Gastrostomy insertion in head and neck cancer patients: a 3 year review of insertion method and complication rates

Radiologically Guided Placement of Mushroom-retained Gastrostomy Catheters: Long-term Outcomes of Use in 300 Patients at a Single Center

“…We also found four patients with peristomal infection (1.3%), which translated to a rate of infection much closer to that with RIG, which is known to be associated with a lower rate of infection than that with PEG (18). Our rate of leakage (5%) was similar or slightly higher to that with PEG (4,13,29); however, it remained lower than that previously seen with RIG (13).…”

“…Only 7% of feeding tube placements were performed with fluoroscopy by radiologists (12).The preference for endoscopic guidance appears to be driven by results in the literature showing lower rates of complication, most notably minor complications such as inadvertent tube removal and peristomal leakage (4,13,14). One substantial advantage of percutaneous endoscopic gastrostomy (PEG) tubes is the mushroom anchoring device: a silicone disc that provides more security than does a standard push-type radiologically inserted gastrostomy (RIG) tube and renders them more difficult to remove inadvertently (5,15).…”

“…Since its initial description in 1980 (1), the percutaneous approach has largely replaced open surgical gastrostomy as the procedure of choice (2). Varying techniques for percutaneous access have been described, although each method has been reported to demonstrate a wide range of efficacy (3)(4)(5)(6)(7).…”

Thirty-day mortality after percutaneous gastrostomy by endoscopic versus radiologic placement: a systematic review and meta-analysis

“…We identified 828 citations through the electronic database search, and 445 citations remained after duplicates were removed. Initial screening of the titles and abstracts resulted in the exclusion of 414 citations, and full texts of the remaining 31 citations were reviewed in detail 891617181920212223242526272829303132333435363738394041424344. An additional 16 citations were excluded after reviewing the full articles, for the following reasons: duplicated reports,424344 noncomparative studies,37 studies with RIG placement after failure of PEG,2535 no data present on 30-day mortality,294041 no reported case of 30-day mortality,192730343638 and review articles 1721.…”

A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy tube due to mesenteric penetration

“…1 Overall prevalence of complications is low, 2 but serious complications, such as injury to the spleen, liver and bowel, are well recognised. 3,4 Small-bowel injury is very rare due to its position below the omentum, but injury and volvulus have been described.…”