Perkütan endoskopik gastrostomi: endikasyon ve komplikasyonlar Percutaneous endoscopic gastrostomy: indications and complications

Background and Aims: Percutaneous endoscopic gastrostomy is a method used for patients who cannot be fed orally for any reason, but who exhibit intact gastrointestinal function. In this retrospective study, we aimed to examine patients receiving percutaneous endoscopic gastrostomy, and discuss indications and early and late complications with reports in the literature. Materials and Method: We performed a retrospective analysis of patients receiving a percutaneous endoscopic gastrostomy tube between September 2008 and December 2014 at our Center in Erzurum Regional Training and Research Hospital. Results: Percutaneous endoscopic gastrostomy tubes were placed in 64 patients, but could not be applied in 4 patients. The most common indication was cerebrovascular disease. Three patients (4.5%) experienced procedure associated complications during hospitalization. Two patients experienced periostomal infection and one bled from the procedure site. Five patients (7.5%) were seen in outpatient clinic for long term follow-up; three patients had their tubes displaced and two patients had their tubes obstructed. Conclusion: Enteral nutrition is preferred for patients who need long term feeding to avoid complications of parenteral nutrition. Percutaneous endoscopic gastrostomy should be selected over surgical gastrostomy because morbidity and mortality rates are less frequent; it can be done by the patient’s bedside; there is no need for general anesthesia; and, it is cheaper and more practical. Giris ve Amac: Perkutan endoskopik gastrostomi, herhangi bir nedenle