| The Improvement of Nutritional Support with Percutaneous Endoscopic Gastrostomy |
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Yoon Jong Seo, Jae Myung Cha, Joung Il Lee, Kwang Ro Joo, Hyun Phil Shin, Jae Jun Park, Jung Won Jeon, Jun Uk Lim, Seung Jung Jun, Soo Young Moon, Soo Young Moon, Mi Ran Cho, Jung Sook Lee |
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Department of Internal Medicine and Nutritional Support Team, Kyung Hee University Hospital at Gang Dong, Kyung Hee University School of Medicine, Seoul, Korea
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| 경피적 내시경위루술을 통한 영양 공급 개선 효과 |
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서윤종, 차재명, 이정일, 주광로, 신현필, 박재준, 전정원, 임준욱, 전승정, 문수영, 이치훈, 조미란, 이정숙 |
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| Abstract |
Background/Aims
Percutaneous endoscopic gastrostomy (PEG) is the most common method of enteral nutrition for patients who require long term artificial nutrition. PEG has been used as a method of nutritional support; however, improvement of nutritional support via PEG has not yet been reported. In this study, we analyzed the efficacy of nutritional support via PEG. Methods: We conducted a retrospective analysis of 196 consecutive patients who underwent PEG at Kyung Hee University Hospital in Gang Dong from 2006 to 2012. We analyzed clinical characteristics, the method of nutritional support, and the proportion of intake to establish recommendations for nutritional requirements and the duration needed to reach the level of appropriate nutrition. Results: A total of 196 patients included 130 men and 66 women, and their mean age (standard deviation) was 69.1±14.0 years. Compared with caloric and protein supplementation before PEG, 113 kcal (13.8% of baseline) and 4.8 g of protein (17.5% of baseline) could be additionally supplied with PEG (P=0.001, respectively). The number of patients who could take more than 90% of the recommended requirements of caloric and protein supplementation after PEG showed increased caloric and protein intake by 25.4% and 20.2%, respectively, in comparison with those before PEG (P=0.001 and P=0.001, respectively). The mean duration of catch-up for more than 90% of the recommended caloric and protein intake was approximately 11 days. Procedure related complications and early mortality were reported in 8.1% and 0% of patients, respectively. Conclusions: PEG is an effective and safe nutritional support method for patients who require long term artificial nutrition. (Intest Res 2013;11:120-126) |
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