EXPERIENCES WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN A GENERAL SURGERY CLINIC

Aim: In our study, we aimed to present the results of our experiences and the results we detected in the retrospective examination of patients undergoing percutaneous endoscopic gastrostomy. Material and Method: 378 patients in whom percutaneous endoscopic gastrostomy tube were placed at the patient's bedside in Afyon Kocatepe University of Health Sciences, Faculty of Medicine, Department of General Surgery Endoscopy Unit between January 1, 2008 and December 31, 2017 were included in the study. Patient records were examined by the file scanning methods. The records were evaluated in terms of demographic information, technical information, indications, complications and results. Results: Of a total of 378 patients in whom PEG catheter was placed, 230 (60.9%) were male and 148 (39.1%) were female. The mean age of all patients was 73.4 ± 2 (20-93). While 244 (64.5%) of the patients had swallowing disorder due to neurological causes, PEG procedure was performed in 98 (26%) due to swallowing disorder caused by mechanical reasons. In 36 patients (9.5%) PEG catheter was opened for diversion due to surgical reasons. No procedure-related mortality or major complication was observed in any patient after the procedure. The rate of wound infection was determined to be significantly higher in patients with high subcutaneous adipose tissue when compared to the level at which the gastrostomy catheter was detected. The risk of complication development was detected higher in patients over the age of sixty (p = 0.038). Conclusion: In a general surgical clinic, peg catheter placement procedure is performed in patients with surgical or medical diseases in accordance with the complication and success rates in the literature.