Percutaneous endoscopic versus surgical gastrostomy in patients with benign and malignant diseases: a systematic review and meta-analysis

Abstract

To compare the complications and mortality related to gastrostomy procedures performed using surgical and percutaneous endoscopic gastrostomy techniques, this review covered seven studies. Five of these were retrospective and two were randomized prospective studies. In total, 406 patients were involved, 232 of whom had undergone percutaneous endoscopic gastrostomy and 174 of whom had undergone surgical gastrostomy. The analysis was performed using Review Manager. Risk differences were computed using a fixed-effects model and forest and funnel plots. Data on risk differences and 95% confidence intervals were obtained using the Mantel-Haenszel test. There was no difference in major complications in retrospective (95% CI (-0.11 to 0.10)) or randomized (95% CI (-0.07 to 0.05)) studies. Regarding minor complications, no difference was found in retrospective studies (95% CI (-00.17 to 0.09)), whereas a difference was observed in randomized studies (95% CI (-0.25 to -0.02)). Separate analyses of retrospective and randomized studies revealed no differences between the methods in relation to mortality and major complications. Moreover, low levels of minor complications were observed among endoscopic procedures in randomized studies, with no difference observed compared with retrospective studies.

Surgical Gastrostomy With Mini Laparatomy Under Local Anesthesia: Analysis of 62 Cases

“…The mean operation time is relatively longer for laparoscopic gastrostomy and relatively shorter for PEG in literature (6,9,23). The mean operation time in our study was 34 ± 12.8 minutes and it was relatively very short considering these risky patients.…”

“…Gastrostomy can be performed by means of endoscopic, radiologic or surgical methods (4). Percutaneous endoscopic gastrostomy (PEG) is a simple, cheap and of a very low complication risk procedure, which does not need general anaesthesia (1,5,6). Surgical gastrostomy (SG) is an invasive procedure and frequently necessitates general anaesthesia (6).…”

“…Percutaneous endoscopic gastrostomy (PEG) is a simple, cheap and of a very low complication risk procedure, which does not need general anaesthesia (1,5,6). Surgical gastrostomy (SG) is an invasive procedure and frequently necessitates general anaesthesia (6). Today, PEG is known to be safer in patients with nutrition problems than SG.…”

Gastrostomia em pediatria: aspecto clínico epidemiológico

“…As complicações em gastrostomia são classificadas, de acordo com a gravidade, em sistêmicas ou menores. Entre as complicações menores destacam-se: deslocamento ou saída acidental do cateter, vazamento de conteúdo gástrico, dermatite, granuloma e infecção periestomia, as quais demandam tratamento conservador (2,16) . No presente estudo foram encontradas apenas complicações de menor gravidade ficando evidente a baixa taxa de complicações pelo uso de gastrostomia em crianças.…”

Nutritional Support of Cancer Patients without Oral Feeding: How to Select the Most Effective Technique?

“…Open gastrostomy involves a gastric incision to place the tube. Studies comparing SG with PEG have shown no differences in morbidity and mortality rates; nevertheless, PEG is less expensive and is easier and faster to perform [49]. SG is commonly reserved for patients who will undergo another surgical procedure or in a setting in which PEG and RIG are contraindicated or not locally available [49,50].…”