Gastrostomía endoscópica percutánea (GEP): indicaciones clínicas y resultados. Gastroenterol Hepatol 1999;22:408-14.

  4. Ponsky JE, Gauderer MWL. Percutaneous endoscopic gastrostomy: indication, techniques and results. World J Surg 1989;13:165-70.

  5. Scheidbach H, Horbach T, Groitl H, Hohenberger W. Percutaneous endoscopic gastrostomy/jejunostomy (PEG/ PEJ) for decompression in the upper gastrointestinal tract. Initial experience with palliative treatment of gastrointestinal obstruction in terminally ill patients with advanced carcinomas. Surg Endosc 1999;13:1103-5.

  6. Campagnutta E, Cannizzaro R, Gallo A, Zarrelli A, Valentini M, De Cicco M, et al. Palliative treatment of upper intestinal obstruction by gynecological malignancy: the usefulness of percutaneou sendoscopic gastrostomy. Gynecol Oncol 1996;62:103-5.

  7. Israel DM, Hassall E. Prolonged use of gastrostomy for enteral hyperalimentation in children with Crohn’s disease. Am J Gastroenterol 1995;90:1084-8.

  8. Park RH, Allison MC, Lang J, Spence E, Morris AJ, Danesh BJ, et al. Randomised comparison of percutaneous endoscopic gastrostomy and nasogastric tuve feeding in patients with persisting neurological dysphagia. BMJ 1992;304:1406-9.

  9. Darcy MD. Comparison of radiological, endoscopic, and surgical enteral acces procedures. Sem Intervent Radiol 1996;13: 288-97.

  10. Hicks ME, Surratt RS, PicusD, Marx MV , Lang EV . Fluoroscopically guided percutaneous gastrostomy and gastroenterostomy: analysis of 158 consecutive cases. Am J Roentgenol 1990;154:725-8.

  11. Sebastián Domingo JJ. Gastrostomía endoscópica percutánea. Actualizaciones temáticas Madaus en Gastroenterología. Servicio Aparato Digestivo. Hospital Universitario Miguel Servet. Zaragoza, 2001.

  12. Peña A, Pascual I, Mora F, Cucarella, J. Gastrostomía percutánea endoscópica: Ponencias del curso de actualizaciones en aparato digestivo. Unidad central de endoscopia digestivas. Hospital Clinico Universitario. Facultad de Medicina. Universidad de Valencia. Barcelona: Glosa Ediciones; 2001. p. 13-25.

  13. Kinoshita Y, Udagawa H, Kajiyama Y, Tsutsumi K, Ueno M, Nakamura T, et al. Cologastric fistula and colonic perforation as a complication of percutaneous endoscopic gastrostomy. Surg Laparosc Endosc Percutan Tech 1999;9(3):220-2.

  14. Y amazaki T , Sakai Y , Hatakeyama K, Hoshiyama Y . Colocutaneous fistula after percutaneous endoscopic gastrostomy in a remnant stomach. Surg Endosc 1999;13(3):280-2.

  15. Cuellar Olmedo Luis A. Nutrición enteral: Vías de acceso: Dietoterapia, nutrición clínica y metabolismo. Ediciones Díaz de Santos, Capítulo 47:2012.




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