Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Safety of Percutaneous Endoscopic Gastrostomy Tubes in Centenarian Patients

  • Sobani, Zain A (Department of Medicine, Maimonides Medical Center) ;
  • Tin, Kevin (Division of Gastroenterology, Department of Medicine, Maimonides Medical Center) ;
  • Guttmann, Steven (Long Island Jewish Forest Hills) ;
  • Abbasi, Anna A (Department of Medicine, Maimonides Medical Center) ;
  • Mayer, Ira (Division of Gastroenterology, Department of Medicine, Maimonides Medical Center) ;
  • Tsirlin, Yuriy (Division of Gastroenterology, Department of Medicine, Maimonides Medical Center)
  • Received : 2017.04.17
  • Accepted : 2017.06.11
  • Published : 2018.01.30
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Abstract

Background/Aims: Percutaneous endoscopic gastrostomy (PEG) is a relatively safe procedure; however, no study has evaluated the safety of PEG tube placement in patients over the age of 100 years. Methods: We conducted a retrospective review of patient records for patients who underwent PEG tube placement. Thirty patients aged 100 years and older were identified and a random sample of 275 patients was selected for comparison. Results: The mean age of the patients was $80.6{\pm}16.2years$. No procedure-related deaths or major complications were identified; the overall inpatient mortality rate was 7.6%. Minor complications were noted in 4% (n=12) of the patients. Centenarian patients were predominantly female (80% [n=24] vs. 54% [n=147], p=0.006), with a mean age of $100.5{\pm}0.9years$. There was no significant difference in procedural success rates (93.3% vs. 97.4%, p=0.222) or inpatient mortality (6.7% [n=2] vs. 7.7% [n=21], p=1.000) between the two groups. However, a higher minor complication rate was noted in the older patients (13.3% [n=4] vs. 2.9% [n=8], p=0.022). Conclusions: Success rates, major complications and inpatient mortality associated with PEG tubes in patients aged over 100 years are comparable to those observed in relatively younger patients at our center; however minor complication rates are relatively higher. These findings lead us to believe that PEG tubes may be safely attempted in carefully selected patients in this subset of the population.

Keywords

References

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