First results of using percutaneous endoscopic gastrostomy (PEG): indications, technique, complications and results

Abstract

Introduction: Percutaneous endoscopic gastrostomy (CEG) is the gold standard when it is necessary to carry out long-term (more than four weeks) enteral probe feeding or decompression of the stomach Materials and methods: During the period from 2012 to 2021, CHEG was performed in 47 patients. There were 29 men (62%) and 18 women (38%) in the study group, the average age was 74 years. The indications, contraindications, the method of setting the ECG, complications are described and analyzed. Results and discussion: During the observation, no unsuccessful attempts to install the CEG were registered. The duration of the CHEG was from 3 to 18 months. In total, 3 complications were noted - this was 6.3%, which is comparable to the literature data, where, according to various sources, the complication rate ranges from 3.7 to 35%. Conclusions: Endoscopic percutaneous gastrostomy is an affordable minimally invasive method, low-traumatic, technically simple and short-term intervention, accompanied by minimal postoperative complications. CHEG creates opportunities for an earlier start of nutrition and does not require repeated surgery to close the gastrostomy, which determines its advantages over traditional surgical access methods for enteral nutrition.