Gut Liver.
2024 Jan;18(1):77-84. 10.5009/gnl230174.
A Multicenter Survey of Percutaneous Endoscopic Gastrostomy in 2019 at Korean Medical Institutions
- Park JW
1 - Kim TG1
- Cho KB2
- Kim JS2
- Cho JW3
- Jeon JW4
- Lim SG5
- Kim CG6
- Park HJ7
- Kim TJ8
- Kim ES9
- Jeong SJ10
- Kwon YH1,11
- The Research for Multidisciplinary Therapeutic Endoscopy group of Korean Society of Gastrointestinal Endoscopy
- Affiliations
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- 1Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea
- 2Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
- 3Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
- 4Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea
- 5Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea
- 6Center for Gastric Cancer, National Cancer Center, Goyang, Korea
- 7Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
- 8Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 9Department of Gastroenterology, Korea University College of Medicine, Seoul, Korea
- 10Department of Pediatric Gastroenterology, CHA Bundang Medical Center, CHA University, Seongnam, Korea
- 11Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
- KMID: 2551037
- DOI: http://doi.org/10.5009/gnl230174
Abstract
- Background/Aims
This study aimed to review the indications, methods, cooperation, complications, and outcomes of percutaneous endoscopic gastrostomy (PEG).
Methods
Questionnaires were sent to 200 hospitals, of which 62 returned their questionnaires, with a response rate of approximately 30%. Descriptive statistics were calculated to analyze the responses to the questionnaires.
Results
In 2019, a total of 1,052 PEGs were performed in 1,017 patients at 62 hospitals. The main group who underwent PEG was older adult patients with brain disease, particularly stroke. Nutritional supply was an important purpose of the PEG procedure. “The pull method” was the most commonly used for initial PEG insertion. The complications related to PEG were mostly mild, with leakage being the most common. Patients who underwent PEG procedures were primarily educated regarding the post-procedure management and complications related to PEG. Preoperative meetings were skipped at >50% of the institutions. Regarding the cooperation between the nutrition support team (NST) and the physician performing PEG, few endoscopists answered that they cooperated with NST before and after PEG. Moreover, the rate of NST certification obtained by physicians performing PEG and the frequency of attendance at NST-related conferences were relatively low.
Conclusions
This study shows a similar trend to that found in the previous PEG guidelines. However, it covers new aspects, including team-based work for PEG procedure, nutrition support, and education for patients and guardians. Therefore, each medical institution needs to select an appropriate method considering the medical environment and doctor’s abilities.
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