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Enteral Long-Term Nutrition via Percutaneous Endoscopic Gastrostomy (PEG) in 210 Patients A Four-Year Prospective Study

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Abstract

After PEG placement at the Medical Department ofthe University Hospital in Kiel, 210 patients (mean age61.3 years; 137 men, 73 women) were prospectivelyfollowed-up for 133 ± 181 days. Close-meshed evaluations of the development of nutritionalstatus, long-term outcome, complications, subjectiveacceptability, patient care after discharge from thehospital, survival, and nutritional long-term problems were performed. The PEG procedure (duration13.3 ± 4.2 min) was carried out for neurological(42%), ear-nose-throat (28%), and internal medical (30%)indications. Procedure-related mortality was 0%, while altogether 3.8% severe and 20.0% mildcomplications were observed. Body weight decreased by amean of 11.4 ± 1.5 kg in the three months beforeand increased by 3.5 ± 1.7 kg one year after PEGplacement with no significant differences betweenmalignant or benign underlying diseases. Individualsubjective acceptability was excellent in 83%,sufficient in 15%, and poor in 2% of patients only.One-year survival rate was 34.3%. The various results of thepresent prospective study demonstrate that long-termenteral feeding via PEG is a safe, effective,easy-topractice, and highly acceptable method withexcellent long-term results and distinct improvement ofnutritional status. Individual decisions for PEGplacement should be considered much earlier and morefrequently in appropriate patients.

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Authors
  1. Chr. Loser
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  2. S. Wolters
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  3. U. R. Folsch
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Loser, C., Wolters, S. & Folsch, U.R. Enteral Long-Term Nutrition via Percutaneous Endoscopic Gastrostomy (PEG) in 210 Patients A Four-Year Prospective Study. Dig Dis Sci 43, 2549–2557 (1998). https://doi.org/10.1023/A:1026615106348

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