Perkutan endoskopik gastrostomi uygulama sonuçlarımız: 113 olgunun değerlendirilmesi
Yükleniyor...
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi Tıp Fakültesi
Erişim Hakkı
Attribution-NonCommercial 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmamızda perkutan endoskopik gastrostomi uygulanan hastalarda bulduğumuz sonuçları ve tecrübelerimizi sunmayı amaçladık. Yöntemler: 01 Ocak 2012 – 31 Aralık 2014 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Gastroenteroloji Kliniği’nce endoskopi ünitesi ve yoğun bakımlarda hasta
yatağında perkutan endoskopik gastrostomi tüpü takılan 113 hasta çalışmaya alındı. Hasta kayıtları endikasyon, komplikasyon ve sonuçlar açısından değerlendirildi. Bulgular: PEG uygulanan 113 hastanın 70’i (%61,9) erkek, 40’ı (%38,1) ise kadındı. Hastaların 8’inde (%7) baş, boyun ve özofagus tümörü tanısı varken 105’inin (%93) primer ya da sekonder nörolojik hastalığı mevcuttu. İşlem sonrası hiçbir hastamızda ciddi komplikasyon görülmedi. Yara yeri enfeksiyonu 5 hastada (%4,4) gelişmiş olup
minör komplikasyon oranı %9,7 olarak saptandı. Komplikasyon gelişme riski altmış yaş üstünde ve erkek hastalarda daha yüksek saptandı (sırasıyla p değerleri 0.049 ve 0.022). Sonuç: Basit, güvenli ve komplikasyon oranı düşük bir enteral beslenme yöntemi olan perkutan endoskopik gastrostomi, uzun süreli enteral beslenme için öncelikle başvurulması gereken beslenme yöntemidir. İleri yaş ve erkek cinsiyette komplikasyon riski artmıştır.
Objective: In this study, we aimed to evaluate the results and experiences of the patients who received percutaneous endoscopic gastrostomy (PEG). Methods: A total of 113 patients who admitted to the Dicle University Medical Faculty , Department of Gastroenterology between January 2012 and December 2014 and in whom received PEG was performed. The patients were assessed in terms of indications, complications and results. Results: Among these patients, 70 (61.9%) were male and 40 (38.1%) were female. Though 8 (7%) patients had head, neck and esophageal cancer; 105 (93%) patients had primer or seconder neurological disorders. After the PEG, any serious complication was seen in patients. Wound infections were encountered in five patients (4.4%) and the rate of minor complications was found to be 9.7%. The risk of complications was higher in patients over sixty years and men (p values of 0.049 and 0.022). Conclusion: Percutaneous endoscopic gastrostomy, a simple and safe method of enteral nutrition with a low complication rate, should be the first choice when extended period enteral nutrition is required. There is increased risk of complications in elderly males.
Objective: In this study, we aimed to evaluate the results and experiences of the patients who received percutaneous endoscopic gastrostomy (PEG). Methods: A total of 113 patients who admitted to the Dicle University Medical Faculty , Department of Gastroenterology between January 2012 and December 2014 and in whom received PEG was performed. The patients were assessed in terms of indications, complications and results. Results: Among these patients, 70 (61.9%) were male and 40 (38.1%) were female. Though 8 (7%) patients had head, neck and esophageal cancer; 105 (93%) patients had primer or seconder neurological disorders. After the PEG, any serious complication was seen in patients. Wound infections were encountered in five patients (4.4%) and the rate of minor complications was found to be 9.7%. The risk of complications was higher in patients over sixty years and men (p values of 0.049 and 0.022). Conclusion: Percutaneous endoscopic gastrostomy, a simple and safe method of enteral nutrition with a low complication rate, should be the first choice when extended period enteral nutrition is required. There is increased risk of complications in elderly males.
Açıklama
Anahtar Kelimeler
Perkutan endoskopik gastrostomi, Endikasyon, Komplikasyon, Percutaneous endoscopic gastrostomy, Indication, Complication
Kaynak
Dicle Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
42
Sayı
3
Künye
Ekin, N., Uçmak, F., Oruç, M., Tuncer, E.T. ve Yalçın, K. (2015). Perkutan endoskopik gastrostomi uygulama sonuçlarımız: 113 olgunun değerlendirilmesi. Dicle Tıp Dergisi, 42(3), 346-349.
