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논문 기본 정보

자료유형
학술저널
저자정보
Park Jun Woo (Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea) Kim Tae Gyun (Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea) Cho Kwang Bum (Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea) Kim Jeong Seok (Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea) Cho Jin Woong (Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea) Jeon Jung Won (Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea) Lim Sun Gyo (Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea) Kim Chan Gyoo (Center for Gastric Cancer, National Cancer Center, Goyang, Korea.) Park Hong Jun (Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea) Kim Tae Jun (Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea) Kim Eun Sun (Department of Gastroenterology, Korea University College of Medicine, Seoul, Korea) Jeong Su Jin (Department of Pediatric Gastroenterology, CHA Bundang Medical Center, CHA University, Seongnam, Korea) Kwon Yong Hwan (Department of Internal Medicine, Kyungpook National University Hospital, Daegu, KoreaDepartment of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver Vol.18 No.1
발행연도
2024.1
수록면
77 - 84 (8page)
DOI
10.5009/gnl230174

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초록· 키워드

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Background/Aims: This study aimed to review the indications, methods, cooperation, complications, and outcomes of percutaneous endoscopic gastrostomy (PEG). Methods: Questionnaires were sent to 200 hospitals, of which 62 returned their questionnaires, with a response rate of approximately 30%. Descriptive statistics were calculated to analyze the responses to the questionnaires. Results: In 2019, a total of 1,052 PEGs were performed in 1,017 patients at 62 hospitals. The main group who underwent PEG was older adult patients with brain disease, particularly stroke. Nutritional supply was an important purpose of the PEG procedure. “The pull method” was the most commonly used for initial PEG insertion. The complications related to PEG were mostly mild, with leakage being the most common. Patients who underwent PEG procedures were primarily educated regarding the post-procedure management and complications related to PEG. Preoperative meetings were skipped at >50% of the institutions. Regarding the cooperation between the nutrition support team (NST) and the physician performing PEG, few endoscopists answered that they cooperated with NST before and after PEG. Moreover, the rate of NST certification obtained by physicians performing PEG and the frequency of attendance at NST-related conferences were relatively low. Conclusions: This study shows a similar trend to that found in the previous PEG guidelines. However, it covers new aspects, including team-based work for PEG procedure, nutrition support, and education for patients and guardians. Therefore, each medical institution needs to select an appropriate method considering the medical environment and doctor’s abilities.

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