Özet:

Introduction and Aim: Percutaneous endoscopic gastrostomy (PEG) is a low-risk, inexpensive, accessible and technically easier enteral procedure that can be performed in endoscopy units or at the bedside, in which intravenous or local agents can be used for sedation. In our study, we aimed to evaluate the indications, complications and outcomes of the patients who underwent PEG in our clinic. Materials and Methods: Patients who underwent percutaneous endoscopic gastrostomy (PEG) procedure between January 2015 and March 2021 in the general surgery endoscopy unit of a tertiary healthcare centre were included in the study. The clinical data of the cases, complications due to PEG, and mortality were investigated. Results: Of 260 patients with PEG, 158 (60.7%) were male and 102 (39.3%) were female. The mean age of the patients was 65.23 years (range 18-92 years). The clinic that requested PEG most frequently was the anesthesia and reanimation intensive care clinic (n=146; 56.1%). The most common indication for PEG was oral intake disorder due to cerebrovascular disease (n=194, 74.6%). Complications (6 early and 10 late) developed in 16 (6.1%) patients after PEG application. The most common early complication was peristomal infection (n=4, 1.5%). The most common late complication (n=7; 2.7%) was PEG catheter occlusion. While no mortality was observed in any patient due to PEG application, mortality secondary to primary disease was observed in 62 (23.8%) patients in the first 30 days. Discussion and Conclusion: Percutaneous endoscopic gastrostomy is a fast, safe and cost-effective method that does not require general anesthesia and can be performed by an experienced team in patients who require enteral nutrition.

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