Skip to main content
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1991 Apr;67(786):371–373. doi: 10.1136/pgmj.67.786.371

Percutaneous endoscopic gastrostomy in elderly patients.

P Finucane 1, S M Aslan 1, D Duncan 1
PMCID: PMC2398827  PMID: 1906170

Abstract

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.

Full text

PDF
373

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Apelgren K. N., Zambos J. Is percutaneous better than open gastrostomy? A clinical study in one surgical department. Am Surg. 1989 Sep;55(9):596–600. [PubMed] [Google Scholar]
  2. Bianchi Porro G., Lazzaroni M., Petrillo M. Gastroscopy in elderly patients. Curr Med Res Opin. 1982;7(Suppl 1):96–103. [PubMed] [Google Scholar]
  3. Gauderer M. W., Ponsky J. L., Izant R. J., Jr Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980 Dec;15(6):872–875. doi: 10.1016/s0022-3468(80)80296-x. [DOI] [PubMed] [Google Scholar]
  4. Larson D. E., Burton D. D., Schroeder K. W., DiMagno E. P. Percutaneous endoscopic gastrostomy. Indications, success, complications, and mortality in 314 consecutive patients. Gastroenterology. 1987 Jul;93(1):48–52. [PubMed] [Google Scholar]
  5. Mamel J. J. Percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1989 Jul;84(7):703–710. [PubMed] [Google Scholar]
  6. Miller R. E., Castlemain B., Lacqua F. J., Kotler D. P. Percutaneous endoscopic gastrostomy. Results in 316 patients and review of literature. Surg Endosc. 1989;3(4):186–190. doi: 10.1007/BF02171543. [DOI] [PubMed] [Google Scholar]
  7. Ponsky J. L., Gauderer M. W. Percutaneous endoscopic gastrostomy: indications, limitations, techniques, and results. World J Surg. 1989 Mar-Apr;13(2):165–170. doi: 10.1007/BF01658394. [DOI] [PubMed] [Google Scholar]
  8. Ponsky J. L. PEG: no minor surgery. Gastrointest Endosc. 1986 Aug;32(4):300–301. doi: 10.1016/s0016-5107(86)71855-5. [DOI] [PubMed] [Google Scholar]
  9. Sangster W., Cuddington G. D., Bachulis B. L. Percutaneous endoscopic gastrostomy. Am J Surg. 1988 May;155(5):677–679. doi: 10.1016/s0002-9610(88)80142-9. [DOI] [PubMed] [Google Scholar]
  10. Thatcher B. S., Ferguson D. R., Paradis K. Percutaneous endoscopic gastrostomy: a preferred method of feeding tube gastrostomy. Am J Gastroenterol. 1984 Oct;79(10):748–750. [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES