What are the Most Frequent Complications of a Peg Procedure in Daily Practice? a Retrospective Analysis in a Tertiary Center

Aims The aim of this study was to assess the most frequent complication of the PEG procedure and device-related complication and also to analyze the management framework of the patients undergoing this maneuver.

Methods We retrospectively analyzed patients that have been selected for PEG insertion in the Gastroenterology department in Timisoara for a period of four years. The procedure and device-related adverse events were analyzed from the medical records among with the mean procedural time, mean Propofol dose used and mean hospitalization days.

Results We have evaluated 128 patients with PEG insertion during 2016-2019. The mean age was 66.3±9.7 years, 26.6 % female and 73.4 % male, from which 85 % of them were de novo insertions. The prevailing indication (86 %) was Parkinson Disease and 5.5 % for alimentation purpose. The mean procedural time was 15.3±3 minutes with a mean propofol dose of 65±21.1 mg. Overall the patients for PEG insertion had an average hospitalization of 8.4±5 days. We had minor complicatios: 7 % (9/128) local pain and minor local bleeding 1.6 % (2/128). Major complications: 3, 1 % (4/128) buried bumper syndrome, 3.1 % developed pneumoperitoneum- out of which 1 patient died and one was referred to surgery 0.8 %. There is no correlation between the procedural time and dose of Propofol r=0.3612, p=0.0002, CI 95 % (0.179-0.591).

Conclusions PEG is a safe and fast procedure in a tertiary center, still the hospitalization days is to long for a minim-invasive procedure. According to our results, there was no correlation between the time of the procedure and the amount of Propofol used.

Citation: Moga T, Ratiu I, Foncea C etal. eP282 WHAT ARE THE MOST FREQUENT COMPLICATIONS OF A PEG PROCEDURE IN DAILY PRACTICE? A RETROSPECTIVE ANALYSIS IN A TERTIARY CENTER. Endoscopy 2021; 53: S190.

Publication History

Article published online:
19 March 2021