Using Endoscopy During PEG Placement in Trauma Patients
Author Information
Author(s): Haan James M, Bochicchio Grant V, Scalea Thomas M
Primary Institution: University of Maryland School of Medicine
Hypothesis
Does performing esophagogastroduodenoscopy (EGD) at the time of percutaneous endoscopic gastrostomy (PEG) provide useful clinical information for trauma patients?
Conclusion
EGD at the time of PEG can provide valuable information for managing trauma patients and has acceptable complication rates.
Supporting Evidence
- 37% of patients had unsuspected upper gastrointestinal lesions seen on EGD.
- 90% of patients with positive endoscopic findings had their therapy changed.
- Complication rates were low, with no iatrogenic visceral perforations.
Takeaway
Doctors looked inside the stomach while putting in a feeding tube for injured patients, and they found important problems that needed fixing.
Methodology
Retrospective review of trauma patients undergoing EGD with PEG at a level I trauma center from January 2001 to June 2003.
Limitations
The study is retrospective and may not account for all variables affecting outcomes.
Participant Demographics
{"total_patients":210,"male_percentage":77,"mean_age":37,"age_range":"14-86"}
Digital Object Identifier (DOI)
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