Primary Article

Percutaneous Endoscopic Gastrostomy: Clinical Experience and Follow-up

Authors: PEDRO P. LLANEZA MD, ALEX M. MENENDEZ MD, RYAN ROBERTS MD, G DEWEY DUNN MD

Abstract

ABSTRACT: To assess our clinical experience with this method of enteral feeding, we conducted a retrospective study and follow-up of 73 patients having percutaneous endoscopic gastrostomy (PEG). In addition, we conducted a telephone survey of 42 persons who cared for the PEG tube. The most common indication was neurologic impairment of deglutition. Early and late complications occurred in 12% and 33% of cases, respectively, and were usually minor. Our 30-day survival was 74%. Most patients (77%) maintained their weight with standard tube feedings. Satisfaction with and acceptance of the PEG was almost universal. Patients should be carefully selected, with attention to long-range benefit.

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References