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Yoğun Bakım Ünitemizde Perkütan Endoskopik Gastrostomi Uygulanan Olguların Retrospektif Analizi

Year 2016, Volume: 3 Issue: 1, - , 04.02.2016

Abstract

Amaç: Perkütan endoskopik gastrostomi (PEG) ağız yoluyla beslenemeyen hastaların beslenmesini sağlamak amacıyla, karın duvarından mideye tüp
yerleştirilmesidir. PEG tekniği ile besleme komplikasyon oranı düşük ve etkin bir yöntemdir bu tekniğin üstünlüğünü vurgulamayı hedefledik. Bununla
birlikte, yoğun bakım ünitemizde izlediğimiz ve beslenmelerini PEG tekniği ile yerleştirilen “Gastrostomi” tüpü ile devam ettirdiğimiz olguların sonuçlarını
sunmayı amaçladık. Gereç ve Yöntem: Yatak başında “pull” tekniği ile PEG kanülü yerleştirilen 12 olgunun kayıtları incelendi. Tüm olgulara PEG tekniği
sorunsuz uygulandı ve kanül başarı ile yerleştirildi. Bulgular: Gastrostomi tüplerinden beslenme süresi 19 ila 134 gün (ortalama 56 gün) olarak saptandı. 9
olgu PEG ile ilişkisi olmayan nedenlerden kaybedildi; 3 olgu PEG ile beslenmeye devam ederek taburcu edildi. 5 olguda beslenme intoleransı gelişmesi
dışında herhangi bir komplikasyonla karşılaşılmadı, bu sorunlar da uygun yaklaşımlarla tedavi edilebildi. Yoğun bakım ünitemizde PEG uygulamasına bağlı
ciddi hiçbir komplikasyonla karşılaşılmamıştır. Sonuçlar: PEG nazogastrik ve nazoenteral yöntemlerden daha invaziv olmasına rağmen düşük komplikasyon
riski, düşük maliyet ve yüksek etkinlik nedeni ile uzun dönemli enteral beslenmede tercih edilebilir.

References

  • Marik PE, Zaloga GP. Early enteral nutrition in acutely ill
  • patients: a systematic review. Critical Care Medicine
  • ;(29): 2264-70.
  • Ponsky JL, Gauderer MW. Percutaneous endoscopic
  • gastrostomy: a nonoperative technique for feeding
  • gastrostomy. Gastrointest Endosc. 1981; (27): 9-11.
  • Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without
  • laparotomy: a percutaneous endoscopic technique. J Pediatr
  • Surg 1980;(15):872-5.
  • Schrag S, Sharma R, Jaik N. Complications related to
  • percutenaus endoscopic gastrostomy (PEG) tubes. A
  • comprehensive clinical review. J Gastrointestin Liver Dis
  • ;(16):407-18.
  • Bacakoğlu F Yoğun Bakım Hastalarında Beslenme. Solunum
  • ; (10): 54- 61
  • Kudsk KA, Croce MA, Fabian TC et al. Enteral versus
  • parenteral feeding: Effects on septic morbidity after blunt
  • and penetrating abdominal trauma. Ann Surg. 1992; (215):
  • -11.
  • Moore FA, Moore EE, Jones TN et al. TEN vs TPN
  • following major abdominal trauma: Reduces septic morbidity.
  • J Trauma 1989; (29): 916-22
  • Moore FA, Feliciano DV, Andrassy RJ et al. Early enteral
  • feding compared with parenteral reduces postoperative septic
  • complications: The results of a meta-analysis. Ann Surg.
  • ;( 216): 172- 83.
  • Mc Clave SA, Lukan JK, Slefater JA. Poor validity of residual
  • volumes as a marker for risk of aspiration in critically ill
  • patients. Crit Care Med. 2005;(33): 324-30.
  • Akıncı IO, Ozcan P, Tuğrul S et al. Percutaneous
  • endoscopic gastrostomy in ICU. Ulus Travma Derg. 2000;
  • (6): 281-3.
  • Harbrecht BG, Moraca RJ, Saul M. Percutaneus endoscopic
  • gastrostomy reduces total hospital costs in head-injured
  • patients. Am J Surg. 1998; (176): 311-4
  • Tokunaga T, Kubo T, Ryan S. Long-term outcome after
  • placement of a percutaneous endoscopic gastrostomy tube.
  • Geriatr Gerontol Int 2008;(8):19-23.
  • Russel TR, Brotman M, Norris F. Percutaneous endoscopic
  • gastrostomy: a new simplified and cost effective technique.
  • Am J Surg 1984;(142):132- 7.
  • DeLegge MH, Berry AJ. Risk of endoscopic enteral Access.
  • Tech Gastrointest Endosc 2008; (10):36-44.
  • Finocchiaro C, Galletti R, Rovera G. Percutaneous
  • endoscopic gastrostomy: a long-term follow-up. Nutrition
  • ;(13):520-3.
  • Chong C, Derigo L, Brown D. Massive gastric bleeding: a
  • rarely seen subacute complication of percutaneous
  • endoscopic gastrostomy. İntern Med J 2007;(37):787-8.
  • Jafri NS, Mahid SS, Minor KS et al. Metaanalysis: antibiotic
  • prophylaxis to prevent periostamal infection following
  • percutaneous endoscopic gastrostomy. Aliment Pharmaco
  • Ther 2007;(25):647-56.
  • Blum Ca, Selender C, Rudy JM et al. The incidence and
  • clinical significance of pneumoperitoneum after percutaneous
  • endoscopic gastrostomy. A review of 722 cases. Am Surg
  • ; (75):39-43.
  • Grant JP. Percutaneous endoscopic gastrostomy. Initial
  • placement by single endoscopic technique and long-term
  • follow-up. Ann Surg 1993;(217):168-74.
  • Schurink CA, Tuynman H, Scholten P et al. Percutaneous
  • endoscopic gastrostomy: complications and suggestions to
  • avoid them. Eur J Gastroenterol Hepathol. 2001;(13):819-23.
  • Blum Ca, Selender C, Rudy JM et al. The incidence and
  • clinical significance of pneumoperitoneum after percutaneous
  • endoscopic gastrostomy. A review of 722 cases. Am Surg
  • ; (75):39-43.
Year 2016, Volume: 3 Issue: 1, - , 04.02.2016

