Risk factors for perioperative bleeding in percutaneous endoscopic gastrostomy construction: A case series and retrospective preliminary investigation

2020 ◽  
Vol 20 (10) ◽  
pp. 932-937
Author(s):  
Kazuhiro Ota ◽  
Shinya Nishida ◽  
Azusa Hara ◽  
Shimpei Kawaguchi ◽  
Satoshi Harada ◽  
...  
Keyword(s):  
Risk Factors ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Preliminary Investigation ◽  
Case Series ◽  
Endoscopic Gastrostomy ◽  
Perioperative Bleeding

scholarly journals Risk Factors and Complications Following Percutaneous Endoscopic Gastrostomy: A Case Series of 1041 Patients

2011 ◽  
Vol 25 (4) ◽  
pp. 201-206 ◽  
Author(s):  
Hans-Jürgen Richter-Schrag ◽  
Sabine Richter ◽  
Olaf Ruthmann ◽  
Manfred Olschewski ◽  
Ulrich Theodor Hopt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Radiation Therapy ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Case Series ◽  
Bleeding Risk ◽  
International Normalized Ratio ◽  
Thrombosis Prophylaxis ◽  
Neurogenic Dysphagia ◽  
Endoscopic Gastrostomy ◽  
Clinical Series

BACKGROUND: Most studies exclude patients with severe coagulation disorders or those taking anticoagulants when evaluating the outcomes of percutaneous endoscopic gastrostomy (PEG).OBJECTIVE: To investigate complications and risk factors of PEG in a large clinical series including patients undergoing antiplatelet and anticoagulant therapy.METHODS: During a six-year period, 1057 patients referred for PEG placement were prospectively audited for clinical outcome. Exclusion criteria and follow-up care were defined. Complications were defined as minor or severe. Uni- and multivariate analyses were used to evaluate 14 risk factors. No standardized antibiotic prophylaxis was given.RESULTS: A total of 1041 patients (66% male, 34% female) with the following conditions underwent PEG: neurogenic dysphagia (n=450), cancer (n=385) and others (n=206). No anticoagulants were administered to 351 patients, thrombosis prophylaxis was given to 348 while full therapeutic anticoagulation was received by 313. No increased bleeding risk was associated with patients who had above-normal international normalized ratio values (OR 0.79 [95% CI 0.08 to 7.64]; P=1.00). The total infection rate was 20.5% in patients with malignant disease, and 5.5% in those with nonmalignant disease. Severe complications occurred in 19 patients (bleeding 0.5%, peritonitis 1.3%). Cirrhosis (OR 2.91 [95% CI 1.31 to 6.54]; P=0.008), cancer (OR 2.34 [95% CI 1.33 to 4.12]; P=0.003) and radiation therapy (OR 2.34 [95% CI 1.35 to 4.05]; P=0.002) were significant predictors of post-PEG infection. The 30-day mortality rate was 5.8%. There were no procedure-related deaths.CONCLUSIONS: Cancer, cirrhosis and radiation therapy were predictors of infection. Post-PEG bleeding and other complications were rare events. Collectively, the data suggested that patients taking concurrent anticoagulants had no elevated risk of post-PEG bleeding.

Risk Factors for Aspiration Pneumonia after Percutaneous Endoscopic Gastrostomy

Gerontology ◽  
2007 ◽  
Vol 53 (4) ◽  
pp. 224-227 ◽  
Author(s):  
Toshiro Kitamura ◽  
Hajime Nakase ◽  
Hidehiko Iizuka
Keyword(s):  
Risk Factors ◽  
Aspiration Pneumonia ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy

Complications of Percutaneous Endoscopic Gastrostomy(PEG) and Risk Factors of Peristomal Wound Infection

2004 ◽  
Vol 59 (5) ◽  
pp. P160
Author(s):  
Han-Hyo Lee ◽  
Ki-Nam Shim ◽  
Jung-Mi Kwon ◽  
Jun-Sik Nam ◽  
Moon Sun Yeom ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy

scholarly journals Enteral Nutrition With an Enteral Formula Containing Egg Yolk Lecithin After Percutaneous Endoscopic Gastrostomy: A Case Series

2018 ◽  
Vol 11 (2) ◽  
pp. 157-160
Author(s):  
Tetsuro Akashi ◽  
Risa Hashimoto ◽  
Akihisa Ohno ◽  
Kazuhide Matsumoto ◽  
Yukari Nakamura
Keyword(s):  
Enteral Nutrition ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Case Series ◽  
Egg Yolk ◽  
Endoscopic Gastrostomy ◽  
Enteral Formula

scholarly journals Persistent Peristomal Leakage from Percutaneous Endoscopic Gastrostomy Successfully Treated with Argon Plasma Coagulation

2020 ◽  
pp. 1-5
Author(s):  
Cláudia Macedo ◽  
Nuno Almeida ◽  
Ana Rita Alves ◽  
Ana Margarida Ferreira ◽  
Pedro Figueiredo
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Low Cost ◽  
Argon Plasma Coagulation ◽  
Case Series ◽  
Argon Plasma ◽  
Tube Placement ◽  
Plasma Coagulation ◽  
Endoscopic Gastrostomy ◽  
Gastrostomy Tube Placement

<b><i>Introduction:</i></b> Percutaneous endoscopic gastrostomy is a safe and effective technique and its use is widely spread. Peristomal leakage may occur within the first few days after gastrostomy tube placement and also in the mature gastrostomy tract. The initial treatment involves conservative measures. If the leakage does not resolve, different endoscopic interventions could be necessary with consequent impairing of enteral nutrition and, in some cases, the need of creating a new gastro-cutaneous fistula. <b><i>Case Report:</i></b> We present 4 consecutive cases complicated with late peristomal leakage and medical treatment failure. These patients underwent upper digestive endoscopy, and circumferential fulguration of the mucosa surrounding the tube with pulsed argon plasma coagulation (APC) at 50 W and 1 L/min flow rate was performed. Additional long through-the-scope clips were applied in 2 cases, since the inner orifice remained enlarged, in order to obtain a better closure. Complete leakage and skin changes resolution occurred between 2 and 6 weeks after the procedure (mean 3.5 weeks). The overall mean follow-up was 19 months after the endoscopic procedure (maximum 30 months, minimum 10 months). There was no recurrence of leakage. <b><i>Conclusion:</i></b> The use of APC alone or combined with long through-the-scope clips in large internal stoma orifice resolved persistent leakage from percutaneous endoscopic gastrostomy in all 4 presented cases without complications. In our case series, this technique appeared to be an effective, safe, and relatively low-cost alternative to the treatment of persistent peristomal leakage of the mature gastrostomy tract.

Risk Factors for Complications of Percutaneous Endoscopic Gastrostomy

2013 ◽  
Vol 59 (1) ◽  
pp. 117-125 ◽  
Author(s):  
Sang Pyo Lee ◽  
Kang Nyeong Lee ◽  
Oh Young Lee ◽  
Hang Lak Lee ◽  
Dae Won Jun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy

scholarly journals Risk factors for complications and mortality of percutaneous endoscopic gastrostomy insertion

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Gyu Young Pih ◽  
Hee Kyong Na ◽  
Ji Yong Ahn ◽  
Kee Wook Jung ◽  
Do Hoon Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy ◽  
Complications And Mortality
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