Percutaneous endoscopic gastrostomy: indications, success, complications, and mortality in 314 consecutive patients
The aim of this study was to determine the indications, success rate, procedure-related mortality, and major and minor complication rates in 314 consecutive patients in whom we attempted a percutaneous endoscopic gastrostomy. The most common indications for placement of the gastrostomy tube were neu...
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| Veröffentlicht in: | Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 1987-07, Vol.93 (1), p.48-52 |
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| container_title | Gastroenterology (New York, N.Y. 1943) |
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| creator | LARSON, D. E BURTON, D. D SCHROEDER, K. W DIMAGNO, E. P |
| description | The aim of this study was to determine the indications, success rate, procedure-related mortality, and major and minor complication rates in 314 consecutive patients in whom we attempted a percutaneous endoscopic gastrostomy. The most common indications for placement of the gastrostomy tube were neurologic (n = 235, 75%) and oropharyngeal disorders (n = 42, 13%). We noted that the gastrostomy tube was successfully placed in 299 (95%) of the 314 patients. Ninety-three percent (n = 291) of the patients had the procedure performed in the hospital and 7% (n = 23) were outpatients when the procedure was performed. In those patients with stable underlying conditions, the procedure can safely be performed in the outpatient setting. A low rate of procedure-related mortality (1%), major complication (3%), and minor complication (13%) was noted. Our experience suggests that the percutaneous endoscopic gastrostomy is safe and has a low mortality rate even in patients who are medically debilitated secondary to their underlying disease. |
| doi_str_mv | 10.1016/0016-5085(87)90312-X |
| format | Article |
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A low rate of procedure-related mortality (1%), major complication (3%), and minor complication (13%) was noted. Our experience suggests that the percutaneous endoscopic gastrostomy is safe and has a low mortality rate even in patients who are medically debilitated secondary to their underlying disease.</description><identifier>ISSN: 0016-5085</identifier><identifier>EISSN: 1528-0012</identifier><identifier>DOI: 10.1016/0016-5085(87)90312-X</identifier><identifier>PMID: 3108063</identifier><identifier>CODEN: GASTAB</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Emergency and intensive care: metabolism and nutrition disorders. 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E</creatorcontrib><creatorcontrib>BURTON, D. D</creatorcontrib><creatorcontrib>SCHROEDER, K. W</creatorcontrib><creatorcontrib>DIMAGNO, E. P</creatorcontrib><title>Percutaneous endoscopic gastrostomy: indications, success, complications, and mortality in 314 consecutive patients</title><title>Gastroenterology (New York, N.Y. 1943)</title><addtitle>Gastroenterology</addtitle><description>The aim of this study was to determine the indications, success rate, procedure-related mortality, and major and minor complication rates in 314 consecutive patients in whom we attempted a percutaneous endoscopic gastrostomy. The most common indications for placement of the gastrostomy tube were neurologic (n = 235, 75%) and oropharyngeal disorders (n = 42, 13%). We noted that the gastrostomy tube was successfully placed in 299 (95%) of the 314 patients. Ninety-three percent (n = 291) of the patients had the procedure performed in the hospital and 7% (n = 23) were outpatients when the procedure was performed. In those patients with stable underlying conditions, the procedure can safely be performed in the outpatient setting. A low rate of procedure-related mortality (1%), major complication (3%), and minor complication (13%) was noted. Our experience suggests that the percutaneous endoscopic gastrostomy is safe and has a low mortality rate even in patients who are medically debilitated secondary to their underlying disease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Enteral Nutrition</subject><subject>Female</subject><subject>Gastroscopy</subject><subject>Gastrostomy - adverse effects</subject><subject>Gastrostomy - methods</subject><subject>Gastrostomy - mortality</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Punctures</subject><subject>Retrospective Studies</subject><issn>0016-5085</issn><issn>1528-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LxDAQhoMo67r6DxR6EFGwms9t4k0Wv2BBDwreSjZNJdImtZMK_fcGtqyXmWHeZ95hBqFTgm8IJstbnEIusBSXsrhSmBGaf-6hORFU5kmj-2i-Qw7REcA3xlgxSWZoxgiWeMnmCN5sb4aovQ0DZNZXAUzonMm-NMQ-QAzteJc5XzmjowserjMYjLGQChParvnva19lbeijblwc00jGCE-MB5sWuF-bdYm0PsIxOqh1A_Zkygv08fjwvnrO169PL6v7dd5RJmK-pFRuMBeFMhxrZjgzileVIbxmUhNOcM240oLQuuAbohivtBKWEk1MoZRiC3Sx9e368DNYiGXrwNim2V5bFoWgXCiawLMJHDatrcqud63ux3L6UtLPJ12D0U3da28c7DDJOC-wZH8rUnfl</recordid><startdate>19870701</startdate><enddate>19870701</enddate><creator>LARSON, D. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Enteral Nutrition</topic><topic>Female</topic><topic>Gastroscopy</topic><topic>Gastrostomy - adverse effects</topic><topic>Gastrostomy - methods</topic><topic>Gastrostomy - mortality</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Punctures</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LARSON, D. E</creatorcontrib><creatorcontrib>BURTON, D. D</creatorcontrib><creatorcontrib>SCHROEDER, K. W</creatorcontrib><creatorcontrib>DIMAGNO, E. 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P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous endoscopic gastrostomy: indications, success, complications, and mortality in 314 consecutive patients</atitle><jtitle>Gastroenterology (New York, N.Y. 1943)</jtitle><addtitle>Gastroenterology</addtitle><date>1987-07-01</date><risdate>1987</risdate><volume>93</volume><issue>1</issue><spage>48</spage><epage>52</epage><pages>48-52</pages><issn>0016-5085</issn><eissn>1528-0012</eissn><coden>GASTAB</coden><abstract>The aim of this study was to determine the indications, success rate, procedure-related mortality, and major and minor complication rates in 314 consecutive patients in whom we attempted a percutaneous endoscopic gastrostomy. The most common indications for placement of the gastrostomy tube were neurologic (n = 235, 75%) and oropharyngeal disorders (n = 42, 13%). We noted that the gastrostomy tube was successfully placed in 299 (95%) of the 314 patients. Ninety-three percent (n = 291) of the patients had the procedure performed in the hospital and 7% (n = 23) were outpatients when the procedure was performed. In those patients with stable underlying conditions, the procedure can safely be performed in the outpatient setting. A low rate of procedure-related mortality (1%), major complication (3%), and minor complication (13%) was noted. Our experience suggests that the percutaneous endoscopic gastrostomy is safe and has a low mortality rate even in patients who are medically debilitated secondary to their underlying disease.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>3108063</pmid><doi>10.1016/0016-5085(87)90312-X</doi><tpages>5</tpages></addata></record> |
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| ispartof | Gastroenterology (New York, N.Y. 1943), 1987-07, Vol.93 (1), p.48-52 |
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| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child Child, Preschool Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Enteral Nutrition Female Gastroscopy Gastrostomy - adverse effects Gastrostomy - methods Gastrostomy - mortality Humans Intensive care medicine Male Medical sciences Middle Aged Punctures Retrospective Studies |
| title | Percutaneous endoscopic gastrostomy: indications, success, complications, and mortality in 314 consecutive patients |
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