Percutaneous endoscopic gastrostomy and early mortality
To assess morbidity, mortality, and benefit associated with percutaneous endoscopic gastronomy (PEG), we retrospectively studied 42 patients who had had PEG. Mortality was exceptionally high during the first 60 days after PEG (43%), and then stabilized. In nearly half of the cases (20/42) the PEG tu...
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| Veröffentlicht in: | Southern medical journal (Birmingham, Ala.) Ala.), 1990-12, Vol.83 (12), p.1433-1436 |
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| container_title | Southern medical journal (Birmingham, Ala.) |
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| creator | Clarkston, W K Smith, O J Walden, J M |
| description | To assess morbidity, mortality, and benefit associated with percutaneous endoscopic gastronomy (PEG), we retrospectively studied 42 patients who had had PEG. Mortality was exceptionally high during the first 60 days after PEG (43%), and then stabilized. In nearly half of the cases (20/42) the PEG tube was removed during the first 60 days because of either death or improvement. Patients with malignancy had a significantly higher morbidity and 60-day mortality than the neurologically impaired. We concluded that patients should be carefully selected for PEG because early mortality is high; a 60-day trial of soft nasogastric feedings should be considered before PEG, and could reduce by nearly half the number of patients failing to receive long-term benefit; and patients with malignancy have significantly greater morbidity and mortality after PEG and may not receive the same advantage from the procedure. |
| doi_str_mv | 10.1097/00007611-199012000-00015 |
| format | Article |
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We concluded that patients should be carefully selected for PEG because early mortality is high; a 60-day trial of soft nasogastric feedings should be considered before PEG, and could reduce by nearly half the number of patients failing to receive long-term benefit; and patients with malignancy have significantly greater morbidity and mortality after PEG and may not receive the same advantage from the procedure.</description><identifier>ISSN: 0038-4348</identifier><identifier>DOI: 10.1097/00007611-199012000-00015</identifier><identifier>PMID: 2123563</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Contraindications ; Enteral Nutrition - methods ; Evaluation Studies as Topic ; Follow-Up Studies ; Gastrostomy - adverse effects ; Gastrostomy - methods ; Humans ; Intubation, Gastrointestinal ; Middle Aged ; Neoplasms - mortality ; Neoplasms - surgery ; Nervous System Diseases - mortality ; Nervous System Diseases - surgery ; Retrospective Studies ; Time Factors</subject><ispartof>Southern medical journal (Birmingham, Ala.), 1990-12, Vol.83 (12), p.1433-1436</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c310t-98d2cd98f02aedf207afddbca31079f29e6003cf3342eb362610110a4ca550883</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2123563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clarkston, W K</creatorcontrib><creatorcontrib>Smith, O J</creatorcontrib><creatorcontrib>Walden, J M</creatorcontrib><title>Percutaneous endoscopic gastrostomy and early mortality</title><title>Southern medical journal (Birmingham, Ala.)</title><addtitle>South Med J</addtitle><description>To assess morbidity, mortality, and benefit associated with percutaneous endoscopic gastronomy (PEG), we retrospectively studied 42 patients who had had PEG. 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| identifier | ISSN: 0038-4348 |
| ispartof | Southern medical journal (Birmingham, Ala.), 1990-12, Vol.83 (12), p.1433-1436 |
| issn | 0038-4348 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Aged, 80 and over Contraindications Enteral Nutrition - methods Evaluation Studies as Topic Follow-Up Studies Gastrostomy - adverse effects Gastrostomy - methods Humans Intubation, Gastrointestinal Middle Aged Neoplasms - mortality Neoplasms - surgery Nervous System Diseases - mortality Nervous System Diseases - surgery Retrospective Studies Time Factors |
| title | Percutaneous endoscopic gastrostomy and early mortality |
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