Klin Onkol 2007; 20(5): 349-353.
Backgrounds : Percutaneous Endoscopic Gastrostomy is a procedure providing nutrients in patients who require long-term enteral feeding yet are unable to maintain sufficient oral intake. Methods: In our department the first PEG insertion was performed in 1993. The PEG procedure was attempted in a group of 130 patients during 1/2004-4/2006. The PEG was successfully established in 124 cases. In 98 cases the PEG installation preceded curative and palliative x-ray therapy in patients with neoplasms of the oropharynx, larynx and esophagus. Results: The installed PEG helps to improve a bad nutritive condition in these patients and in contrast with the nasogastric tube there is no local irritation as the PEG does not pass through the irradiated area. Conclusion: PEG is a relatively easy way to provide enteral intake. Compared to other methods of approaching enteral nutrition PEG represents a successful, safe, and effective procedure. The limitation is the stomach accessibility for the endoscope.
