Article
Surgery
Lucy Ching Chau, Ryan Soheim, Michael Dix, Sarah Chung, Nadia Obeid, Arielle Hodari-Gupta, Cletus Stanton
Summary: This study compared the natural history and complications of ICU patients receiving bedside placed PEG versus fluoroscopic G-tube placement. The results showed that patients with fluoroscopic G-tube placement had significantly increased risk of 1-year all-cause and major complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Lucy Ching Chau, Ryan Soheim, Michael Dix, Sarah Chung, Nadia Obeid, Arielle Hodari-Gupta, Cletus Stanton
Summary: This study compares the outcomes and complications of patients receiving bedside placed percutaneous endoscopic gastrostomy (PEG) versus fluoroscopic-guided percutaneous gastrostomy tubes (G-tube) in an intensive care unit (ICU) setting. The results show that ICU patients receiving G-tube placement have significantly higher rates of complications and major complications compared to those undergoing bedside PEG.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Shinji Nishiwaki, Takuya Kurobe, Atsushi Baba, Hironori Nakamura, Masahide Iwashita, Seiji Adachi, Hiroo Hatakeyama, Takao Hayashi, Teruo Maeda
Summary: DPEJ is a safe and feasible method for enteral feeding, with similar long-term outcomes to PEG. However, specific adverse events associated with DPEJ, such as fistula enlargement and ileus, should be monitored during long-term feeding. A retrospective cohort study found that older age, higher C-reactive protein levels, and diabetes were independent risk factors for mortality after DPEJ.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Surgery
R. M. Juza, S. Docimo, S. Drexel, V Sandoval, J. M. Marks, E. M. Pauli
Summary: Endoscopic rescue is a feasible noninvasive option for PEG tube replacement following early inadvertent PEG tube dislodgement in appropriate clinical settings. A retrospective analysis of cases from two institutions found that PEG rescue was successful in all 11 identified patients, with a mean operative time of 68 minutes and no complications related to the procedure.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Amelie Bourgeois, Paraskevas Gkolfakis, Lucia Fry, Marianna Arvanitakis
Summary: In this narrative review, the authors present the most recent evidence on indications, contraindications, technical considerations, adverse events, and outcomes of PEG-J and DPEJ.
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY
(2023)
Article
Nutrition & Dietetics
Rachel Strahm, Manuel Weber, Reiner Wiest, Kai-Uwe Schmitt
Summary: This study examined the effects of early tube feeding compared to tube feeding after 24 hours on clinical parameters. Patients with percutaneous endoscopic gastrostomy (PEG) received tube feeding 4 hours after tube insertion following the updated ESPEN guidelines. An observational study analyzed whether the new scheme affected patient complaints, complications, or hospitalization duration. The study found that the new scheme did not impact patient complaints or complications, but it significantly reduced hospitalization duration.
Article
Gastroenterology & Hepatology
Nirav Thosani, Shahrooz Rashtak, Bijun Sai Kannadath, Akhil Munjal, Matthew Meriwether, Eric D. Yoon, Andrew Hermann, Sara Ali, Paul G. Haddad, Prithvi Patil, Srinivas Ramireddy, Ricardo Badillo, R. Tomas DaVee, Sushovan Guha
Summary: The study found that the risk of significant bleeding associated with PEG placement was minimal in patients on uninterrupted periprocedural antithrombotic therapy. There were only a few cases of significant bleeding events and PEG-related mortality in the study cohort.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Nutrition & Dietetics
Hemant Goyal, Aman Ali, Pardeep Bansal
Summary: Intensive care units (ICU) worldwide are facing challenges with an influx of COVID-19 patients suffering from ventilator-dependent chronic respiratory failure (VDRF). Gastroenterology evaluations are being conducted to provide chronic enteral feeding for these patients through percutaneous endoscopic gastrostomy (PEG) placements, aiming to expedite discharge planning and free up ICU beds for other patients. This multidisciplinary approach of PEG tube placements in patients with SARS-CoV-2-induced chronic VDRF showcases the benefits of continued enteral feeding to reduce complications and shorten hospital stays.
