Yıl: 2016 Cilt: 38 Sayı: 1 Sayfa Aralığı: 35 - 39 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The importance of catheter insertion point during percutaneous endoscopic gastrostomy

Öz:
Amaç: Perkütan endoskopik gastrostomi (PEG) sırasında komplikasyonları minimize etmek esastır. Kateterizasyon noktası ile PEG'in minör komplikasyonlar arasındaki ilişki çok önemlidir. Bu çalışmamızda cerrahi endoskopi ünitemizde uygulanan PEG sonuçlarının değerlendirilmesini amaçladık. Yöntem: Yenikent devlet hastanesi endoskopi ünitesinde 2008- 2011 yılları arasında 76 hastaya PEG girişiminde bulunuldu. PEG uygulanan hasta sonuçları retrospektif olarak değerlendirildi. Kateter yerleştirme alanına gore hastalar iki gruba ayrıldı. Sonuçlar istatistiksel değerlendirilmesi SPSS, Windows 21.0 ile gerçekleştirildi ve p<0.05 istatistiksel olarak anlamlı kabul edildi. Bulgular: Hastaların 48 (63%) erkek, 28 (37%) kadın ve yaş ortalaması 57.74 idi. Majör komplikasyon gözlenmedi. Minor komplikasyonlar birinci grupta 3(%7.89), ikinci grupta 10(%26,31) ve tüm hastaların 13(%17.10) 'ünde meydana geldi. Istatis tiksel olarak iki grup arasında anlamlı fark bulunmuştur(p <0.05). Sonuç: PEG güvenli, etkili ve hızlı bir yöntemdir. Minor komplikasyonlar özellikle kateterizas yonun yanlış noktada yapılmış hastalarda meydana gelmektedir. Kataterizasyon sol arkus castalis ile umblikus arasındaki doğrunun ¾ veya 2/3 lük alanda yapılır ise mimör komplikasyonları azaltır.
Anahtar Kelime:

