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Comparison of clinical outcomes associated with pull-type and introducer-type percutaneous endoscopic gastrostomies.

Lee SW, Lee JH, Cho H, Ha Y, Lim H, Ahn JY, Choi KS, Kim do H, Choi KD, Song HJ, Lee GH, Jung HY, Kim JH - Clin Endosc (2014)

Bottom Line: Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy.Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%).There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT

Background/aims: Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy. The PEG techniques differ according to the insertion method, and include the pull type, push type, and introducer type. The aim of this study was to compare the clinical outcomes associated with the pull-type and introducer-type PEG insertion techniques, which included the adverse events, at our tertiary care center in Korea.

Methods: We retrospectively reviewed 141 cases that had undergone PEG insertion at our center from January 2009 to June 2012. The indications for PEG insertion and the acute and chronic complications caused by each type of PEG insertion were analyzed.

Results: The indications for PEG insertion in our cohort included neurologic disease (58.7%), malignancy (21.7%), and other indications (19.6%). Successful PEG insertions were performed on 136 cases (96.5%), and there were no PEG-associated deaths. Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%). There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

Conclusions: PEG insertion is considered a safe procedure. The pull-type and introducer-type PEG insertion techniques produce comparable outcomes, and physicians may choose either of these approaches according to the circumstances.

No MeSH data available.


Related in: MedlinePlus

Number of percutaneous endoscopic gastrostomy (PEG) insertion cases assessed for complication in the analysis
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Figure 1: Number of percutaneous endoscopic gastrostomy (PEG) insertion cases assessed for complication in the analysis

Mentions: Further analysis of the study cohort is provided in Fig. 1. Of the 136 successful PEG procedures in our study population. One patient received introducer type PEG insertion twice due to self-removal in 7 days, and these two cases were excluded. In addition, the first PEG insertions failed and the second PEG insertions were successful in two patients who were excluded from our evaluations of acute complications. One patient who died because of the aggravation of an underlying disease and six patients who removed their gastrostomy tubes themselves after the they had been in place for 7 days, were excluded from the evaluation of chronic complications. Hence, 125 cases were analyzed in relation to chronic complications.


Comparison of clinical outcomes associated with pull-type and introducer-type percutaneous endoscopic gastrostomies.

Lee SW, Lee JH, Cho H, Ha Y, Lim H, Ahn JY, Choi KS, Kim do H, Choi KD, Song HJ, Lee GH, Jung HY, Kim JH - Clin Endosc (2014)

Number of percutaneous endoscopic gastrostomy (PEG) insertion cases assessed for complication in the analysis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4260101&req=5

Figure 1: Number of percutaneous endoscopic gastrostomy (PEG) insertion cases assessed for complication in the analysis
Mentions: Further analysis of the study cohort is provided in Fig. 1. Of the 136 successful PEG procedures in our study population. One patient received introducer type PEG insertion twice due to self-removal in 7 days, and these two cases were excluded. In addition, the first PEG insertions failed and the second PEG insertions were successful in two patients who were excluded from our evaluations of acute complications. One patient who died because of the aggravation of an underlying disease and six patients who removed their gastrostomy tubes themselves after the they had been in place for 7 days, were excluded from the evaluation of chronic complications. Hence, 125 cases were analyzed in relation to chronic complications.

Bottom Line: Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy.Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%).There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT

Background/aims: Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy. The PEG techniques differ according to the insertion method, and include the pull type, push type, and introducer type. The aim of this study was to compare the clinical outcomes associated with the pull-type and introducer-type PEG insertion techniques, which included the adverse events, at our tertiary care center in Korea.

Methods: We retrospectively reviewed 141 cases that had undergone PEG insertion at our center from January 2009 to June 2012. The indications for PEG insertion and the acute and chronic complications caused by each type of PEG insertion were analyzed.

Results: The indications for PEG insertion in our cohort included neurologic disease (58.7%), malignancy (21.7%), and other indications (19.6%). Successful PEG insertions were performed on 136 cases (96.5%), and there were no PEG-associated deaths. Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%). There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

Conclusions: PEG insertion is considered a safe procedure. The pull-type and introducer-type PEG insertion techniques produce comparable outcomes, and physicians may choose either of these approaches according to the circumstances.

No MeSH data available.


Related in: MedlinePlus