FRONTIERS IN NUTRITION
(2021)
Article
Health Care Sciences & Services
Xia Li, Jun-Xi Wang, Yu-Ping Wang, Jia-Xin Shen, Yi-Xing Zheng, Pei-Hong Zhang, Jing-Jing Wei, Ze-Hao Zhuang
Summary: This study compared indications, success rates, and complications of pull and introducer techniques for percutaneous endoscopic gastrostomy (PEG). The introducer technique was found to be more suitable for patients with esophageal stricture, with lower minor complications but a higher rate of tube replacement compared to the pull technique. The use of antibiotics may reduce minor complications following PEG, and early PEG insertion may help to reduce post-PEG major complications.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2022)
Review
Gastroenterology & Hepatology
Maireade E. McSweeney, Paul D. Mitchell, C. Jason Smithers, Ashley Doherty, Julia Perkins, Rachel Rosen
Summary: The study found that the total complication rates were similar between patients undergoing PEG or LAP gastrostomy tube placement within the first 6 months. However, there were differences in the types of complications, with PEG patients having more gastrostomy-related complications in the first week of placement, while LAP patients had more granulation skin complications.
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
(2021)
Article
Gastroenterology & Hepatology
Daniel J. Stein, Matthew B. Moore, Gila Hoffman, Joseph D. Feuerstein
Summary: Over the past decade, the mortality rate for patients undergoing PEG placement has decreased by approximately 40% without a decrease in complication rates, indicating a potential improvement in patient selection. Despite similar patient characteristics, this trend suggests a positive outcome in terms of patient outcomes.
DIGESTIVE DISEASES AND SCIENCES
(2021)
Article
Medicine, Research & Experimental
Corina Din-Lovinescu, Gregory L. Barinsky, Roman Povolotskiy, Jordon G. Grube, Chan W. Park
Summary: This study compared outcomes and complications in head and neck cancer (HNC) surgery patients who received a percutaneous endoscopic gastrostomy (PEG) tube on the same day of surgery versus later in hospitalization. The results showed that patients who received a PEG tube on the same day had lower complication rates, shorter length of stay, and decreased hospital costs.
Article
Gastroenterology & Hepatology
Matjaz Homan, Bruno Hauser, Claudio Romano, Christos Tzivinikos, Filippo Torroni, Frederic Gottrand, Iva Hojsak, Luigi Dall'Oglio, Mike Thomson, Patrick Bontems, Priya Narula, Raoul Furlano, Salvatore Oliva, Jorge Amil-Dias
Summary: A multidisciplinary approach is essential for the best treatment of children with PEGs, with individualized indications for PEG insertion and consideration of all appropriate circumstances by a MDT. Timely enteral nutrition is crucial to treat faltering growth and avoid complications, with device choice and method of insertion dependent on local expertise and collaboration with the MDT and family. Major complications should be avoided through attention to good technique and experience of the operating team.
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
(2021)
Article
Gastroenterology & Hepatology
Divyanshoo R. Kohli, Kevin F. Kennedy, Madhav Desai, Prateek Sharma
Summary: In a large nationwide database of more than 33,000 gastrostomy procedures, PEG was associated with a lower incidence of adverse outcomes and the 30-day mortality than IRG.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Review
Gastroenterology & Hepatology
Smit S. Deliwala, Saurabh Chandan, Anand Kumar, Babu Mohan, Anoosha Ponnapalli, Murtaza S. Hussain, Sunil Kaushal, Joshua Novak, Saurabh Chawla
Summary: This study conducted a meta-analysis to evaluate the effectiveness and safety of direct percutaneous endoscopic jejunostomy (DPEJ) and PEG with jejunal extension (PEG-J) in various clinical scenarios. The results indicate that both DPEJ and PEG-J are safe and effective procedures, with differences observed in certain outcomes such as malfunction rates, major adverse events, and placement rates.
ENDOSCOPY INTERNATIONAL OPEN
(2022)
