Percutaneous radiologic gastrostomy versus percutaneous endoscopy gastrostomy: a comparison of indications, complications and outcomes in 370 patients

Silas, Anne M.; Pearce, L.F.; Lestina, Lisa S.; Grove, Margaret R.; Manganiello, Wendy D.; Bettman, Michael A.; Gordon, Stuart R.

doi:10.1016/j.clinimag.2005.12.012

Cited by 2 publications

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“…PRG is primarily indicated to replenish nutrients depleted in patients with dysphagia and anorexia caused by an underlying malignant condition, such as head and neck cancer (HNC), esophageal cancer, or neurological swallowing dysfunction and motility disturbance caused by cerebrovascular accidents (CVAs), neurodegenerative disorders such as amyotrophic lateral sclerosis or advanced dementia, or, less commonly, neuromuscular disorders such as myasthenia gravis and Guillain-Barre syndrome [1,13,14]. Among these, HNCs (especially oropharyngeal cancer) and esophageal cancer constitute the most common indications for PRG insertion, especially in advanced stages (American Joint Committee on Cancer (AJCC) stage III or beyond for HNCs), and 62% of pre-chemoradiotherapy esophageal cancer patients are in stage IV according to one study [7].…”

Section: Introductionmentioning

confidence: 99%

“…Likewise, neuro-disability, anorexia, and decreased consciousness in dementia patients necessitate PRG intubation [16]. PRG placement for the purpose of reversal or alleviation of malnutrition accounts for 92% of all PRG cases [13,14]. The remaining cases are attributed to gastric decompression by means of a fluoroscopic gastrostomy to relieve symptoms of obstruction in patients with unresectable abdominal tumors leading to small bowel obstruction.…”

Section: Introductionmentioning

confidence: 99%

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Complications of Percutaneous Radiologic Gastrostomy Among Patients in a Tertiary Care Hospital in Riyadh, Saudi Arabia

Alrasheed¹,

Khair²,

Aljohani³

et al. 2023

Cureus

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Background: Percutaneous radiologic gastrostomy (PRG) is the method of choice for patients incapable of ingesting nutrition orally. The complications related to PRG are classified into major and minor complications. This article presents the prevalence of major and minor complications of PRG among adult patients admitted to King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia between 2017 and 2018.Methods: This was a retrospective cross-sectional study, which included adult patients who underwent a new PRG intubation between 2017 and 2018 in KAMC in Riyadh, Saudi Arabia. The variables reviewed were the demographics, comorbidities, indications of tube insertion, major and minor complications, and mortality rates.Results: A total of 105 patients who underwent PRG were covered in this study with a mean age of 69.2 + 20.4 years. The most common indications were neurogenic pharyngeal dysphagia (31%) and dementia (29%). Most of the complications reported were minor (40%) and major complications were found in 2%. The percentage of patients with both minor and major complications was 37%. The patients who had no complications made up 21%. Major skin complication was reported in 19 patients (18%), while leakage was the most occurring minor complication found in 49 patients (47%). The 30-day mortality was observed in five patients (5%) and one-year mortality was observed in 21 patients (20%), and none of them were related to the PRG tube.Conclusion: This study found that the PRG procedure had low rates of complications in KAMC. The majority were minor complications, and the mortality rate was low with none being related to the tube itself. So PRG may be considered to be a relatively safe procedure.

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