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KMID : 0931320140140040261
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대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 4 p.261 ~ p.267
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Analysis of Risk Factors for Early Tube Exchange in Percutaneous Endoscopic Gastrostomy
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Jo Ik-Hyun
Kim Hyung-Hun
Choi Myung-Gyu
Seo Min-Woo
Jung Yun-Duk
Byeon Jae-Ho
Oh Young-Seung
Lee So-Ra
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Abstract
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Background/Aims: Percutaneous endoscopic gastrostomy (PEG) is a widely-performed procedure for patients undergoing enteralfeeding. Due to frequent complications, careful management after the PEG is required. In this study, we investigated the risk factorsassociated with early exchange of PEG tube.
Materials and Methods: We did a retrospective survey of 72 patients who received a PEG between January 2009 and April 2014. Allpatients underwent a tube exchange or removal after the first PEG. Patients who had an exchange within 6 months were definedas ‘early exchange’ group and the others, as ‘late exchange’ group. We analyzed the relationship between early exchange andpre-PEG status.
Results: Mean age of patients was 67.5±18.3 years. The most frequent mental status and performance status before the first procedure,was ‘alert’ (n=48, 66.7%) and Eastern Cooperative Oncology Group (ECOG) score was 4 (n=28, 39.8%). Mean BMI was20.2±3.7 kg/m2 and the majority of PEG cause was cerebrovascular accidents (n=23, 31.9%). Many patients had a tube exchange(or removal) because of tube dysfunction (n=32, 44.4%). The ‘early exchange’ group showed a lower BMI than ‘late exchange’group (19.7±3.57 kg/m2 vs. 22.4±3.87 kg/m2, P value 0.009). ‘Underweight’ (BMI less than 18.5 kg/m2) group was more frequentlyobserved in ‘early exchange’ group. There was no significant difference in pre-PEG status and post-PEG complication between the2 groups.
Conclusions: A lower BMI was associated with early exchange of PEG. Health providers should pay attention to the nutritional statusof PEG patients.
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KEYWORD
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Analysis of Risk Factors for Early Tube Exchange in Percutaneous Endoscopic Gastrostomy
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