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Title of Journal: Dig Dis Sci

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Abbravation: Digestive Diseases and Sciences

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Springer US

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DOI

10.1007/978-3-662-05016-3_4

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1573-2568

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Risk Factors for Complications of Percutaneous End

Authors: Sang Pyo Lee Kang Nyeong Lee Oh Young Lee Hang Lak Lee Dae Won Jun Byung Chul Yoon Ho Soon Choi Seung Hyun Kim
Publish Date: 2013/10/19
Volume: 59, Issue: 1, Pages: 117-125
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Abstract

Percutaneous endoscopic gastrostomy PEG is a commonly performed procedure for patients with severe dysphagia leading to malnutrition Improved knowledge of risk factors for PEGrelated complications might decrease patient discomfort and healthcare costsA retrospective review was performed for all patients referred for PEG placement from December 2002 to December 2012 in singletertiary care center PEGrelated complications and risk factors were evaluated through chart reviews endoscopic reports and endoscopic and radiologic imagesAmong a total of 245 consecutive individuals 146 male mean age 592 ± 126 years enrolled 43 major complications had developed Multivariate analysis revealed that patients with an internal bolster of a PEG tube in the upper body of stomach were at significant risk for early OR 6127 95  CI 1447–26046 and late complications OR 6710 95  CI 1692–26603 Abnormal leukocyte counts OR 3198 95  CI 1174–8716 stroke as an indication for PEG OR 3047 95  CI 1174–8882 and PEG tube placement by an inexperienced endoscopist OR 3401 95  CI 1073–10779 were significantly associated with early complicationsA PEG tube should not be inserted into the upper body of stomach to reduce complication risk and PEG procedures should be performed by skilled endoscopists to prevent early complications An abnormal leukocyte count can be a predictor of early complication and care is needed when PEG is performed for patients with stroke

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