2018
DOI: 10.1097/mcg.0000000000001082
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Abstract: No differences were found with regard to mortality or infectious complications. PEG showed lower risk of tube-related complications. Subgroup analysis revealed PEG to be favorable in HNC based on lower rates of procedure-related mortality and tube-related complications. Local experience and availability should be taken into account in the decision process.

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Cited by 40 publications
(25 citation statements)
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“…There were no differences in terms of infection rates, 30-day mortality, and overall survival. Another subgroup analysis of patients with ALS in a systematic review comparing PEG and peroral image-guided gastrostomy did not find any difference in terms of mortality and complications [73].…”
Section: Recommendationmentioning
confidence: 91%
See 1 more Smart Citation
“…There were no differences in terms of infection rates, 30-day mortality, and overall survival. Another subgroup analysis of patients with ALS in a systematic review comparing PEG and peroral image-guided gastrostomy did not find any difference in terms of mortality and complications [73].…”
Section: Recommendationmentioning
confidence: 91%
“…Furthermore, major complication rates following PEG were 7.4 % (95 %CI 5.9 % -9.3 %) and 8.9 % (95 %CI 7.0 % -11.2 %) after RIG, respectively; peritonitis was the most frequent major adverse event [80]. A subgroup analysis of HNC patients in a systematic review comparing PEG and RIG found lower rates of procedure-related mortality and infection-and tube-related complications with the former [73].…”
Section: Recommendationmentioning
confidence: 99%
“…In addition, a better patient adherence to prophylactic TF might be expected compared to reactive feeding tube placement [397]. However, a gastrostomy is accompanied with complication rates of about 3.3-19% [398,399] and between 9 and 47% of the prophylactic gastrostomies are never used [387,400]. Furthermore, prophylactic gastrostomy insertion has been argued because it might lead to long-term OD, considering the "use it or lose it" principle regarding the swallowing mechanism [336,401] but high-quality randomized trials to prove this theory are not available and other studies have shown no relationship between prophylactic gastrostomy and long-term swallowing function [402,403].…”
Section: Treatment Of Cancer Cachexiamentioning
confidence: 99%
“…[8][9][10][11] However, much of the current literature on fluoroscopic gastrostomy, in particular, has been limited to being outside of the United States or performed in a single institution or region. 7,8,[12][13][14][15][16][17][18][19] This study aims to evaluate the complication rates associated fluoroscopically placed gastrostomy tubes nationally in patients covered by Medicare parts A and B in the United States.…”
Section: Introductionmentioning
confidence: 99%