Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Bellmann, J.
Complications after placement of a percutaneous endoscopic gastrostomy (PEG)
Retrospective analysis at the clinical department of gastroenterology and hepatology at the LKH University Hospital in Graz
Humanmedizin; [ Diplomarbeit/Master Thesis (UNI) ] Medical University of Graz; 2019. pp.59.
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Binder Lukas
- Zollner Gernot
- Altmetrics:
- Abstract:
- Background: Percutaneous endoscopic gastrostomy (PEG) is a worldwide accepted method of choice for long-term enteral feeding in patients who cannot meet their nutritional requirements due to an inadequate oral intake but have a remaining motility and a functional absorption of the gastrointestinal tract. The underlying disorders include oncological and neurological diseases but may also be the result of intestinal failure or be found in critical ill patients. The aim of this thesis is to retrospectively analyze PEG procedures performed at the Department of Gastroenterology at the general hospital LKH Graz for occurring complications. Material and methods: The present study was conducted as a retrospective, monocentric data analysis and included 361 patients. Medical records were collected using Medocs, the documentation system of the styrian hospital collective and included data on general patient information including sex, age, weight and height as well as procedure specific information like the method of anesthesia, utilized PEG material and possible prophylactic antibiotic as well as lab results, indications for PEG administration and resulting complications. Statistical analysis was conducted using SPSS and Microsoft Excel. Results: In 358 patients, a PEG could be administrated successfully which leads to a success rate from 99,2%. The included 358 patients consisted of 77 (21.5%) females and 281 (78.5%) males. The patients‘ age ranged from 25 to 96 years with a mean of 63.610.9. The average BMI was 24.24.4 and ranged from 14,0 to 38,2. Indications for PEG insertion were divided into five groups: Head and neck cancer (HNC) was the indication in 71.8%, 14.8% had a neurologic disease or psychomotor retardation (NDPR), cerebrovascular disease (CVD) was found in 4.2%, a reduced level of consciousness (RLOC) was causative in 2.0% and 7.3% suffered from another disease (MISC). 75.7% of all 358 patients showed no PEG related complications. A total of 109 PEG related complications were recorded in 87 patients (24.3%) which disseminate into 20.4% minor complications and 3.9% major complications. Discussion: PEG related complications are mostly minor, without the need for re-intervention or surgical treatment. However, major complications do occur in a few cases and therefore, their recognition and instant treatment is obligatory. All in all, complication rates at the general hospital LKH Graz do not differ significantly from previously performed studies. Moreover, co-morbidities should not be an exclusion factor for PEG placement due to no differences in complication rates.