Complications of enteral access with percutaneous endoscopic gastrostomy (peg) – five years of clinical experience
Abstract
Background: The aim of this article is to represent our five years experiences with PEG and it’s most common complication.
Methods: The perceived health benefits of enteral feeding have placed increased demands on endoscopists to acquire the expertise needed to establish enteral access, to monitor patients undergoing enteral feeding and to manage the complications arising from the initial access procedure. When acute critical care is concerned, the provision of enteral feeding is seen as therapy that reduces systemic bacterial infections, attenuates the stress response, downregulates immune response, and improves outcome for the patient. When chronic critical care is concerned is a decreased risk of aspiration by diverting the feeding steam to more distal segments of the gastrointestinal tract (GIT), reduced morbidity because of protein and energy malnutrition.
Conclusions: Since the original introduction of the percutaneous endoscopic gastrostomy (PEG), a steadily increasing number is reported in many studies. The overall success rate for PEG placement is fairly consistent at over 95% in all studies, regardless of technique. Because of increasing number of older age patients, we can expect an increase of patient feeded with enteral access and increased demand on health care resources over the next decades.
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References
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