Konular: Cerrahi

Perkütan endoskopik gastrostomi sırasında kateterizasyon noktasının önemi

Öz:
Objective: it is essential to minimize complications during percutaneous endoscopic gastrostomy(PEG). The relationship between catheter insertion point and minor complications of percutaneous endoscopic gastrostomy is very important. The aim of this study is to evaluate the PEG results in our surgical endoscopy unit. Method: This study included retrospective review of 76 patients who underwent percutaneous endoscopic gastrostomy in the endoscopy unit of Yenikent state hosp ital between 2008 and 2011. PEG catheter insertion point evaluated retrospectively. The patients were divided into two groups according to PEG catheter insertion point. The results were processed with SPSS® ver. 21.0 (Chicago IL) p<0.05 was accepted to be statistically significant. Results: There were 48 (63%) men and 28 (37%) women. The median age of the patients was 57.74 years. There was no major complication. Minor complications were occurred in 3 (%7.89) of patients from group I, 10(%26,31) of patients from group II and 13(%17.10) all patients. Statistically significant differences were found between in group I and group II (p<0.005). Conclusions: PEG is a very efficient, safe and fast method. Minor complications are occurred mainly among patients with inappropriate PEG insertion point, which is a technique -related factor. If catheter insertion is made appropriate point where is two-thirds or three-quarters of the distance from the umbilicus to the midpoint of the left costal magrin , it is seem to reduction of minor complications.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Herman LL, Hoskins WJ, Shike M. Percutaneous Endoscopic Gas- trostomy for decompression of the stomach and small bowel. Gastro- intest Endosc 1992; 38: 314-28.
  • Ho C, Yee ACN, McPherson R. Complications of surgical and Per- cutaneous Gastrostomy: review of 233 1988; 95: 1206-10.
  • Aaron S. Fink. Chapter 3 Endos- copy. Michael J. Zinner, Editors. Abdomınal operatıons. Tenth edi- tion. London: Prentice Hall Inter- national Inc, 1997: 189-237.
  • Edward Lin. Chapter 1 the system- ic respose to ınjury.Schwartz, Edi- tors. Principles of Surgery. Sev- enth edition. Newyork: McGrav- hill International Inc, 2006: 3-51.
  • Carol EH, Scott-Conner. Percuta- neous Endoscopic Feeding Tube Placement. Newyork: Springer, 2008: 462-469.
  • Lozoya GD, Pelaes-luna M, et al. Percutaneous Endoscopic Gastros- tomy Complication Rates and Compliance With the American Society for Gastrointestinal En- doscopy Guidelines for the Man- agement of Antithrombotic Thera- py. JPEN J Parenter Enteral Nutr 2011 Aug 25. [Epub ahead of print]
  • Minar P, Garland J. Safety of Per- cutaneous Endoscopic Gastrosto- my in medically complicated in- fants. J Pediatr Gastroenterol Nutr 2011; 53: 293-5.
  • Fagundes RB, Cantarelli JC Jr, Fontana K, Motta GL. Percutane- ous endoscopic gastrostomy and peristomal infection: an avoidable complication with the use of a minimum skin incision. Surg Lap- arosc Endosc Percutan Tech 2011; 21: 275-7.
  • Ginzburg L, Greenwald D, Cohen J. Complication Endoscopy. Gas- trointest Endosc. Clin North Am 2007; 17: 405-32.
  • Tsai JK, Schattner M. Percutane- ous Endoscopic Gastrostomy site metastasis. Gastrointest Endosc. Clin North Am 2007; 17: 777-786.
  • Ahmad I, Mouncher A, Abdoolah A, et al. Antibiotic prophylaxis for Percutaneous Endoscopic Gastros- tomy: a prospective randomised, double-blint trial. Aliment. Phar- macol Ther 2003; 18: 209-15.
  • Jonas SK, Niemark S, Panwalker AP, Effect of antibiotic prophylax- is in Percutaneous Endoscopic Gastrostomy. Am J Gastroenterol. 1985; 80: 438-41.
  • Sturgis TM, Yancy W, Cole JC, et al. antibiotic prophylaxis in Percu- taneous Endoscopic Gastrostomy. Am J Gastroenterol 1996; 91: 2301-4.
APA POLAT F, YILDIZ E, BALİ İ, EMİR S, COŞKUNKAN U, ALKHATİB M (2016). The importance of catheter insertion point during percutaneous endoscopic gastrostomy. , 35 - 39.
Chicago POLAT Fatin R.,YILDIZ Ergün,BALİ İLHAN,EMİR Seyfi,COŞKUNKAN Ufuk,ALKHATİB Mouiad The importance of catheter insertion point during percutaneous endoscopic gastrostomy. (2016): 35 - 39.
MLA POLAT Fatin R.,YILDIZ Ergün,BALİ İLHAN,EMİR Seyfi,COŞKUNKAN Ufuk,ALKHATİB Mouiad The importance of catheter insertion point during percutaneous endoscopic gastrostomy. , 2016, ss.35 - 39.
AMA POLAT F,YILDIZ E,BALİ İ,EMİR S,COŞKUNKAN U,ALKHATİB M The importance of catheter insertion point during percutaneous endoscopic gastrostomy. . 2016; 35 - 39.
Vancouver POLAT F,YILDIZ E,BALİ İ,EMİR S,COŞKUNKAN U,ALKHATİB M The importance of catheter insertion point during percutaneous endoscopic gastrostomy. . 2016; 35 - 39.
IEEE POLAT F,YILDIZ E,BALİ İ,EMİR S,COŞKUNKAN U,ALKHATİB M "The importance of catheter insertion point during percutaneous endoscopic gastrostomy." , ss.35 - 39, 2016.
ISNAD POLAT, Fatin R. vd. "The importance of catheter insertion point during percutaneous endoscopic gastrostomy". (2016), 35-39.
APA POLAT F, YILDIZ E, BALİ İ, EMİR S, COŞKUNKAN U, ALKHATİB M (2016). The importance of catheter insertion point during percutaneous endoscopic gastrostomy. Cumhuriyet Tıp Dergisi (ELEKTRONİK), 38(1), 35 - 39.
Chicago POLAT Fatin R.,YILDIZ Ergün,BALİ İLHAN,EMİR Seyfi,COŞKUNKAN Ufuk,ALKHATİB Mouiad The importance of catheter insertion point during percutaneous endoscopic gastrostomy. Cumhuriyet Tıp Dergisi (ELEKTRONİK) 38, no.1 (2016): 35 - 39.
MLA POLAT Fatin R.,YILDIZ Ergün,BALİ İLHAN,EMİR Seyfi,COŞKUNKAN Ufuk,ALKHATİB Mouiad The importance of catheter insertion point during percutaneous endoscopic gastrostomy. Cumhuriyet Tıp Dergisi (ELEKTRONİK), vol.38, no.1, 2016, ss.35 - 39.
AMA POLAT F,YILDIZ E,BALİ İ,EMİR S,COŞKUNKAN U,ALKHATİB M The importance of catheter insertion point during percutaneous endoscopic gastrostomy. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2016; 38(1): 35 - 39.
Vancouver POLAT F,YILDIZ E,BALİ İ,EMİR S,COŞKUNKAN U,ALKHATİB M The importance of catheter insertion point during percutaneous endoscopic gastrostomy. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2016; 38(1): 35 - 39.
IEEE POLAT F,YILDIZ E,BALİ İ,EMİR S,COŞKUNKAN U,ALKHATİB M "The importance of catheter insertion point during percutaneous endoscopic gastrostomy." Cumhuriyet Tıp Dergisi (ELEKTRONİK), 38, ss.35 - 39, 2016.
ISNAD POLAT, Fatin R. vd. "The importance of catheter insertion point during percutaneous endoscopic gastrostomy". Cumhuriyet Tıp Dergisi (ELEKTRONİK) 38/1 (2016), 35-39.