Nutritional Impact of Percutaneous Endoscopic Gastrostomy: A Retrospective Single-center Study

Autor: Sang Ok Jung, Hee Seok Moon, Tae Hyung Kim, Jae Ho Park, Ju Seok Kim, Sun Hyung Kang, Jae Kyu Sung, Hyun Yong Jeong
Jazyk: English<br />Korean
Rok vydání: 2022
Předmět:
Zdroj: The Korean Journal of Gastroenterology, Vol 79, Iss 1, Pp 12-21 (2022)
Druh dokumentu: article
ISSN: 1598-9992
2233-6869
DOI: 10.4166/kjg.2021.086
Popis: Background/Aims: Several conditions may cause difficulties with oral feeding. Percutaneous endoscopic gastrostomy (PEG) is commonly performed on patients who require enteral feeding for >2-3 weeks. This study examined the nutritional state of patients who required enteral feeding and underwent PEG to quantify the benefits of the procedure. Methods: This retrospective study included patients who underwent PEG at the Chungnam National University Hospital between January 2013 and December 2018. A gastroenterologist performed all PEG procedures using the pull technique, and all patients were followed up for >3 weeks postoperatively. The BMI and lymphocyte count, along with the levels of hemoglobin, total protein, albumin, total cholesterol, BUN, and creatinine pre-PEG and between 3 weeks and 6 months post-PEG were evaluated. Results: Overall, 151 patients (116 males; mean age 64.92 years) were evaluated. Of these patients, 112 (74.2%), 34 (22.5%), and five (3.3%) underwent PEG tube insertion because of neurological diseases, malignancy, and other conditions, respectively. The BMI and the hemoglobin, total protein, albumin, and total cholesterol levels were significantly higher post-PEG than pre-PEG. Conclusions: These findings highlight the usefulness of PEG in the management of nutritionally poor patients with difficulties in feeding orally.
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