JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Short and long-term safety and durability of PEG-J tube in jejunal levodopa infusion in patients with Parkinson’s disease
Abstract
Aims: To investigate PEG-J related adverse events and tube durability in patients with Parkinson’s disease who underwent PEG-J procedure for jejunal drug infusion.
Methods: PEG-J implanted patients, who were planned jejunal levodopa infusion, were included in the study. The demographic characteristics of the patients, tube durability, tube replacement, reason for tube replacement, number of procedures, and adverse events related to procedures were retrospectively analyzed.
Results: Thirty-four patients with a mean age of 65.7±9.8 years included in the study. The mean total PEG-J follow-up period of the patients was 33.6±21.1 months. Functions of PEG-J tubes were preserved in 82.5% at 6 months, 78.4% at 12 months, and 65.2% at 18 months. Twenty-one (% 61,8) patients required at least one PEG-J replacement. Of the PEG-J replacements, 90.4% were due to device-related adverse events. A total of 29 procedure or stoma related adverse events occurred in 21 (61.8%) patients, and a total of 28 PEG-J tube related adverse events occurred in 19 (55.9%) patients. A total of six (17.5%) early procedure-related adverse events (acute abdomen and peritonitis, prolonged bleeding, stoma leakage, stoma infection) were observed, all occurred in first 7 days. Twenty-three (67.6%) stoma-related late adverse events (stoma leakage, stoma infection, abscess) were observed. Two patients who developed peritonitis were successfully treated with conservative treatments.
Conclusion: PEG-J used for drug application is a safe method and can be used for a long time without the need for frequent replacement. Most of adverse events can be managed with conservative treatments.

Keywords : PEG-J, adverse events, Parkinson’s disease, jejunal drug infusion

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Article available in :
Volume 4, Issue 5, 2023
Page : 389-394
https://doi.org/10.47582/jompac.1332644
Article Information
Received : 09 Ağu 2023
Accepted : 02 Eyl 2023
Published : 27 Eki 2023
Corresponding Author :

İlyas Tenlik: Department of Gastroenterology, Ankara Bilkent City Hospital, Ankara, Turkey

[email protected]
Citation : Tenlik İ, Öztürk Ö, Arı D, et al. Short and long-term safety and durability of PEG-J tube in jejunal levodopa infusion in patients with Parkinson’s disease. J Med Palliat Care. 2023;4(5):389-394.

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