Perfil epidemiológico, indicações e complicações de pacientes submetidos à gastrostomia endoscópica percutânea

Abstract

ABSTRACT: Objective: To describe the epidemiological profile of patients with percutaneous endoscopic gastrostomy (PEG), the indications, indicators and types of complications during and after the procedure. Method: Retrospective cohort study, performed through the collection of endoscopic data and patients’ electronic medical records seen in a tertiary hospital. Results: 172 patients were included, with a mean of 69.9 years (± 16.6), the majority were female (51.7%) and born in the city where the study was performed (56.7%). The main underlying disease was ischemic stroke (27.3%) followed by other cerebrovascular diseases, dementia and neoplasms. The mean time of nasoenteric tube (NET) previous use was 32.2 days (± 45), being 29.3% over 30 days. Antithrombotic drugs during hospitalization were used in 78.5% of the patients, with 45.9% of the PEG occurring during these medications. The intraoperative complication rate was 3.4% and regarding the postoperative period was 3.5%. Conclusions: The time of previous use of NET, greater than the recommended one, and especially the presence of antithrombotic medication during the procedure in a good part of the sample, stands out. Complication rates were low, similar to the literature.