Özet:

AIM Percutaneous endoscopic gastrostomy (PEG) is the preferred route in patients with active gastrointestinal tract who require long-term enteral nutrition. Since it is a surgical intervention, it can cause complications in both acute and chronic periods. In this study, we aimed to present our experience and the data we obtained from PEG procedures performed in our clinic. MATERIALS AND METHODS 386 patients who underwent PEG between January 1, 2008 and December 31, 2020 in the Endoscopy Unit of the Health Sciences University Konya City Hospital were examined. Patient information was recorded after the procedure. Complications related to PEG in the first 1-month period and 6-month mortality were evaluated. RESULTS Wound infection at the catheter exit site in 26 (6.7%) patients, skin and lacquer bleeding in 2 (0.5%), leakage around the catheter in 7 (1.8%), 18 (4%) patients , 6% had protrusion, and 6 (1.5%) had occlusion. No mortality was observed directly related to the PEG procedure, during the procedure and in the recent period. 47 (12%) patients died within the first week, 113 (29%) patients died within the first 1 month, and 192 (49%) patients died within 6 months. In patients with more than two systemic diseases, the 1-month mortality rate was 44%. RESULTS In order to reduce the complication rates, effective control of infection and asepsis recommendations are important in patients undergoing PEG. In addition, tube detection should be done carefully and patient relatives should be informed in detail.

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