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Background: Quality of nutrition and prevention of aspiration pneumonitis are two difficult problems in the management of stroke patients. The development of the percutaneous endoscopic gastrostomy (PEG) procedure and standardized PEG kits was an important technological advancement for enteral access. The aim of this study was to assess the efficacy and safety of PEG in stroke patients in Hue University Hospital. Obiectives and methods: 32 stroke patients hospitalized in the Department of Internal Medicine, Hue University Hospital from June 2006-May 2011. The PEG kit of Wilson-Cook Medical was used (Pull technique): p 24- Pull; Technique description: Pull technique (Ponsky). Results: The pull technique -PEG was successfully performed in 93.75% of cases. The mean time of the pull technical procedure was 28 ± 8 min. Quality of nutrition was markedly increased in 81.25%. In 90.62% of cases, patient care became much easier. Incidences of aspiration, and pneumonitis due to aspiration tended to decrease although the differences were not statistically significant. The rate of minor and major complications was very low. No cases of peritonitis, necrotizing fasciitis or death were found. Conclusion: The use of PEG in stroke patients with dysphagic disorder appeared effective and relatively safe. Key words: PEG, dysphagic stroke .

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