Article
Pediatrics
C. Charlotte Jean-Bart, Madeleine Aumar, Delphine Ley, Matthieu Antoine, Emeline Cailliau, Stephanie Coopman, Dominique Guimber, Serge Ganga, Dominique Turck, Frederic Gottrand
Summary: This retrospective study aimed to assess the complications of one-step button percutaneous endoscopic gastrostomy (B-PEG) and identify risk factors for stomal infections or gastropexy complications. A total of 679 children who underwent B-PEG over a 10-year period were included. Early and late complications, as well as patient characteristics and outcomes, were recorded. The study found that major complications were rare, early complications affected 15.9% of the population, and 78.0% experienced late complications. The most common complications were granulation tissue formation, tube dislodgment, and T-fastener complications. Stomal infections occurred in only 3.5% of patients, with young age as a risk factor and underlying neurological disease as a protective factor.
EUROPEAN JOURNAL OF PEDIATRICS
(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
Medicine, General & Internal
Antonia Mondorf, Clara Amini, Christiana Graf, Florian Alexander Michael, Irina Blumenstein, Michael Jung, Mireen Friedrich-Rust, Daniel Hack, Silke M. Besier, Michael Hogardt, Volkhard A. J. Kempf, Stefan Zeuzem, Christoph Welsch, Joerg Bojunga
Summary: This study systematically investigates the risk factors for the development of wound infections after percutaneous endoscopic gastrostomy (PEG) placement. The study found that 25% of patients developed wound infections after PEG tube insertion, and 6.5% experienced recurrent infections. Risk factors included nicotine abuse, previous ischemic stroke, and head and neck cancer.
JOURNAL OF CLINICAL MEDICINE
(2023)
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
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
Gastroenterology & Hepatology
Divyanshoo R. Kohli, Craig Smith, Omer Chaudhry, Madhav Desai, Dion DePaolis, Prateek Sharma
Summary: This study compared the safety and efficacy of an introducer-style endoscopic direct PEG (DPEG) and an interventional radiologist guided gastrostomy (IRG) among patients unable to undergo a conventional transoral pull PEG. The results showed that DPEG is a safe and effective alternative for enteral support.
DIGESTIVE DISEASES AND SCIENCES
(2023)
Article
Surgery
David J. Morrell, Alexander T. Liu, Eric M. Pauli, Joshua S. Winder
Summary: This study evaluates the cost-effectiveness of using or not using a sterile operative field during PEG procedures. The results show that not using a sterile operative field can be cost-effective as long as the rate of surgical site infection remains similar. However, cost savings from not using a sterile operative field may be offset if the infection rate exceeds 0.2% compared to procedures with a sterile operative field.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(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
Medicine, General & Internal
Shingo Ono, Hiroto Furuhashi, Shunsuke Kisaki, Hideka Horiuchi, Hiroaki Matsui, Akira Dobashi, Hiroya Ojiri, Kazuki Sumiyama
Summary: This study investigated the prognostic factors associated with percutaneous endoscopic gastrostomy (PEG). It found that sarcopenia is negatively correlated with the prognosis after PEG. Among the 127 patients studied, approximately half (56%) had sarcopenia, and the study showed that patients with sarcopenia had shorter median survival time after PEG compared to those without. Therefore, sarcopenia is a predictive indicator of poor prognosis after PEG.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Francesco Alessandri, Caterina Strisciuglio, Cristian Borrazzo, Denis Cozzi, Claudio Romano, Pietro Betalli, Maria Pia Villa, Pasquale Parisi, Chiara Ziparo, Monica Rocco, Melania Evangelisti, Francesco Pugliese, Giovanni Di Nardo
Summary: The study demonstrates that a preoperative dose of co-amoxiclav reduces the incidence of peristomal and systemic infections in children undergoing PEG, leading to a lower overall infection rate and shorter hospital stay. Antibiotic prophylaxis is recommended for all children undergoing PEG placement based on the data obtained.
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
(2021)
Article
Gastroenterology & Hepatology
Yu-Jen Chen, Ming-Chih Hou, Tsung-Chieh Yang, Pei-Chang Lee, Yen-Po Wang, Yi-Hsiang Huang, Fa-Yauh Lee
Summary: This study aimed to test the effectiveness of a Betadine coated gastrostomy tube in reducing peristomal infection after percutaneous endoscopic gastrostomy. The results showed no significant difference in peristomal wound infection rate between the Betadine group and the control group after 2 weeks. CRP elevation of less than 3 mg/dl may be used to exclude the potential peristomal wound infection.
BMC GASTROENTEROLOGY
(2023)
Article
Dermatology
Xiao Huang, Chunyang Jia, Ying Zhu
Summary: This article compares the effects of preoperative percutaneous endoscopic gastrostomy (PEG) and non-preoperative PEG on patients with resectable oesophageal carcinoma (EC). The results show no statistically significant difference in postoperative wound infection, anastomotic leak, and anastomotic stricture between the PEG and non-PEG groups. PEG is an effective and safe procedure for patients at high risk of undernutrition.
INTERNATIONAL WOUND JOURNAL
(2023)
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
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)
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.