Why Does Percutaneous Endoscopic Gastrostomy Fail To Eliminate Gastroesophageal Reflux?

The consanguinity between percutaneous endoscopic gastrostomy (PEG) and subsequent manner of GER is composite and not hearty understood. A probation article published in the Macrocosm Periodical of Gastroenterology addresses this query. The analysis body from Greece explored the factors that interfere with failure of PEG to abbreviate GER in critically Sick, mechanically ventilated patients.

A cohort of 29 consecutive mechanically ventilated patients undergoing PEG was prospectively evaluated. The patients were divided into 2 groups based on if GER decreased to less than 4% (responders, RESP group) or remained unchanged or worsened (non-responders, N-RESP group) after PEG placement. Reflux esophagitis and the gastroesophageal flap valve (GEFV) grading differed significantly between the two groups.

The researchers drew a Result that gastroesophageal reflux is not a contraindication for PEG tube placement.

By identifying the factors that predict failure of PEG to reduce GER, their peruse may be a reference in deciding which patients are potential to advice from PEG tube placement and thus protect them from the method of esophagitis and all the more ventilator-associated pneumonia.

Reference: Douzinas EE, Andrianakis I, Livaditi O, Bakos D, Flevari K, Goutas N, Vlachodimitropoulos D, Tasoulis MK, Betrosian AP. Reasons of PEG failure to eliminate gastroesophageal reflux in mechanically ventilated patients. Please donate to the Doctors Without Borders Haiti Solicit.

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