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Surg Laparosc Endosc Percutan Tech. 2011 Aug;21(4):275-7. doi: 10.1097/SLE.0b013e318221c3f1.

Percutaneous endoscopic gastrostomy and peristomal infection: an avoidable complication with the use of a minimum skin incision.

Author information

1
Gastroenterology Department of Hospital Universitário de Santa Maria, Universidade Federal de Santa Maria, Brazil. fagundesrb@gmail.com

Abstract

BACKGROUND:

Percutaneous endoscopic gastrostomy (PEG) is a fast and simple method. Although considered safe, PEG is associated with many potential complications. Peristomal infection is the complication most frequently reported.

OBJECTIVE:

To analyze patients who underwent PEG and the association of peristomal infection with the extent of skin incision (SI) and usage of prophylactic antibiotics (PA).

METHODS:

A retrospective review of the records of 120 patients who underwent PEG was carried out. Patients were divided into 3 subgroups: (1) Patients with SI 10 mm/without PA, (2) Patients with SI up to 5 mm/without PA, and (3) Patients with SI up to 5 mm/with PA.

RESULTS:

Peristomal infection occurred in 12.8% of patients from subgroup 1, and in 2.2% of patients from subgroup 2. There was no infection in subgroup 3. Peristomal infection was associated with the SI extent (P=0.01) and there was no association with PA (P=0.3). SI >5 mm presented an odds ratio of 10.5 (95% confidence interval, 1.58-68.42) for the occurrence of peristomal infection.

CONCLUSIONS:

The use of PA did not seem to reduce peristomal infection rates. However, minimal SI was significantly associated with reduction of this complication.

PMID:
21857479
DOI:
10.1097/SLE.0b013e318221c3f1
[Indexed for MEDLINE]

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