Morbidity and Mortality of Percutaneous Endoscopic Gastrostomies Performed Over A 9-Year Period. Experience of the Pasteur Hospital Endoscopic Center

Abstract

Enteral nutrition is the first method to be considered in patients with nutritional risk and disorders that preclude the oral route. Endoscopic gastrostomy is a fast and safe procedure with a low rate of complications. The aim of this study was to determine the morbidity and mortality of PEG performed at the Endoscopic Center of the Pasteur Hospital from January 1, 2013 to December 31, 2021.  The total number of gastrostomies performed was 241. The most frequent indications were neoplastic and neurological. The frequency of complications observed was 17 %, similar to what is described in the literature (0.4% to 22.5%). The most frequently observed complication was accidental exit (8.9 %), of which the majority managed to recover the trajectory. Among the most important complications were buried dumping syndrome or incarceration (1.6 %) and hemorrhage (1.2 %). Infections accounted for 2.4%. One patient presented implantation of laryngeal neoplasm in the abdominal wall, a rare but described complication. Six patients died within the first 30 days, which is equivalent to 2.4 %, less than that described in the literature. Of these, 4 were due to causes associated with their underlying pathology.