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Feasibility and Safety Assessment of Home Based Gastrostomy Tube Feed - A Tertiary Care Centre Experience
 
Avinash Balekuduru1, Abhinav Kumar1, Amit Kumar Dutta2, Hema Aravind3, Satyaprakash Bonthala Subbaraj1
1Department of Gastroenterology, Ramaiah Memorial Hospitals, Bangalore, Karnataka, India
2Department of Gastroenterology, Christian Medical College and Hospitals, Vellore, Tamilnadu, India
3Department of Clinical Nutrition, Ramaiah Memorial Hospitals, Bangalore, Karnataka, India


Corresponding Author
:
Dr Avinash Balekuduru
Email: avinashbalekuduru@gmail.com


Abstract

Background and Aim: The type of percutaneous endoscopic gastrostomy (PEG) tube feed may result in improved survival or increased mortality. The aim of the present study was to assess the  safety of a novel home based PEG tube feed preparation.
Method: Subjects who were on home based PEG feed for enteral nutrition at our center between September 2016 and August 2017 were analyzed retrospectively.The indication for PEG, clinical and feeding related adverse effects were recorded on uniform structured data forms. 
Results: One hundred and five PEG patients (76% men)with mean age of 50.8 + 10 years were enrolled. Road traffic accidents in 63 (60%) and peristomal infection in 19 (18%) comprised the major indication and adverse effects of PEG placement respectively. There was no mortality during the study period.
Conclusions: Home based gastrostomy tube feed is safe and can be a cheaper alternative in low cost setting.