Outcomes of Surgical, Percutaneous Endoscopic, and Percutaneous Radiologic Gastrostomies

Cosentini, Enrico P.; Sautner, Thomas; Gnant, Michael; Winkelbauer, F.; Teleky, B.; Jakesz, R.

doi:10.1001/archsurg.133.10.1076

Cited by 150 publications

(94 citation statements)

References 24 publications

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“…In those cases, gastrostomy must be accomplished using another method. Radiologically oriented gastrostomy is safe and useful (7,8), but most radiology teams do not have a large experience in this approach. Conversely, surgical teams of most large hospitals have some experience in performing surgical gastrostomies either as a single procedure or as part of a more complex surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

The role of surgical gastrostomy in the age of endoscopic gastrostomy: a 13 years and 543 patients retrospective study

2016

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Background: Percutaneous endoscopic gastrostomy (PEG) became the gold standard for enteral feeding. Currently, surgical gastrostomy is seldom used.Objective: Evaluating the role of surgical gastrostomy in a center with a large experience in PEG.Methods: A retrospective study ranged 13 years, collecting from clinical records: age, gender, underlying disease, date of procedure, technique, primary surgery, complications, 30-day mortality. Patients were divided according to indication for gastrostomy: a) neurological; b) head and neck cancer; c) other diseases; and d) drainage. PEG, open surgical and laparoscopic gastrostomies were compared concerning evolution of the number of procedures, characteristics of patients, complications and mortality.Results: We identified 509 PEG, 26 open and 8 laparoscopic surgical gastrostomies. An increasing number of the percutaneous approach over the years was observed, while the number of surgical gastrostomies remains steady (mean: 2.6/year). All percutaneous endoscopic gastrostomies but three were feeding procedures, mostly in neurological patients. All laparoscopic gastrostomies were feeding procedures in head and neck cancer. Most open surgical gastrostomies were secondary procedures, part of more complex surgeries, and frequently for drainage purposes. The open surgical approach displayed more morbidity and mortality, reflecting the severity of underlying diseases.Conclusions: In our institution, open surgical gastrostomy is seldom used, and mostly as part of complex procedures, frequently for drainage purposes. PEG is the choice to most dysphagic patients needing an enteral feeding access. When not feasible, laparoscopic gastrostomy is a suitable alternative.

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Section: Introductionmentioning

confidence: 99%

The role of surgical gastrostomy in the age of endoscopic gastrostomy: a 13 years and 543 patients retrospective study

2016

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“…Bunlar; push (sachs-vine), pull (ponsky), introducer (Russell) ve versa (t-fastener) teknikleridir. En sık kullanılan, güvenilirliği ve etkinliği kanıtlanmış olanlar yine pull ve push teknikleridir 15,16 . Bizim tüm hastalarımızda pull tekniği kullanılmıştır.…”

Section: Discussionunclassified

Percutaneous endoscopic tube gastrostomy in enteral feeding for long term

Demiryılmaz¹,

Yılmaz²,

Albayrak³

et al. 2012

Sakarya Med J

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ÖzetPerkütan endoskopik gastrostomi(PEG) ağız yoluyla beslenemeyen hastalara uzun dönem enteral beslenme sağlamak amacıyla karın duvarından mideye tüp yerleştirilmesidir. Bu çalışmamızda Genel cerrahi kliniğimizde PEG koyduğumuz hastaların PEG endikasyonlarını, erken ve geç dönemde karşılaştığımız komplikasyonları sunmayı amaçladık. 25 hastaya PEG yerleştirildi. En sık PEG konma nedeni 15 hasta ile (% 60) serebrovasküler hastalıklardı. 18 hasta evine tüp ile taburcu edilirken, 7 hasta hastanede izlemleri sırasında PEG işlemine bağlı olmayan sebeplerden kaybedildi. İşleme bağlı majör bir komplikasyonla karşılaşılmadı, erken dönemde görülen en sık görülen minör komplikasyon periostomal enfeksiyon iken geç dönemde ise tüp tıkanmasıydı. AbstractPercutaneous endoscopic gastrostomy (PEG) is to indwell a tube through abdominal wall into the stomach of patients who can not swallow orally for enteral feeding long term. In this paper we present indications and early or late term complications of PEG we encounter in our surgery unit. 25 patients underwent PEG procedure. The most common indication of PEG was cerebrovascular disorder in 15 (60%) patients.Of them, 18 were discharged, 7 were died of different causes during hospital stay. No major comlication was seen. Peristomal infection was the most common complication in early period but the tube occlusion in the late period. GirişMalnutrisyon hastaneye yatışı yapılan hastaların % 40'ını etkileyen, mortalite, morbidite, hastanede yatış süresini artıran bir sağlık problemidir. Özellikle vücut kitle indeksi 18 kg/m2 'nin altında olan yaşlı hastalarda mortalite oranı yüksektir. Beslenme; hastalıkların, travmanın ve cerrahi operasyonlar sonrası yara iyileşmesinin erken düzelmesinde önemli bir faktördür.1 Ağız yoluyla yeterli düzeyde beslenemeyen hastalarda parenteral ya da en-

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“…Percutaneous endoscopic gastrostomy (PEG) and percutaneous radiologically guided gastrostomy (PRG) can lead to infectious complications [1]. We report the first case of chondrocostal osteitis due to gastrostomy tube placement.…”

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confidence: 99%