Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients
Yıl: 2020 Cilt: 26 Sayı: 1 Sayfa Aralığı: 30 - 33 Metin Dili: İngilizce DOI: 10.4274/tnd.galenos.2019.06745 İndeks Tarihi: 02-05-2020
Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients
Öz: Objective: Nutritional support has significant clinical importance in patients with poor or no oral intake admitted to neurology intensive care units (NICU).Requirement for, administration methods, and benefits of active enteral feeding with feeding tubes remain a matter of dispute, particularly with respect topatients with impaired swallowing function following central nervous system involvement. In this study, we evaluated the patient characteristics and percutaneousendoscopic gastrostomy (PEG)-related problems in a group of patients in the NICU.Materials and Methods: Patients undergoing PEG and admitted to our NICU between May 2016 and March 2018 were retrospectively examined. Age, sex,duration of NICU stay, need for mechanical ventilation, occurrence of pneumonia, and PEG-related complications were recorded.Results: A total of 789 patients admitted to the NICU were screened. PEG use was identified among 41 (5.2%) of these patients, of whom 23 (56.1%) werefemale, with a mean age of 73.66±17.67 (range: 32-94) years. Twenty-nine (70.7%) of these patients with PEG use were diagnosed as having an ischemicetiology, and 7 (17.1%) had hemorrhagic cerebrovascular disease. The mean duration of NICU stay was 48.8±30.6 (range: 13-150) days. On average, PEG wasused 29.12±7.97 (range: 13-42) days after admission. Twelve patients (29.3%) received mechanical ventilation, and 8 (19.5%) required a tracheostomy due toprolonged mechanical ventilator support. Prior to PEG, 25 (61.4%) patients had a diagnosis of pneumonia, and 15 (36.6%) patients developed pneumonia afterPEG. PEG-associated nutritional intolerance developed in five (12.2%) patients.Conclusion: In agreement with the published literature, PEG-related complications were low in frequency and there were no cases of PEG-related mortality.In neurologic conditions associated with chronic and severe sequela requiring long-term nutritional support, PEG may be preferred on the basis of its ability toprovide safe and physiologic nutrition, ease of use, and a low rate of complications.
Anahtar Kelime: Konular:
Nöroloji Yoğun Bakım Hastalarımızda Perkütan Endoskopik Gastrostomi Uygulama Deneyimlerimiz
Öz: Amaç: Beslenme desteği, oral alımı olmayan ya da yetersiz olan nöroloji yoğun bakım ünitesi (NYBÜ) hastalarında oldukça önemlidir. Santral sinir sistemi etkilenimi sonrasında yutma fonksiyonu bozulan hastalarda beslenme tüpleri yardımı ile aktif enteral beslenme uygulamalarının gerekliliği, nasıl uygulanacağı ve uygulanacak işlemin kazanımları hala tartışmalıdır. Bu çalışmada nörolojik yoğun bakım olgularında perkütan endoskopik gastrostomi (PEG) uyguladığımız hastaların özellikleri ve PEG ile ilişkili sorunları inceledik. Gereç ve Yöntem: Mayıs 2016-Mart 2018 tarihleri arasında hastanemiz NYBÜ’de yatan ve PEG uygulanımı gerçekleştirilen hastalar retrospektif olarak incelendi. Cinsiyet, yaş, yoğun bakımda kalış süresi, mekanik ventilatör desteği, pnömoni gelişimi ve PEG ile ilişkili olabilecek komplikasyonlar kaydedildi. Bulgular: NYBÜ’de takip edilen 789 hastanın dosyası incelendi. Yirmi üçü (%56,1) kadın ve 18’i (%43,9) erkek, yaş ortalaması 73,66±17,67 (32-94) olan 41 (%5,2) hastaya PEG takıldığı saptandı. PEG takılan hastaların 29’u (%70,7) iskemik, yedisi (%17,1) hemorajik serebrovasküler hastalık tanısı almıştı. Hastaların yoğun bakımda yatış süresi 48,8±30,6 (13-150) gün idi. PEG yatıştan itibaren ortama 29,12±7,97 (13-42) gün sonra takıldı. Hastaların 12’si (%29,3) mekanik ventilatör desteğinde izlenirken; sekiz hastaya (%19,5) uzamış mekanik ventilatör desteği nedeniyle trakeostomi açıldı. PEG işlemi öncesinde 25 (%61,4) hastada pnömoni saptanırken, işlem sonrasında 15 (%36,6) hastada pnömoni geliştiği saptandı. Beş (%12,2) olguda PEG ile ilişkili beslenme intoleransı gelişti. Sonuç: Çalışmamızda PEG uygulanmasına bağlı komplikasyonlar literatür ile uyumlu olarak düşük bulundu ve PEG ile ilişkili mortalite gözlenmedi. Kronik ve ağır sekellere yol açan nörolojik hastalıklarda; uzun süreli nütrisyonel destek gerektiğinden PEG uygulamasının güvenli ve fizyolojik beslenmenin sağlanması, uygulanım kolaylığı ve düşük komplikasyon oranları nedeniyle tercih edilmesi gereken bir yöntem olduğu kanısındayız.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Öcek L, Öcek Ö, DAMBURACI N (2020). Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. , 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| Chicago | Öcek Levent,Öcek Özge,DAMBURACI Nurullah Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. (2020): 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| MLA | Öcek Levent,Öcek Özge,DAMBURACI Nurullah Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. , 2020, ss.30 - 33. 10.4274/tnd.galenos.2019.06745 |
| AMA | Öcek L,Öcek Ö,DAMBURACI N Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. . 2020; 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| Vancouver | Öcek L,Öcek Ö,DAMBURACI N Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. . 2020; 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| IEEE | Öcek L,Öcek Ö,DAMBURACI N "Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients." , ss.30 - 33, 2020. 10.4274/tnd.galenos.2019.06745 |
| ISNAD | Öcek, Levent vd. "Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients". (2020), 30-33. https://doi.org/10.4274/tnd.galenos.2019.06745 |
| APA | Öcek L, Öcek Ö, DAMBURACI N (2020). Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. Türk Nöroloji Dergisi, 26(1), 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| Chicago | Öcek Levent,Öcek Özge,DAMBURACI Nurullah Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. Türk Nöroloji Dergisi 26, no.1 (2020): 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| MLA | Öcek Levent,Öcek Özge,DAMBURACI Nurullah Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. Türk Nöroloji Dergisi, vol.26, no.1, 2020, ss.30 - 33. 10.4274/tnd.galenos.2019.06745 |
| AMA | Öcek L,Öcek Ö,DAMBURACI N Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. Türk Nöroloji Dergisi. 2020; 26(1): 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| Vancouver | Öcek L,Öcek Ö,DAMBURACI N Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients. Türk Nöroloji Dergisi. 2020; 26(1): 30 - 33. 10.4274/tnd.galenos.2019.06745 |
| IEEE | Öcek L,Öcek Ö,DAMBURACI N "Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients." Türk Nöroloji Dergisi, 26, ss.30 - 33, 2020. 10.4274/tnd.galenos.2019.06745 |
| ISNAD | Öcek, Levent vd. "Experiences of Percutaneous Endoscopic Gastrostomy in our Neurology Intensive Care Unit Patients". Türk Nöroloji Dergisi 26/1 (2020), 30-33. https://doi.org/10.4274/tnd.galenos.2019.06745 |
