Most Read Articles
2 days ago
Chest pain appears to be the principal complaint of patients hospitalized with a first myocardial infarction (MI), particularly among those in the youngest age group, a study has found.
Jairia Dela Cruz, 16 Sep 2020
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
Pearl Toh, 2 days ago
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
3 days ago
Women with pre-eclampsia are at higher risk of developing heart failure, a study suggests.

Percutaneous endoscopic gastrostomy safe for patients in need of nutritional support

03 Oct 2019
The placement of percutaneous endoscopic gastrostomy (PEG) is a safe procedure, a recent study has found.

The study included 950 patients (mean age, 72.7±16.0 years; 52.9 percent female) who underwent PEG insertion or replacement. Medical records were accessed for the retrieval of information regarding patient characteristics, ongoing therapies, indications and comorbidities. Study outcomes included early and late complications, as well as mortality related to the procedure.

First PEG placement was performed in 62.5 percent (n=594) of the patients, most commonly for dysphagia due to stroke (33.0 percent). Elective placement dominated the procedures (96.3 percent), and placement was completed in 95.4 percent of cases.

The overall complication rate was only 4.8 percent. The most common complication was infection, accounting for half of all events. This was followed by bleeding (32.1 percent), dislodgement of the tube (14.3 percent) and buried bumper syndrome (3.6 percent). Infections occurred independently of antibiotic therapy (p=0.5).

The mortality rate in the PEG placement group was 5.2 percent, though all deaths were deemed unrelated to the procedure and its complications.

The remaining 37.5 percent (n=356) of patients underwent PEG replacement. The 30-day mortality rate in this group was 1.8 percent, and all were similarly not due to the operation. Only six PEG replacement patients reported complications, half of whom experienced tube dislodgement. One patient had bleeding.

Future studies are needed to determine the organizational and clinical factors associated with safety concerns regarding PEG placement and replacement, said researchers. These efforts will help improve care for patients undergoing these procedures.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
2 days ago
Chest pain appears to be the principal complaint of patients hospitalized with a first myocardial infarction (MI), particularly among those in the youngest age group, a study has found.
Jairia Dela Cruz, 16 Sep 2020
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
Pearl Toh, 2 days ago
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
3 days ago
Women with pre-eclampsia are at higher risk of developing heart failure, a study suggests.