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
Anand Rajan, Peerapol Wangrattanapranee, Jonathan Kessler, Trilokesh Dey Kidambi, James H. Tabibian
Summary: Gastrostomy tube placement is a procedure that provides enteral access for nutrition, decompression, and medication administration. Preprocedural evaluation and patient selection are necessary to reduce the risk of adverse events. Medical history, physical examination, and imaging should be considered to ensure the appropriate approach and safety of the procedure.
WORLD JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Article
Gastroenterology & Hepatology
Kee Huat Chuah, Carolyn Chue Wai Yim, Nur Adilah Abdul Aziz, Ee Chin Loh, David Paul Capelle, Nortina Shahrizaila, Alex Hwong Ruey Leow
Summary: This study compared the outcomes of ALS patients who underwent percutaneous endoscopic gastrostomy (PEG) placement with those who did not. The mortality rate at 6 and 12 months was slightly lower in the PEG cohort, but the difference was not statistically significant. Among the PEG cohort, 61% were considered high risk and 31% required long-term home noninvasive ventilation. All patients successfully underwent PEG insertion at single attempt.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2022)
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
Nutrition & Dietetics
Marcin Folwarski, Stanislaw Klek, Michal Brzezinski, Agnieszka Szlagatys-Sidorkiewicz, Adam Wyszomirski, Jaroslaw Meyer-Szary, Karolina Skonieczna-Zydecka
Summary: This study investigated the prevalence and epidemiology of percutaneous endoscopic gastrostomy (PEG) placements in Poland from 2010 to 2020. The results showed an increasing number of PEG placements, particularly in the elderly population. Malnutrition, dysphagia, and cardiorespiratory/metabolic diseases were the most common primary diseases. A significant percentage of patients diagnosed with cancer, specifically head and neck cancer (HNC) and esophageal cancer, had PEG. Approximately 27.6% of all PEG patients received home enteral nutrition (HEN). The study also found that regional disparities in PEG prevalence were influenced by factors such as the number of patients in nursing care facilities, lower education levels, and fewer hospital beds available.
FRONTIERS IN NUTRITION
(2022)
Article
Nutrition & Dietetics
Ana Pinar-Gutierrez, Pilar Serrano-Aguayo, Silvia Garcia-Rey, Rocio Vazquez-Gutierrez, Irene Gonzalez-Navarro, Dolores Tatay-Dominguez, Pilar Garrancho-Dominguez, Pablo J. Remon-Ruiz, Antonio J. Martinez-Ortega, Veronica Nacarino-Mejias, Alvaro Iglesias-Lopez, Jose Luis Pereira-Cunill, Pedro Pablo Garcia-Luna
Summary: This study aimed to describe and compare the complications associated with different percutaneous radiologic gastrostomy (PRG) techniques. The results showed that the implementation of the balloon-type technique with gastropexy significantly reduced complications, and the most common complications were minor.
Article
Gastroenterology & Hepatology
Divyanshoo R. Kohli, Kevin F. Kennedy, Madhav Desai, Prateek Sharma
Summary: This study compared the safety and outcomes of three different techniques for performing a gastrostomy, and found that endoscopic placement of a gastrostomy tube (PEG) is associated with lower risks of inpatient adverse events, mortality, and readmission rates compared to fluoroscopy-guided gastrostomy and open surgical gastrostomy.
GASTROINTESTINAL ENDOSCOPY
(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
Nutrition & Dietetics
James Evans, Dan Green, Graeme O. Connor, Julie Lanigan, Faith Gibson
Summary: This study investigated nutrition support practices in pediatric allogeneic BMT centers and compared clinicians' opinions on gastrostomy use. The results showed that there was a similar approach to nutritional support in many aspects. The use of gastrostomy divided opinions among clinicians, but there was agreement on potential complications.
Article
Medicine, General & Internal
Tianwen Yuan, Yang He, Zhixing Zhu, Qi Yang, Peng Kong, Saibo Wang, Xing Zhou, Jun Cao
Summary: This study aims to investigate the effectiveness, safety, adverse events, and outcomes of percutaneous radiologic gastrostomy in patients with dysphagia caused by cerebral infarction. The results demonstrate that percutaneous radiologic gastrostomy can improve the nutritional status of patients, reduce the incidence of adverse events, and improve comfort levels.
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN
(2022)
Article
Gastroenterology & Hepatology
Vitor Macedo Silva, Marta Freitas, Rui Sousa Magalhaes, Tiago Curdia Goncalves, Pedro Boal Carvalho, Carla Marinho, Jose Cotter
Summary: This study aimed to evaluate the diameter or length variations of gastrostomy buttons within the first year of placement and identify potential factors associated with these variations. The findings showed that diameter variations were more frequent in patients living in nursing homes, those with previous PEG tube dislodgement, and male patients. Length variations occurred more frequently in patients with significant weight changes during the follow-up period.
DIGESTIVE DISEASES
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Laura Segger, Timo A. Auer, Florian Nima Fleckenstein, Uli Fehrenbach, Giovanni Federico Torsello, Anne Frisch, Martin Jonczyk, Bernd Hamm, Bernhard Gebauer
Summary: The study found that CT-PG has a high success rate with low complication rates in both trocar and Seldinger groups. For patients with ascites, CT-PG remains safe if paracentesis is performed beforehand.
EUROPEAN JOURNAL OF RADIOLOGY
(2022)
Article
Nutrition & Dietetics
Deanna Emmons
Summary: The multidisciplinary education protocol for gastrostomy tube (GT) use and care effectively reduced complications postplacement, demonstrating the importance of patient education in reducing adverse events.
NUTRITION IN CLINICAL PRACTICE
(2022)
Article
Nutrition & Dietetics
Thane Blinman, Dennis Hiller
Summary: This article discusses the benefits and hazards of gastrostomy tubes, highlighting the enormous time and effort costs involved in managing them. Despite their widespread use and high costs, there is a lack of practical guidance for addressing tube-related problems, leading clinicians to rely on folklore or ineffective work-arounds. The aim of this article is to demystify these devices and dispel misconceptions.
NUTRITION IN CLINICAL PRACTICE
(2023)
Article
Medicine, Research & Experimental
Miroslav Vujasinovic, Elin Marsk, Apostolos Tsolakis, Boel Hynning, Martin Nordberg, Mats Lindblad, Catarina Lindqvist, Lalle H. Nordenvall, Rusana Bark, Peter Elbe
Summary: This study aimed to determine the complication rates after percutaneous endoscopic gastrostomy (PEG) and open gastrostomy (OG) in patients with head and neck cancers (HNCs). The results showed that enteral feeding via gastrostomy is a safe method, regardless of the technique used (PEG or OG), with a low rate of major complications and no mortality linked to the procedure.