Giris ve Amaç: Bu çalismada, perkütan endoskopik gastrostomi uygulamalarimizin endikasyonlarini ve komplikasyonlarini degerlendirmeyi amaçladik. Gereç ve Yöntem: Ocak 2006- 2009 tarihleri arasinda Izmir Atatürk Egitim ve Arastirma Hastanesi Gastroenteroloji Klinigi endoskopi laboratuvarinda, perkütan endoskopik gastrostomi tüpü takilan 112 hastanin klinik verileri retrospektif olarak analiz edildi. Hastalarin tamami hastanemizde yatarak takip ve tedavi edilen hastalardi. Bulgular: Yüzoniki hastanin 15?i (%13,4) larenjektomi sonrasi üst özefagus darligina, 97?si (%86,6) primer ya da sekonder kalici nörolojik sorunlara bagli nedenlerle enteral beslenme gereken hastalardi. Altmis?i (%53,5) erkek, 52?si (%46,5) kadin hasta idi. Ortalama islem süresi 13,2±2.5 dk idi. Isleme bagli mortalite ve majör komplikasyon görülmedi. Bes (%4.4) hastada geçici yara yeri enfeksiyonu gelisti ve oral antibiyotik ile 7 günde geriledi. Sonuç: Perkütan endoskopik gastroenterostomi, kolay uygulanan, etkin, güvenli ve beslenme için kullanislidir; uzun dönem beslenme destegi saglamasi, düsük komplikasyon orani ve sifir mortaliteli endoskopik teknigi nedeni ile avantajli oldugunu söyleyebiliriz.
Background and Aims: We aimed to evaluate the indications and complications of percutaneous endoscopic gastrostomy applications. Materials and Methods: We retrospectively analyzed the clinical data of 112 patients who received PEG from 2006 to 2009 in the Izmir Training and Research Hospital, Clinics of Gastroenterology endoscopy laboratory. All patients were followed and treated during hospitalization. Results: Totally 112 patients needed enteral feedings (15 (13.4%) for upper esophageal narrowness after laryngectomy, 97 (86.6%) for primary or secondary permanent neurologic problems). Sixty (53.5%) patients were male and 52 (46.5%) were female. Tubes were successfully placed in 112 patients (100%) in an average time of 13.2±2.5 min. No procedure-related major complications were observed. No post-procedure major complications were found and minor complications occurred in 5 patients (4.4%). These infections recovered with oral antibiotherapy in 7 days. Conclusions: PEGs are easy to handle, effective, safe, and convenient for nursing. From our experience, we can confirm the advantages of PEG as a long-term nutritional support showing a low incidence of complications; the endoscopic technique demonstrated zero mortality.