경피적 내시경하 위루술의 영양학적 영향: 후향적 단일 센터 연구

• Published in: The Korean journal of gastroenterology Vol. 79; no. 1; pp. 12 - 21
• Main Authors: 정상옥, Sang Ok Jung, 문희석, Hee Seok Moon, 김태형, Tae Hyung Kim, 박재호, Jae Ho Park, 김주석, Ju Seok Kim, 강선형, Sun Hyung Kang, 성재규, Jae Kyu Sung, 정현용, Hyun Yong Jeong
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 31-01-2022
• Subjects: Endoscopy; Enteral nutrition; Gastrostomy; Nutritional status
• ISSN: 1598-9992

Background/Aims: Several conditions may cause difficulties with oral feeding. Percutaneous endoscopic gastrostomy (PEG) is commonly performed on patients who require enteral feeding for >2-3 weeks. This study examined the nutritional state of patients who required enteral feeding and underwent PEG to quantify the benefits of the procedure.
Methods: This retrospective study included patients who underwent PEG at the Chungnam National University Hospital between January 2013 and December 2018. A gastroenterologist performed all PEG procedures using the pull technique, and all patients were followed up for >3 weeks postoperatively. The BMI and lymphocyte count, along with the levels of hemoglobin, total protein, albumin, total cholesterol, BUN, and creatinine pre-PEG and between 3 weeks and 6 months post-PEG were evaluated.
Results: Overall, 151 patients (116 males; mean age 64.92 years) were evaluated. Of these patients, 112 (74.2%), 34 (22.5%), and five (3.3%) underwent PEG tube insertion because of neurological diseases, malignancy, and other conditions, respectively. The BMI and the hemoglobin, total protein, albumin, and total cholesterol levels were significantly higher post-PEG than pre-PEG.
Conclusions: These findings highlight the usefulness of PEG in the management of nutritionally poor patients with difficulties in feeding orally. (Korean J Gastroenterol 2022;79:12-21)