Clinical analyses on percutaneous endoscopic gastrostomy in stroke patients with dysphagia in South West Area of Sydney

Objective To investigate the factors influencing the death of patients who accepted percutaneous endoscopic gastrostomy （PEG） for stroke-caused dysphagia and to assess the necessity of PEG. Methods A total of 52 patients were recruited to the study. All features before PEG and survival situation after PEG were recorded, furthermore, Characteristic of death terminal point was analysed. Aspiration pneumonia and upper gastrointestinal hemorrhage before and after PEG were compared. Results Death toll was 16 in total 52 patients, among whoml5 patients （93.4%） died in 3 months after PEG. Age and ASA （ American Society of Anesthesia） score had independent correlation with death after PEG （ P = 0. 026 and P = 0. 001, respectively）. No statistic difference was found in morbidity of aspiration pneumonia and upper gastrointestinal hemorrhage before and after PEG （P = 0. 16 and P = 1.00, respectively）. Conclusion The majority death occurs in 3 months after PEG. There is correlation between advanced age and higher ASA score and death risk after PEG. PEG can＇t reduce the risk of aspiration pneumonia and upper gastrointestinal hemorrhage of patients with stroke. Key words: Gastrostomy;  Endoscopy;  Deglutition disorders ;  Cerebrovascular accident