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NCT05110235 Clinical Trial

PEG Application Experiences to Geriatric Patients

Gastrostomy Clinical Trial

Official title:
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY APPLICATION EXPERIENCES TO GERIATRIC PATIENTS IN PALLIATIVE CARE UNIT

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT05110235
Other study ID # 56665618-204.01.08
Secondary ID
Status Completed
Phase
First received
Last updated
Start date December 1, 2017
Est. completion date May 30, 2021

Study information
Verified date October 2021
Source Okan University
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Percutaneous endoscopic gastrostomy (PEG) is currently the chosen minimally invasive, endoscopic procedure for medium- and long-term enteral feeding in cases who need palliative care. The presented study evaluated geriatric (> 65-year-old) PEG-applied patients at our institution.

Description:

Palliative care is a treatment method that focuses on the patient and patient's family, aims to minimize the complaints caused by chronic diseases that cannot be treated, and increases life quality. The National Institute for Health and Care Excellence defines palliative care as; the active, holistic care of patients with an advanced progressive illness. Management of pain and other symptoms and providing psychological, social, and spiritual support is paramount. Anorexia, weight loss, and sarcopenia are highly visible and distressing reminders of the life-limiting disease's influence on patients who require palliative care. Given this multifaceted and significant role, it is not unexpected that nutritional treatment method choices can be challenging. Percutaneous endoscopic gastrostomy (PEG) is a minimally-invasive endoscopic procedure that creates a passage from the patient's stomach to the abdominal wall via a feeding tube and provides a means of feeding if oral intake is not adequate. This safe and effective minimally-invasive option has been utilized in medical practice for over 40 years. PEG has advantages such as being minimally invasive, causing a low rate of complications and morbidity, and providing a long-lasting and safe feeding route. It is currently the chosen procedure for medium- and long-term enteral feeding in cases who need palliative care. The application of PEG in geriatric-palliative care has not been well discussed. With the development of endoscopic procedures and PEG devices, this minimally invasive method can be applied more safely, even in challenging cases. This study discuss the indications of PEG in the field of palliative care of geriatric patients.

Recruitment information / eligibility
Status Completed
Enrollment 52
Est. completion date May 30, 2021
Est. primary completion date March 30, 2021
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: PEG applied >65-year-old patients at our institution between December 2017 and March 2021 - Exclusion Criteria: We excluded the patients who were not treated in our palliative care center -

Study Design

Related Conditions & MeSH terms

Locations
Country Name City State
Turkey Okan University Hospital Istanbul

Sponsors (1)
Lead Sponsor Collaborator
Okan University

Country where clinical trial is conducted

Turkey, 

Outcome
Type Measure Description Time frame Safety issue
Primary Hemoglobin (gr/dl) 30 th day hemoglobin levels after PEG application 30 days
Primary Albumin (gr/dl) 30 th day albumin levels after PEG application 30 days
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