Percutaneous endoscopic gastrostomy in elderly patients

Percutaneous endoscopic gastrostomy (PEG) was performed on 28 elderly patients (mean age 82 years) who were dysphagic and intolerant of naso-gastric feeding. Twenty-six patients were recovering from a stroke; the interval between the onset of stroke and PEG averaged 63 days. The procedure was succes...

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Bibliographic Details
Published in:Postgraduate medical journal 1991-04, Vol.67 (786), p.371-373
Main Authors: Finucane, P., Aslan, S. M., Duncan, D.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cerebrovascular Disorders - complications
Deglutition Disorders - etiology
Deglutition Disorders - therapy
Enteral Nutrition - methods
Female
Gastroscopy
Gastrostomy - methods
Humans
Intensive care medicine
Male
Medical sciences
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Summary:Percutaneous endoscopic gastrostomy (PEG) was performed on 28 elderly patients (mean age 82 years) who were dysphagic and intolerant of naso-gastric feeding. Twenty-six patients were recovering from a stroke; the interval between the onset of stroke and PEG averaged 63 days. The procedure was successful and well tolerated by all patients. Nineteen (68%) still had a functioning PEG a median of 14 weeks after placement. One patient whose swallowing recovered had the tube removed 6 months after its insertion. Seven patients (25%) subsequently died from their underlying disease, a mean of 92 days following PEG. There was one procedure-related death from peritonitis. PEG is a useful alternative to surgical gastrostomy in selected elderly patients with dysphagia who are intolerant of naso-gastric feeding.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.67.786.371