Analysis of the results of the application of percutaneous puncture endoscopic gastrostomy technique

Introduction. Increase in application frequency of minimally invasive including endoscopic surgical techniques warrants the dilemma of choice the most rational, safe and effective surgical approach. The aim of the study was to compare the results of the two techniques of percutaneous puncture endoscopic gastrostomy (PPEG) - the «pull-technique» and «push-technique».Material and methods. The results of PPEG were analyzed in 103 patients. All patients were divided into two groups: group 1 - 53 patients who underwent «pull-technique» PPEG and group 2 - 50 patients after PPEG by «push-technique». Treatment results. Technical results were achieved in 100 % of cases, upon that the «pull-technique» PPEG showed evident advantages. Accomplishment of the procedure was clinically effective in 100 % of patients of the 1st group and in 98 % of cases in the 2nd group (p > 0,05). Time of the procedure was 12,2±3,4 min in group 1 and 22,3±3,6 min in group 2 (p > 0,05). Overall complication rate comprised 13,5 % in both groups: 6 complications in group 1, 8 complications in the 2nd group. Incidence of 30-day mortality in group 1 was 5,7 % (3 patients) and 2 % in group 2 (1 patient).Conclusion. PPEG in patients with dysphagia of various etiology is characterized by good results independently of whatever technique is applied. The «pull-technique» of PPEG is technically more simple.