Cawich, Shamir O.; Mathew, Ajit T.; Mohanty, Sanjib K.; Huizinga, William K. J.
Author Affiliation, Ana.
Percutaneous Gastrostomy in the Cayman Islands.
The Internet Journal of Gastroenterology
Date of Publication
Gastrostomy tube placement by the percutaneous endoscopic (PEG) technique is the current method of placing gastrostomy tubes. The technique has been used at the Cayman Islands Hospital for approximately five years. There have been no prior reports on the outcomes of PEG tube placement in this setting since its introduction. An audit of PEG placement was performed at the Cayman Islands Hospital to determine the outcomes in this setting. The hospital records of all patients who had PEG tube placements were retrospectively examined over 44 months from January 2004 to September 2007. There were 35 PEG tubes placed in 28 patients during the study period. Three patients experienced PEG specific complications (8.57%), including bleeding (1 patient), aspiration (1 patient) and PEG dislodgment (1 patient). There were no reports of wound infection, perforation, intra-abdominal sepsis or fistula formation. No early mortality was recorded within the post-operative hospitalization period that averaged 3.25 days. The case volume has increased since the procedure was introduced. Currently, 18 PEG tubes are placed per year with good success and acceptable rates of PEG-specific morbidity.....