Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?

Purpose: Percutaneous Endoscopic Gastrostomy (PEG) has been the method of choice to provide enteral access for patients in need of nutrition for a long term. Although considered safe, the insertion of gastrostomy catheters may be associated with some complications. Objectives: The aim of this study...

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Principais autores: Dantas, Silvio José de Lucena, Guedes, Hugo Gonçalo, Silva, Matheus Oliveira da, Medeiros, Andressa Katarinne Cunha Siminéa, Araújo-Filho, Irami
Formato: Online
Idioma:por
Publicado em: FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
Endereço do item:https://periodicos.ufrn.br/jscr/article/view/5671
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spelling oai:periodicos.ufrn.br:article-56712019-06-05T23:31:15Z Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients? Dantas, Silvio José de Lucena Guedes, Hugo Gonçalo Silva, Matheus Oliveira da Medeiros, Andressa Katarinne Cunha Siminéa Araújo-Filho, Irami Enteral nutrition Percutaneous endoscopic gastrostomy Complications. Neurological disease. Purpose: Percutaneous Endoscopic Gastrostomy (PEG) has been the method of choice to provide enteral access for patients in need of nutrition for a long term. Although considered safe, the insertion of gastrostomy catheters may be associated with some complications. Objectives: The aim of this study was to analyze the immediate, technical and infectious complications of PEG in neurological patients, conducted by a reference team. Methods: We conducted a follow-up of 171 patients who underwent PEG between 2000 and 2011 at the Department of Digestive Surgery (Gastronutri) Hospital São Lucas, Natal / Brazil. Results: Of the 172 cases of PEG, there were 03 deaths until the 30th day after surgery, but none directly related to the procedure. The overall complication rate was 14.6%, among which 8.2% of patients had minor complications and only 6.4% major complications. Patients above 81 years old had lower odds of postoperative pneumonia (p = 0.004). By discriminating the time of use of a nasogastric catheter is greater or less than 06 weeks duration, it was found that the prolonged use is associated with increased incidence of postoperative pneumonia (p<0.05). Finally, if we consider malnutrition as independent correlate, malnourished patients are more likely to develop complications and pneumonia (p<0.05). Conclusion: The complication rates of PEG in our service are consistent with the literature, confirming the efficacy and safety of PEG enteral nutritional support in the neurological patients, however, not free from serious complications. FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL 2014-08-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/jscr/article/view/5671 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; Vol. 5 No. 1 (2014); 31-39 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; v. 5 n. 1 (2014); 31-39 2179-7889 por https://periodicos.ufrn.br/jscr/article/view/5671/4550 Copyright (c) 2014 JOURNAL OF SURGICAL AND CLINICAL RESEARCH
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language por
format Online
author Dantas, Silvio José de Lucena
Guedes, Hugo Gonçalo
Silva, Matheus Oliveira da
Medeiros, Andressa Katarinne Cunha Siminéa
Araújo-Filho, Irami
spellingShingle Dantas, Silvio José de Lucena
Guedes, Hugo Gonçalo
Silva, Matheus Oliveira da
Medeiros, Andressa Katarinne Cunha Siminéa
Araújo-Filho, Irami
Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?
author_facet Dantas, Silvio José de Lucena
Guedes, Hugo Gonçalo
Silva, Matheus Oliveira da
Medeiros, Andressa Katarinne Cunha Siminéa
Araújo-Filho, Irami
author_sort Dantas, Silvio José de Lucena
title Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?
title_short Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?
title_full Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?
title_fullStr Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?
title_full_unstemmed Is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?
title_sort is it safe to perform percutaneous endoscopic gastrostomy in neurological patients?
description Purpose: Percutaneous Endoscopic Gastrostomy (PEG) has been the method of choice to provide enteral access for patients in need of nutrition for a long term. Although considered safe, the insertion of gastrostomy catheters may be associated with some complications. Objectives: The aim of this study was to analyze the immediate, technical and infectious complications of PEG in neurological patients, conducted by a reference team. Methods: We conducted a follow-up of 171 patients who underwent PEG between 2000 and 2011 at the Department of Digestive Surgery (Gastronutri) Hospital São Lucas, Natal / Brazil. Results: Of the 172 cases of PEG, there were 03 deaths until the 30th day after surgery, but none directly related to the procedure. The overall complication rate was 14.6%, among which 8.2% of patients had minor complications and only 6.4% major complications. Patients above 81 years old had lower odds of postoperative pneumonia (p = 0.004). By discriminating the time of use of a nasogastric catheter is greater or less than 06 weeks duration, it was found that the prolonged use is associated with increased incidence of postoperative pneumonia (p<0.05). Finally, if we consider malnutrition as independent correlate, malnourished patients are more likely to develop complications and pneumonia (p<0.05). Conclusion: The complication rates of PEG in our service are consistent with the literature, confirming the efficacy and safety of PEG enteral nutritional support in the neurological patients, however, not free from serious complications.
publisher FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
publishDate 2014
url https://periodicos.ufrn.br/jscr/article/view/5671
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