Author/Authors :
Polat, Fatin R. Namık Kemal University - Medical Faculty - Division of General Surgery, TURKEY , Yıldız, Ergün Yenikent State Hospital, TURKEY , Bali, İlhan Namık Kemal University - Medical Faculty - Division of General Surgery, TURKEY , Emir, Seyfi Namık Kemal University - Medical Faculty - Division of General Surgery, TURKEY , Coşkunkan, Ufuk Namık Kemal University - Medical Faculty - Division of General Surgery, TURKEY , Mouiad, Alkhatib Namık Kemal University - Medical Faculty - Division of General Surgery, TURKEY
Abstract :
Objective: it is essential to minimize complications during percutaneous endoscopic gastrostomy(PEG). The relationship between catheter insertion point and minor complications of percutaneous endoscopic gastrostomy is very important. The aim of this study is to evaluate the PEG results in our surgical endoscopy unit. Method: This study included retrospective review of 76 patients who underwent percutaneous endoscopic gastrostomy in the endoscopy unit of Yenikent state hosp ital between 2008 and 2011. PEG catheter insertion point evaluated retrospectively. The patients were divided into two groups according to PEG catheter insertion point. The results were processed with SPSS® ver. 21.0 (Chicago IL) p 0.05 was accepted to be statistically significant. Results: There were 48 (63%) men and 28 (37%) women. The median age of the patients was 57.74 (23-87) years. There was no major complication. Minor complications were occurred in 3 (%7.89) of patients from group I, 10(%26,31) of patients from group II and 13(%17.10) all patients. Statistically significant differences were found between in group I and group II (p 0.005). Conclusions: PEG is a very efficient, safe and fast method. Minor complications are occurred mainly among patients with inappropriate PEG insertion point, which is a technique-related factor. If catheter insertion is made appropriate point where is two-thirds or three-quarters of the distance from the umbilicus to the midpoint of the left costal magrin, it is seem to reduction of minor complications.
NaturalLanguageKeyword :
Endoscopy , Gastrostomy , Technic , Complication
