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KMID : 0614620220790010012
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Korean Journal of Gastroenterology
2022 Volume.79 No. 1 p.12 ~ p.21
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Nutritional Impact of Percutaneous Endoscopic Gastrostomy: A Retrospective Single-center Study
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Jung Sang-Ok
Moon Hee-Seok
Kim Tae-Hyung
Park Jae-Ho
Kim Ju-Seok
Kang Sun-Hyung
Sung Jae-Kyu
Jeong Hyun-Yong
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Abstract
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Background/Aims: Several conditions may cause difficulties with oral feeding. Percutaneous endoscopic gastrostomy (PEG) is commonly performed on patients who require enteral feeding for >2-3 weeks. This study examined the nutritional state of patients who required enteral feeding and underwent PEG to quantify the benefits of the procedure.
Methods: This retrospective study included patients who underwent PEG at the Chungnam National University Hospital between January 2013 and December 2018. A gastroenterologist performed all PEG procedures using the pull technique, and all patients were followed up for >3 weeks postoperatively. The BMI and lymphocyte count, along with the levels of hemoglobin, total protein, albumin, total cholesterol, BUN, and creatinine pre-PEG and between 3 weeks and 6 months post-PEG were evaluated.
Results: Overall, 151 patients (116 males; mean age 64.92 years) were evaluated. Of these patients, 112 (74.2%), 34 (22.5%), and five (3.3%) underwent PEG tube insertion because of neurological diseases, malignancy, and other conditions, respectively. The BMI and the hemoglobin, total protein, albumin, and total cholesterol levels were significantly higher post-PEG than pre-PEG.
Conclusions: These findings highlight the usefulness of PEG in the management of nutritionally poor patients with difficulties in feeding orally.
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KEYWORD
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Gastrostomy, Endoscopy, Enteral nutrition, Nutritional status
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