Examination of Long-turn prognostic predictor after Percutaneous Endoscopic Gastrostomy (PEG)

• Published in: Jomyaku Keicho Eiyo Vol. 28; no. 4; pp. 981 - 986
• Main Authors: SUGANAMI, Yuki, AIZAWA, Satoshi, NISHIMURA, Michiaki, SATO, Noriko, YAMAGUCHI, Muneyuki, KANZAKI, Norio, YAMADA, Yumiko
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Parenteral and Enteral Nutrition 2013; 日本静脈経腸栄養学会
• Subjects: nutrition; Percutaneous Endoscopic Gastrostomy (PEG); swallowing; 摂食嚥下; 栄養; 経皮内視鏡的胃瘻造設術（PEG）
• ISSN: 1344-4980; 1881-3623
• DOI: 10.11244/jjspen.28.981

Aim: The primary aim of this study was to consider the suitable patients and time for percutaneous endoscopic gastrostomy (PEG) based on outcome predictors. Subjects and Methods: The subjects were 183 patients who had undergone PEG at our hospital between January 2004 and December 2010. PEG was performed by Ponsky’s Pull method. Results: The most frequent causes of death were pneumonia and respiratory disorder. Four factors (male sex, malignant tumor, serum cholinesterase activity, and ability to take food orally after PEG) were significant outcome predictors on multivariate analysis. Conclusions: Patients who were able to take even a little food orally after PEG were the best candidates for PEG, because patients who were unable to take food orally had a risk of subclinical aspiration and pneumonia. PEG should be performed early, before the patient’s nutritional condition deteriorates as indicated by serum cholinesterase activity.