Abstract

References

  • Marik PE, Zaloga GP. Early enteral nutrition in acutely ill
  • patients: a systematic review. Critical Care Medicine
  • ;(29): 2264-70.
  • Ponsky JL, Gauderer MW. Percutaneous endoscopic
  • gastrostomy: a nonoperative technique for feeding
  • gastrostomy. Gastrointest Endosc. 1981; (27): 9-11.
  • Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without
  • laparotomy: a percutaneous endoscopic technique. J Pediatr
  • Surg 1980;(15):872-5.
  • Schrag S, Sharma R, Jaik N. Complications related to
  • percutenaus endoscopic gastrostomy (PEG) tubes. A
  • comprehensive clinical review. J Gastrointestin Liver Dis
  • ;(16):407-18.
  • Bacakoğlu F Yoğun Bakım Hastalarında Beslenme. Solunum
  • ; (10): 54- 61
  • Kudsk KA, Croce MA, Fabian TC et al. Enteral versus
  • parenteral feeding: Effects on septic morbidity after blunt
  • and penetrating abdominal trauma. Ann Surg. 1992; (215):
  • -11.
  • Moore FA, Moore EE, Jones TN et al. TEN vs TPN
  • following major abdominal trauma: Reduces septic morbidity.
  • J Trauma 1989; (29): 916-22
  • Moore FA, Feliciano DV, Andrassy RJ et al. Early enteral
  • feding compared with parenteral reduces postoperative septic
  • complications: The results of a meta-analysis. Ann Surg.
  • ;( 216): 172- 83.
  • Mc Clave SA, Lukan JK, Slefater JA. Poor validity of residual
  • volumes as a marker for risk of aspiration in critically ill
  • patients. Crit Care Med. 2005;(33): 324-30.
  • Akıncı IO, Ozcan P, Tuğrul S et al. Percutaneous
  • endoscopic gastrostomy in ICU. Ulus Travma Derg. 2000;
  • (6): 281-3.
  • Harbrecht BG, Moraca RJ, Saul M. Percutaneus endoscopic
  • gastrostomy reduces total hospital costs in head-injured
  • patients. Am J Surg. 1998; (176): 311-4
  • Tokunaga T, Kubo T, Ryan S. Long-term outcome after
  • placement of a percutaneous endoscopic gastrostomy tube.
  • Geriatr Gerontol Int 2008;(8):19-23.
  • Russel TR, Brotman M, Norris F. Percutaneous endoscopic
  • gastrostomy: a new simplified and cost effective technique.
  • Am J Surg 1984;(142):132- 7.
  • DeLegge MH, Berry AJ. Risk of endoscopic enteral Access.
  • Tech Gastrointest Endosc 2008; (10):36-44.
  • Finocchiaro C, Galletti R, Rovera G. Percutaneous
  • endoscopic gastrostomy: a long-term follow-up. Nutrition
  • ;(13):520-3.
  • Chong C, Derigo L, Brown D. Massive gastric bleeding: a
  • rarely seen subacute complication of percutaneous
  • endoscopic gastrostomy. İntern Med J 2007;(37):787-8.
  • Jafri NS, Mahid SS, Minor KS et al. Metaanalysis: antibiotic
  • prophylaxis to prevent periostamal infection following
  • percutaneous endoscopic gastrostomy. Aliment Pharmaco
  • Ther 2007;(25):647-56.
  • Blum Ca, Selender C, Rudy JM et al. The incidence and
  • clinical significance of pneumoperitoneum after percutaneous
  • endoscopic gastrostomy. A review of 722 cases. Am Surg
  • ; (75):39-43.
  • Grant JP. Percutaneous endoscopic gastrostomy. Initial
  • placement by single endoscopic technique and long-term
  • follow-up. Ann Surg 1993;(217):168-74.
  • Schurink CA, Tuynman H, Scholten P et al. Percutaneous
  • endoscopic gastrostomy: complications and suggestions to
  • avoid them. Eur J Gastroenterol Hepathol. 2001;(13):819-23.
  • Blum Ca, Selender C, Rudy JM et al. The incidence and
  • clinical significance of pneumoperitoneum after percutaneous
  • endoscopic gastrostomy. A review of 722 cases. Am Surg
  • ; (75):39-43.
There are 67 citations in total.

Details

Primary Language Turkish
Journal Section Original Articles
Authors

Ebru Çanakçı

Özgür Yağan This is me

Nilay Taş This is me

İsmail Taşkıran This is me

Publication Date February 4, 2016
Published in Issue Year 2016 Volume: 3 Issue: 1

Cite

Vancouver Çanakçı E, Yağan Ö, Taş N, Taşkıran İ. Yoğun Bakım Ünitemizde Perkütan Endoskopik Gastrostomi Uygulanan Olguların Retrospektif Analizi. ODU Med J. 2016;3(1).