PP 27. Prognosis After Percutaneous Endoscopic Gastrostomy In Cerebral Infarction

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K. Ashikawa, K. Hataji, T. Otsubo

19:16 - 19:22h at Margrit Room

Categories: Gastrointestinal Surgery, Poster Session , Robotic and Minimal Invasive Surgery

Session: Poster (P2) - Gastrointestinal Surgery / Minimal Invasive

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Background
Percutaneous endoscopic gastrostomy (PEG) has been widely acknowledged to be a safer method for enteral feeding in Japan, but its long-term impact on prognosis is not sufficiently understood. The objective of this study was to evaluate the long-term survival and prognosis associated with mortality in PEG treated patients with cerebral infarction.

Material and Methods
We retrospectively reviewed the medical records of 263 patients. These patients had swallowing difficulty for which PEG was performed at the Japanese Red Cross Society Susono Hospital (Susono, Japan) between January 1, 2001, and December 31, 2010. Survival curves were analyzed to compare survival based on variables such as cerebral infarction group and the others.

Result
The 263 patients were assessed over a mean follow-up period of 717.8 days. The 124 cases (47.1%) were cerebral infarction as a baseline disease. The overall 30-day, 3-month, 6-month, 1-year, and 2- year mortality rates were 4.2%, 10.9%, 24.0%, 41.3%, and 51.1%, respectively. Survival curves comparing cerebral infarction cases (n=139) and other cases (n=124) did not show a statistically significant difference (log-rank test, p=o.507). Cerebral infarction was not significant risk factors for death following PEG.

Conclusion
In prognostic terms, the overall mortality rate in PEG-treated patients is poor, but PEG does offer survival benefits by providing nutritional support. PEG is a minimally invasive gastrostomy method with low rates of morbidity and procedure-related mortality, even in cases of cerebral infarction.