Utility of Percutaneous Endoscopic Gastrostomy for Nutritional Supportin Patients with Oropharyngeal Dysphagia

Abstract

Background & Objectives: Maintenance of nutrition status of a patient is of paramount importance toclinicians treating medical or surgical diseases. Enteral nutrition is preferred over parental nutrition inpatients who are unable to swallow. Percutaneous endoscopic gastrostomy (PEG) is the preferred routeof nutritional support in patients with a functional gastrointestinal system who require long-term enteralnutrition and are unable to maintain oral intake. PEG offers superior access to the gastrointestinal systemover surgical methods.We aim to see utility of percutaneous endoscopic gastrostomy (PEG) for nutritional support in patientswith oropharyngeal dysphagia secondary to neurological deficits and its effect on the quality of life of thesepatients.Methodology: we studied retrospectively 25 patients with neurological oropharyngeal dysphagia in last 2years needing PEG insertion. We reviewed data of the patients for 3 months post insertion of PEG. Studywas based on body weight, haemoglobin and serum albumin level prior to and after PEG. All complicationsincluding sepsis, perforation, hemorrhage and death were recorded.Results: Our study showed significant improvement in levels of hemoglobin, albumin and weight gain afterPercutaneous endoscopic gastrostomy. There were no major complication.Conclusion: Percutaneous EndoscopicGastrostomy is an easy procedure that can be done bedside withoutcomplications in patients with neurological deficit. It improves nutritional status of the patient and alsoprevents aspiration pneumonia in patients with good gastric motility.