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Clinical Outcomes of Percutaneous Endoscopic Gastrostomy in the Surgical Intensive Care Unit

Clinical Endoscopy 2020년 53권 6호 p.705 ~ 712
피규영, 나희경, 홍석경, 안지용, 이정훈, 정기욱, 김도훈, 최기돈, 송호준, 이진혁, 정훈용,
소속 상세정보
피규영 ( Pih Gyu-Young ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
나희경 ( Na Hee-Kyong ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
홍석경 ( Hong Suk-Kyung ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery
안지용 ( Ahn Ji-Yong ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
이정훈 ( Lee Jeong-Hoon ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
정기욱 ( Jung Kee-Wook ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
김도훈 ( Kim Do-Hoon ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
최기돈 ( Choi Kee-Don ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
송호준 ( Song Ho-June ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
이진혁 ( Lee Gin-Hyug ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
정훈용 ( Jung Hwoon-Yong ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology

Abstract


Background/Aims: Percutaneous endoscopic gastrostomy (PEG) is usually performed on patients with chronic underlying diseases in the general ward (GW). This study evaluated the clinical outcomes of PEG performed on patients in the surgical intensive care unit (SICU) compared with those of PEG performed in the GW.

Methods: The medical records of 27 patients in the SICU and 263 in the GW, who underwent PEG between January 2013 and July 2017, were retrospectively reviewed.

Results: The median age of the 27 SICU patients was 66 years, and their median body mass index was 21.1 kg/m2. In the SICU group, the median baseline Sequential Organ Failure Assessment (SOFA) score was 4, and the median Acute Physiology and Chronic Health Evaluation II (APACHE II) score was 16. The median interval between surgery and PEG in SICU patients was 30 days, with a PEG failure rate of 3.7%. Acute complications in SICU patients included bleeding (7.4%) and ileus (11.1%), while chronic complications included aspiration pneumonia (7.4%) and tube obstruction (3.7%). The rates of acute and chronic complications did not differ significantly between the SICU and GW groups. The 30-day mortality rate was 14.8% in SICU patients and 5.3% in GW patients (p=0.073).

Conclusions: PEG is a safe and feasible method of enteral feeding for critically ill patients who require ICU care after surgery.

키워드

Endoscopy; Gastrostomy; Intensive care unit

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