Percutaneous endoscopic gastrostomy. Indications, success, complications, and mortality in 314 consecutive patients

Gastroenterology. 1987 Jul;93(1):48-52.

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.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Enteral Nutrition
  • Female
  • Gastroscopy
  • Gastrostomy / adverse effects
  • Gastrostomy / methods*
  • Gastrostomy / mortality
  • Humans
  • Male
  • Middle Aged
  • Punctures
  • Retrospective Studies