Giris ve Amaç: Perkütan endoskopik gastrostomi, herhangi bir nedenle agiz yoluyla beslenemeyen gastrointestinal sistem fonksiyonlari saglam olan hastalarda uygulanan bir yöntemdir. Biz bu çalismada perkütan endoskopik gastrostomi tüpü taktigimiz hastalari retrospektif olarak inceleyerek perkütan endoskopik gastrostomi endikasyonlari, erken ve geç komplikasyonlari literatür esliginde irdelemeyi amaçladik. Gereç ve Yöntem: Erzurum Bölge Egitim ve Arastirma Hastanesi Genel Cerrahi Klinigi Endoskopi Ünitesinde Eylül 2008- Aralik 2014 tarihleri arasinda perkütan endoskopik gastrostomi tüpü takilan hastalar retrospektif olarak incelendi. Bulgular: Perkütan endoskopik gastrostomi tüpü 64 hastaya takildi, 4 hastaya ise takilamadi. En sik serebrovasküler hastaligi olan hastalara takildi. Hastalarin hastanede yattigi süre içerisinde 3 (%4,5) hastada kateter ile iliskili komplikasyon meydana gelmisti. 2 hastada pariostomal enfeksiyon ve bir hastada da perkütan endoskopik gastrostomi tüpü yerinden kanama olmustu. Uzun dönem takiplerinde ise poliklinige müracaat eden 5 (%7,5) hastadan 3’ünde perkütan endoskopik gastrostomi tüpü yerinden çikmisti. 2 hastada da tüp tikanmisti. Sonuç: Uzun dönem beslenmesi gerekli olan hastalarda parenteral beslenmenin komplikasyonlarindan kaçinmak için enteral beslenmenin tercih edilmesi gerekmektedir. Enteral beslenmede perkütan endoskopik gastrostominin morbidite ve mortalitesinin daha az olmasi, gerektiginde yatak basi yapilmasi, genel anestezi ihtiyaci olmamasi, daha ucuz ve pratik olmasi nedeniyle cerrahi gastrostomiye tercih edilmelidir.
Background and Aims: Percutaneous endoscopic gastrostomy is a method used for patients who cannot be fed orally for any reason, but who exhibit intact gastrointestinal function. In this retrospective study, we aimed to examine patients receiving percutaneous endoscopic gastrostomy, and discuss indications and early and late complications with reports in the literature. Materials and Method: We performed a retrospective analysis of patients receiving a percutaneous endoscopic gastrostomy tube between September 2008 and December 2014 at our Center in Erzurum Regional Training and Research Hospital. Results: Percutaneous endoscopic gastrostomy tubes were placed in 64 patients, but could not be applied in 4 patients. The most common indication was cerebrovascular disease. Three patients (4.5%) experienced procedure associated complications during hospitalization. Two patients experienced periostomal infection and one bled from the procedure site. Five patients (7.5%) were seen in outpatient clinic for long term follow-up; three patients had their tubes displaced and two patients had their tubes obstructed. Conclusion: Enteral nutrition is preferred for patients who need long term feeding to avoid complications of parenteral nutrition. Percutaneous endoscopic gastrostomy should be selected over surgical gastrostomy because morbidity and mortality rates are less frequent; it can be done by the patient’s bedside; there is no need for general anesthesia; and, it is cheaper and more practical.