What is it about?
In a developing country, the percutaneous endoscopic gastrostomy (PEG) procedure is being performed at an increasing rate. However, there is sparse information on the sedation for this procedure. The aim of our study was to evaluate the clinical efficacy of assisted sedation compared with general anesthesia for the PEG procedure in patients in a teaching hospital in Thailand.
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Why is it important?
One hundred and eighty-four patients were enrolled with 116 (M, 52; mean age, 71.4±15.8 years) in Group S and 68 (M, 37; mean age, 67.8±18.5 years) in Group G. There were no significant differences between the two groups in age, gender, weight, and duration of procedure. All patients in both groups concluded with the successful completion of the procedure. Overall adverse events in group S occurred significantly less commonly than in group G (P=0.003). All complications were treated easily with no adverse sequelae.
Perspectives
We concluded that in the setting of the developing country, assisted sedation for the PEG procedure in patients by trained anesthetic personnel with appropriate monitoring was safe and effective.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
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This page is a summary of: Assisted sedation for percutaneous endoscopic gastrostomy procedure in sick patients in a developing country, Gastroenterology Insights, February 2010, PAGEPress Publications,
DOI: 10.4081/gi.2010.e5.
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