Radiologic, endoscopic, and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature.

Abstract

Radiologic gastrostomy is associated with a higher success rate than is PEG and less morbidity than either PEG or surgery.

Performing radiologic gastrostomy or gastrojejunostomy in patients with malignant ascites.

“…Ascites and peritoneal carcinomatosis should not be considered contraindications for radiologic gastrostomy or gastrojejunostomy. P ercutaneous radiologic gastros tomy is an alternativeto surgical or endoscopic tube placement; a metaanalysisby Wollman et al [1] and other studies have shown that the radiologic method of placement has lower rates of morbidity and mortality than either the surgical or the endo…”

Experience with image‐guided gastrostomy and gastrojejunostomy tubes in children and adolescents with primary psychiatric illness

“…Percutaneous tube placement is associated with high success rate and has been suggested to be safer than other placement techniques. 9,10 Although enterostomy tube feeding has become widely accepted in children and adolescents with chronic medical illness, its use in similarly aged children and adolescents with psychiatric illness has been limited by two main concerns. First, purposeful tube manipulation in the early postinsertion period will result in serious medical complications such as peritonitis or sepsis.…”

Feeding Tube Enterostomies in Upper Aerodigestive Tract Cancers

“…The risk of life threatening aspiration was four times lower in PRG compared with PEG, although differences possibly reflect institutional bias towards the use of a particular method in different patient categories. 20 In another recent meta-analysis of 2379 head and neck cancer patients, major complication rates following PEG and PRG were 7.4% (95% CI 5.9-9.3%) and 8.9% (95% CI 7.0-11.2%) respectively. PRG was associated with increased morbidity and mortality in those who are ineligible for PEG.…”