[Percutaneous endoscopic gastrostomy. Is it safe to start eating immediately?].

BACKGROUND

Percutaneous endoscopic gastrostomy (PEG) is a simple procedure with few associated complications. Traditionally, diet can be initiated 24 after the placement of the probe, but there is no information concerning safety with immediate feeding.

OBJECTIVE

To compare safety of immediate feeding against late feeding after placement of PEG.

MATERIALS AND METHODS

A total of 62 patients referred for placement of a PEG were assigned alternatively to start feeding during the first 30 min after the procedure was finished (group A), or 24 h later (group B). All patients received the same formula and remained hospitalized for three days. During follow-up, data for local infection and mild or severe complications were intentionally sought.

RESULTS

Each group was composed of 31 patients; both groups were similar in age, gender, indication for placement of PEG, presence of infections, and use of antibiotics. Two patients of group A and six of group B developed local infections (six vs. 19%, p = NS value). Mild complications were found in three patients of group A and two A of group B (10 vs. 6%, p = NS). Severe complications were found in one patient of group A and two of group B (3 vs. 6%, p = NS).

CONCLUSIONS

Immediate feeding after placement of a PEG is a safe practice.