Purpose: To evaluate the demographical characteristics of patients who underwent percutaneous endoscopic gastrostomy procedure in the neurology intensive care clinics. Material and Methods: Patients who underwent percutaneous endoscopic gastrostomy procedure in neurology intensive care clinics between 2015-2017 were included in this study. Demographical characteristics of the cases were retrospectively evaluated. Findings: In total, 50 patients (21 women, 29 men) were evaluated as the study group. Mean duration of follow-up was 40.12±30.19 days. All patients who underwent percutaneous endoscopic gastrostomy procedure had neurological disorders. Mean age of the patient group was 73±15.8 years. Mean Glasgow coma score (GCS) as evaluated on the day of PEG decision was 9.18±3.6. Five patients developed a skin infection on the site of PEG entry and one patient experienced peristomal bleeding. Conclusion: Enteral route must be the first option to be preferred for feeding patients who receive long-term inpatient treatment for neurological disorders in intensive care units. In patients who do not tolerate oral intake, percutaneous endoscopic gastrostomy applications provide a route to give pre-prepared nutritional solutions. Long-term nutritional support can be given through this route with minimal complications.

A woman aged 33 years presented with progressive bilateral foot drop, which had begun three months ago previously. Her medical history revealed that she had undergone bariatric surgery seven months ago and had lost 65 kgs in six months (from 147 kgs to 82 kgs). Bilateral peroneal neuropathy was determined at the fibular head on her electromyography study. The case highlights the importance of an awareness of peroneal neuropathy after massive weight loss. Diet modification and physical therapy should be considered for these patients. Keywords: Obesity surgery, weight loss, peroneal neuropathyOtuz üç yaşında kadın hasta üç ay önce başlayan ve artan düşük ayak şikayeti ile başvurdu. Yedi ay önce obezite cerrahisi geçirmişti ve yaklaşık altı ay içerisinde 65 kilo vermişti (147-82 kg). Elektromiyografi çalışmasında fibula başı düzeyinde bilateral peroneal nöropati saptandı. Olgu aşırı kilo kaybı sonrası peroneal nöropati gelişebileceğine dikkat çekmektedir. Bu hastalara uygun diyet ve egzersiz desteği verilmesi akılda bulundurulmalıdır.

No abstract