| Analysis of Risk Factors for Early Tube Exchange in Percutaneous Endoscopic Gastrostomy |
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Ik Hyun Jo, Hyung Hun Kim, Myung Gyu Choi, Min Woo Seo, Yun Duk Jung, Jae Ho Byeon, Young Seung Oh, So Ra Lee |
1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. drhhkim@gmail.com
2Department of Internal Medicine, College of Nursing, The Catholic University of Korea, Seoul, Korea. |
| 경피 내시경하 위루술 후 도관 조기 교체의 위험 인자 분석 |
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조익현, 김형훈, 최명규, 서민우, 정윤덕, 변재호, 오영승, 이소라1 |
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가톨릭대학교 의과대학 내과학교실, 가톨릭대학교 간호대학1 |
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| Abstract |
BACKGROUND/AIMS
Percutaneous endoscopic gastrostomy (PEG) is a widely-performed procedure for patients undergoing enteral feeding. Due to frequent complications, careful management after the PEG is required. In this study, we investigated the risk factors associated 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. All patients underwent a tube exchange or removal after the first PEG. Patients who had an exchange within 6 months were defined as 'early exchange' group and the others, as 'late exchange' group. We analyzed the relationship between early exchange and pre-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 was 20.2+/-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 frequently observed in 'early exchange' group. There was no significant difference in pre-PEG status and post-PEG complication between the 2 groups. CONCLUSIONS: A lower BMI was associated with early exchange of PEG. Health providers should pay attention to the nutritional status of PEG patients. |
| Key Words:
Gastrostomy; Surgical procedure, endoscopic; Complications; Body mass index |
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