To evaluate the success rate and complications of percutaneous endoscopic gastrostomy (PEG) insertion performed with an endoscopy nurse practitioner, rather than a second doctor, carrying out percutaneous gastric puncture.
A prospective evaluation of one nurse's performance.
The endoscopy unit in a district general hospital.
An experienced endoscopy nurse, who had undergone a specific training course in PEG insertion, participated in PEG placement in 50 unselected patients over a one year period.
The outcome and complications were compared with 50 PEGs inserted over the same period by medical personnel.
A standard'pull'technique was used to insert a 15Fr tube under sedation and local anaesthetic.
The nurse was successful in PEG placement in all patients.
Immediate complications from the procedure occurred in two cases in both the nurse-assisted and doctor-assisted groups.
These were directly related to the gastric puncture in only one patient in each group ; the others were respiratory complications related to the gastroscopy (resulting in the death of one patient).
Thirty-day mortality was 8% in the nurse-assisted group and 12% following doctor-assisted PEG (mainly due to progression of the underlying condition).
Outcome at 3 months was similar in the two groups, except for a slightly lower incidence of stomal infection in the nurse-assisted group. (...)
Mots-clés Pascal : Gastrostomie, Voie percutanée, Endoscopie, Evaluation performance, Infirmier, Spécialité médicale, Procédé pose, Résultat, Homme, Chirurgie
Mots-clés Pascal anglais : Gastrostomy, Percutaneous route, Endoscopy, Performance evaluation, Nurse, Medical specialty, Laying process, Result, Human, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0346611
Code Inist : 002B25G02. Création : 10/04/1997.