ABSTRACT
Percutaneous endoscopic gastrotomy (PEG) has become the procedure of choice for meeting long-term nutritional needs in chronically ill patients. To determine the complication and mortality rates in a community hospital, we performed a retrospective analysis of 224 patients having PEG placement over a 2-yr period. Our study indicates that the morbidity and mortality resulting from PEG placement in a community hospital should be similar to that reported from large university studies.
Subject(s)
Gastrostomy/adverse effects , Gastrostomy/mortality , Hospitals, Community , Hospitals, Teaching , Adult , Aged , Aged, 80 and over , Female , Gastroscopy , Humans , Male , Middle Aged , Ohio , Retrospective StudiesABSTRACT
Intestinal mucosal biopsy immunoglobulin content in a patient with eosinophilia, allergic gastroenteropathy (atopy, food sensitivities, protein-losing enteropathy, iron deficiency anemia, and growth retardation), and hyperimmunoglobulinemia E (68,000 units) was compared with that of a control group and a group with eosinophilic gastroenteritis who had no atopic features. The patient had no evidence of cellular or humoral immunodeficiency but was severely hypersensitive to multiple inhalant and dietary allergens. In contrast to the findings in patients with nonallergic eosinophilic gastroenteritis, whose intestinal immunoglobulin content was similar to that of controls, tissue immunoglobulin IgE and IgG was markedly increased in the allergic patient. These results support an intestinal reaginic mechanism in the etiology of the allergic form of eosinophilic gastroenteritis.
