Clinical audit
Day-case percutaneous endoscopic gastrostomy: a viable
proposition?
A Mandala, A Steela, A R Davidsona, C Ashbyb
a Kettering General
Hospital NHS Trust, Kettering, Northamptonshire NN16 8UZ, UK
Directorate of Medicine, b Clinical
Effectiveness Unit
Correspondence to: C Ashby, Clinical Effectiveness Team, Rockingham Forest NHS Trust, 1st floor, Thorpe House, Kettering General Hospital NHS Trust, Rothwell Road, Kettering, Northamptonshire NN16 8UZ, UK
Submitted 21 April
1999;
Accepted 13 August 1999
The aim of our study was to evaluate the success rate,
complications, and long term outcomes following day-case percutaneous endoscopic gastrostomy (PEG). This retrospective study was carried out
in a 650-bed District General hospital in Northamptonshire, UK.
Thirty-six patients, aged 28-90 years, were included in the study, 21 males (58%) and 15 females (42%). Indications for PEG insertion
included head and neck cancer, dysphagia as a result of primary
disease, and AIDS-related malnutrition. Data were collected from the
medical and dietetic records. The PEG procedure was successful in 33 patients (92%). In 32 cases (97%) the patient was discharged home.
Twenty five of the patients (76%) suffered no complications whilst
seven (21%) suffered complications within a month of the procedure. No
patient required further surgical intervention. Five patients (15%)
died of their primary disease within a month of the procedure. Patients
had had their PEG tubes in situ for up to
2.5 years at the end of data collection. We conclude that PEG can be
performed as a day-case procedure in stable patients with no increase
in complication rate, morbidity, or mortality.
Keywords: percutaneous endoscopic gastrostomy; audit
© 2000 by The Fellowship of Postgraduate Medicine
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