Long-term outcomes of patients receiving percutaneous endoscopic gastrostomy tubes

1996 ◽  
Vol 11 (5) ◽  
pp. 287-293 ◽  
Author(s):  
Linda Rabeneck ◽  
Nelda P. Wray ◽  
Nancy J. Petersen
2012 ◽  
Vol 215 (6) ◽  
pp. 777-786 ◽  
Author(s):  
Emily Z. Keung ◽  
Xiaoxia Liu ◽  
Afrin Nuzhad ◽  
Guilherme Rabinowits ◽  
Vihas Patel

2019 ◽  
Vol 11 (5) ◽  
pp. 364-370
Author(s):  
Ross J Porter ◽  
Alastair W McKinlay ◽  
Emma L Metcalfe

ObjectiveGastrostomy facilitates artificial enteral feeding but controversy exists around associated morbidity and mortality. This study aimed to report short and long-term outcomes, and identify parameters associated with overall survival.MethodsA 7-year follow-up audit was undertaken at Aberdeen Royal Infirmary, UK. All patients undergoing endoscopic gastrostomy insertion October 2011–September 2018 were included. Last follow-up was February 2019. Clinical data were prospectively collected. Blood results were retrospectively obtained from electronic records. Statistical analysis was with IBM SPSS V.25.Results691 procedures were performed over the 7-year period (520 traditional pull-through percutaneous endoscopic gastrostomy (PEG) and 171 gastropexy procedures to facilitate gastrostomy). Frequency of complications (gastrointestinal bleeding, perforation and peritonitis) was low (each n=1). Overall 7-day and 30-day mortality was 2.2% and 8.4%, respectively. One-year mortality reached 47.6%. There was no difference in survival between PEG and gastropexy procedures (p=0.410). Multivariate analysis reported increased age (p<0.001), increased alkaline phosphatase (p<0.001) and clinical indication (p=0.002) as independently associated with an increased hazard of death. Only age was moderately predictive of mortality (area under the curve 0.74, 95% CI 0.70 to 0.78, p<0.001) in the PEG group. Clinical indication was the only parameter independently associated with mortality in the gastropexy cohort (p=0.003).ConclusionEndoscopic gastrostomy placement can be safe with a low mortality and low risk of serious complications. Blood markers were not associated with short-term or long-term outcomes. Gastropexy to facilitate gastrostomy is a safe alternative to traditional pull-through PEG procedures. Future work should consider quality of life outcomes to assess the benefit of gastrostomy from a patient perspective.


2017 ◽  
Vol 36 ◽  
pp. S136-S137
Author(s):  
C. Joaquin ◽  
A. Palanca ◽  
J.M. Sanchez-Migallon ◽  
M.J. Sendros ◽  
E. Martinez ◽  
...  

2016 ◽  
Vol 31 (7) ◽  
pp. 2901-2909 ◽  
Author(s):  
Wiriyaporn Ridtitid ◽  
Glen A. Lehman ◽  
James L. Watkins ◽  
Lee McHenry ◽  
Evan L. Fogel ◽  
...  

The Lancet ◽  
1993 ◽  
Vol 341 (8849) ◽  
pp. 869-872 ◽  
Author(s):  
M.A. Hull ◽  
J. Rawlings ◽  
J. Field ◽  
S.P. Allison ◽  
F.E. Murray ◽  
...  

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