Türkay Kırdak1, Halil Özgüç1, Murat Keskin2, Remzi İşcimen3, Nermin Kelebek3, Murat Kıyıcı2, Nusret Korun1, Sadık Kılıçturgay1

1Uludağ Üniversitesi Tıp Fakültesi Genel Cerrahi AD, BURSA
2Uludağ Üniversitesi Tıp Fakültesi Gastroenteroloji AD, BURSA
3Uludağ Üniversitesi Tıp Fakültesi Anestezioloji ve Reanimasyon AD, BURSA


Purpose: The aim of the present study is to assess patient's profiles and complications related to the tube placement in patients undergoing Percutaneous Endoscopic Gastrostomy and surgical feeding ostomies.

Materials and Methods: The retrospective data of 114 consecutive hospitalized patients who underwent enteral feeding ostomy procedures was evaluated by dividing patients into two separate groups as Percutaneous Endoscopic Gastrostomy Group and Surgery Group.

Results: Of the 114 patients, 57 patients underwent surgical feeding ostomy procedures, and other 57 underwent Percutaneous Endoscopic Gastrostomy. The mean age of the patients requiring surgical ostomy was greater than that of the patients with Percutaneous Endoscopic Gastrostomy. All procedures in the surgical group were performed in the operating theater, but procedures in the endoscopy group were performed in intensive care unit (61.5 %), endoscopy suit (34.6 %), or patient wards (3.8 %). The number of patients having cancer in the surgical ostomy group was higher than the Endoscopy group significantly, p<0.001. On the contrary, 93 % of the patients in the Endoscopy group had neurologic problems. Total complication rates in PEG group, surgical gastrostomy and jejunostomy groups were 26.3 %, 25 % and 24.3 %, respectively.

Conclusion: In conclusion, PEG procedure has some advantages such as simplicity, low complication rates, lower cost, long term enteral nutrition. For that reason, recently, there is an increase in use of PEG procedure. However, the situation in which the use of PEG is impossible, surgical enteral tube placement techniques are still valid alternatives.

Keywords: Enteral nutrition, percutaneous endoscopic gastrostomy, surgery, gastrostomy, jejunostomy, complication