Endoscopic versus operative gastrostomy: final results of a prospective randomized trial

Stiegmann, Gregory V.; Goff, John S.; Silas, Dean; Pearlman, Nathan W.; Sun, Jiayu; Norton, Lawrence W.

doi:10.1016/s0016-5107(90)70911-x

Cited by 214 publications

(84 citation statements)

References 15 publications

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“…Stiegmann et al (11) demonstrated then that not only PEG was economically superior to SG, but that morbidity and mortality were also equivalent. Later, it has become clear that PEG has, in fact, lower complication rate than SG, as demonstrated in a prospective randomized trial by Ljundhal et al (6).…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…[26][27][28] On the other hand, some studies do not confirm these results. 29,30 Furthermore, PEG and PRG placements are accompanied by a certain risk of morbidity and mortality. [31][32][33] Rather low survival rates in patients who received an SG or PRG tube are explained by the fact that these groups consisted mainly of patients with advanced cancer of the upper gastrointestinal tract who died of their underlying disease.…”

Section: Commentmentioning

confidence: 99%

Outcomes of Surgical, Percutaneous Endoscopic, and Percutaneous Radiologic Gastrostomies

Cosentini

Sautner²,

Gnant³

et al. 1998

Arch Surg

148

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“…In various series, PEGs have been found to be safer and less costly than surgical gastrostomies [3,6,7] with an overall complication rate of 10-25% [2,8,9]. Complications have included aspiration pneumonia, hemorrhage, wound infection, septicemia, peritonitis, and inter- nal migration of the tube with gastric outlet or duodenal obstruction [2,4,8].…”

Section: Discussionmentioning

confidence: 99%

Extrusion of PEG tube from the stomach with fistula formation: An unusual complication of percutaneous endoscopic gastrostomy

Goodman

Levine

Parkman

1991

Gastrointest Radiol

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Percutaneous endoscopic gastrostomy (PEG) has become an accepted technique for providing long-term enteral feeding. We report two cases of extrusion of the PEG tube into a short fistulous tract that communicates with the stomach. Although this unusual complication led to difficulty with tube feedings, both patients were asymptomatic, and, in one case, it was possible to reposition another catheter in the stomach via the fistula.

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Endoscopic versus operative gastrostomy: final results of a prospective randomized trial

Cited by 214 publications

References 15 publications

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

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

Outcomes of Surgical, Percutaneous Endoscopic, and Percutaneous Radiologic Gastrostomies

Extrusion of PEG tube from the stomach with fistula formation: An unusual complication of percutaneous endoscopic gastrostomy

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