Dual Antiplatelet Therapy Does Not Increase Bleeding Risk in Percutaneous Gastrostomy Tube Placement: Network Meta-Analysis

Gangwani, Manesh Kumar; Aziz, Muhammad; Aziz, Abeer; Priyanka, Fnu; Patel, Arti B.; Ghaffar, Umar; Weissman, Simcha; Mahmood, Asif; Lee‐Smith, Wade; Javaid, Toseef; Nawras, Ali; Hart, Benjamin

doi:10.1007/s10620-022-07804-1

Cited by 4 publications

(1 citation statement)

References 15 publications

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“…Interestingly, our cohort did not have any direct PEG-related bleeding complications, despite 75.8% of patients being on peri-procedural antiplatelet or anticoagulation therapy. This is consistent with findings of recent studies, including a meta-analysis of 12 studies that included 8,471 patients, where antiplatelet therapy did not increase the risk of bleeding after PEG [24].…”

Section: Discussionsupporting

confidence: 92%

Timing and Outcomes of Percutaneous Endoscopic Gastrostomy After Ischemic Stroke

Bommena,

Rangan,

Lee-Iannotti

et al. 2023

Gastroenterol Res

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Background: Guidelines recommend using percutaneous endoscopic gastrostomy (PEG) for dysphagia after 2 weeks of stroke onset. We aimed to study the impact of PEG timing on outcomes in patients with ischemic stroke. Methods:In this retrospective study of patients with ischemic stroke and PEG between 2014 and 2019, early PEG was defined as PEG tube placed within 14 days of stroke and late PEG after 14 days. Outcomes of 30-day mortality, PEG-related complications, and functional swallow recovery were compared between early and late PEG. Logistic regression model assessed factors associated with PEG timing. Results:The median time of PEG tube placement after stroke was 10.9 days. Of the 161 included patients, 60.9% had early PEG, and its associated patient factors were nursing facility discharge (adjusted odds ratio (OR): 3.4, confidence interval (CI): 1.48 -7.82) and infection (OR: 0.32, CI: 0.139 -0.178). Late PEG had 3.27 times greater odds of swallowing recovery, but mortality and complications were not significantly different between early and late PEG.Conclusions: Skilled nursing facility disposition and lack of infection were predictors of early PEG, constituting the majority of PEG placed for ischemic stroke-related dysphagia. Although better odds of swallowing recovery were seen with late PEG, likely implicating better patient selection, overall, the timing of PEG tube placement did not impact short-term mortality and complications.

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Section: Discussionsupporting

confidence: 92%