Successful Percutaneous Gastrostomy Tube Insertion in Adult Prevalent Peritoneal Dialysis Patients: Case-Series and Literature Review

Author(s): Abdullah Alhwiesh, Khadija M Alshehabi, Hassan Al-Jassas, Mauz abdeljalil, Nadia Al Audah

Protein-energy malnutrition (PEM) is a prevalent condition in peritoneal dialysis (PD) patients, contributing to increased morbidity and mortality. Feeding difficulties can exacerbate PEM, making adequate nutrition challenging. Percutaneous endoscopic gastrostomy (PEG) tubes offer a potential solution for patients unable to maintain oral intake. This case series presents adult prevalent six PD patients with PEM who underwent PEG tube placement by an interventional radiologist. Clinical outcomes, including complications, survival rates, and nutritional status, were evaluated. PEG tube insertion was successfully performed in all six patients without major complications. Nutritional status improved, and patients tolerated feeding well. Despite successful PEG placement, mortality rates remained high due to underlying comorbidities and complications unrelated to the PEG tube. Percutaneous endoscopic gastrostomy tubes can be a safe and effective option for PD patients with PEM and feeding difficulties. Further research is needed to establish definitive guidelines and evaluate long-term outcomes in this population.