Korean J Gastrointest Endosc > Volume 40(4); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(4): 229-235.
치매 환자에서는 경피 내시경하 위루술의 유용성이 낮다
서유진ㆍ차재명ㆍ이정일ㆍ주광로ㆍ정성원ㆍ신현필ㆍ김수웅
경희대학교 의과대학 동서신의학병원 내과학교실
The Benefit of Percutaneous Endoscopic Gastrostomy Is Low in Patients with Dementia
YuJin Suh, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D. and Soo Woong Kim, M.D.
Department of Internal Medicine, East-West Neo Medical Center, College of Medicine, Kyung Hee University, Seoul, Korea
Abstract

Background/Aims:
Percutaneous endoscopic gastrostomy (PEG) is beneficial in treatment of stroke or head and neck cancer. The situation for dementia is unknown. Presently, results, complications, and survival of PEG patients with or without dementia were assessed.
Methods:
In a retrospective analysis of 67 patients, gender, age, diagnosis, laboratory results, complications, tube change, early death and death were compared in dementia (n=5) and non-dementia (n=62) patients (average age 68.7 years).
Results:
Patient clinical characteristics were not different, except for the proportion of gender. Complications occurred in 11 cases (16.4%). Wound infection was the most common complication followed by Mallory-Weiss tear, tube leakage, fever and pneumonia. Twenty six patients (38.8%) died during the follow-up period, and the 30 day mortality rate was 2.7%. Average survival of dementia and non- dementia patients was 12 months and 25 months, respectively. Dementia patients showed a tendency for shorter survival, although it was insignificant (p=0.068). Dementia was the only predictor of mortality that showed significance (p=0.006).
Conclusion:
In this study there was a tendency for shorter survival in dementia patients and dementia was the only significant predictor of mortality. (Korean J Gastrointest Endosc 2010;40:229-235)
Key Words: Percutaneous endoscopic gastrostomy, Dementia, Survival
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