Percutaneous endoscopic gastrostomy versus percutaneous radiological gastrostomy for swallowing disturbances

Yao, Yuan; Zhao, Yaopeng; Xie, Ting; Hu, Yang

doi:10.1002/14651858.cd009198.pub2

Cited by 30 publications

(47 citation statements)

References 75 publications

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“…However, the optimal technique for gastrostomy in individuals who have swallowing disturbances or PD remains unknown . A recent Cochrane meta‐analysis evaluating the safety and efficacy of these 2 techniques concluded that current evidence is insufficient to recommend 1 over the other …”

Section: Discussionmentioning

confidence: 99%

“…9,10 A recent Cochrane meta-analysis evaluating the safety and efficacy of these 2 techniques concluded that current evidence is insufficient to recommend 1 over the other. 11 We compared the PEG and RIG procedures for LCIG therapy in PD patients and demonstrated that RIG may be considered a valid alternative to endoscopic gastrojejunostomy. However, until now, no studies have evaluated its long-term outcome in patients with PD who require LCIG.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Endoscopic Transgastric Jejunostomy (PEG‐J) Tube Placement for Levodopa‐Carbidopa Intrajejunal Gel Therapy in the Interventional Radiology Suite: A Long‐term Follow‐up

Saddi

Sarchioto

et al. 2018

Movement Disord Clin Pract

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Background Percutaneous endoscopic gastrojejunostomy (PEG) and radiologically inserted gastrojejunostomy (RIG) are both safe and effective techniques for gastrojejunal tube placement. The authors compared these 2 procedures in patients with advanced Parkinson's disease (PD) who required the continuous intrajejunal delivery of a levodopa/carbidopa gel suspension (LCIG). Methods Outcomes were retrospectively collated from 30 PEG and 12 RIG procedures performed at 2 centers in patients with advanced PD for the delivery of LCIG. Results Baseline clinical characteristics, incidence of early severe adverse events, late major complications, dropout, and the mean time‐lapse of tube replacements were comparable in the PEG and RIG groups. Conclusion The current results suggest that, in patients with PD, the RIG technique is as safe and effective as the endoscopic procedure, and it can be considered a valid option for patients who require LCIG when the endoscopic procedure is not available or unfeasible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percutaneous Endoscopic Transgastric Jejunostomy (PEG‐J) Tube Placement for Levodopa‐Carbidopa Intrajejunal Gel Therapy in the Interventional Radiology Suite: A Long‐term Follow‐up

Saddi

Sarchioto

et al. 2018

Movement Disord Clin Pract

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“…All techniques are effective for longterm enteral intubation in selected individuals, though current evidence is insufficient to recommend one technique over the other. Choice of technique should be based on indications and contraindications, operator experience and the facilities available [9,10].…”

Section: Percutaneous Endoscopic Gastrostomy With Jejunal Extension Tubementioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy with Jejunal Extension Tube for the Delivery of Levodopa Carbidopa Intestinal Gel: Clinical Practice Guidelines of the Romanian Society of Digestive Endoscopy

Gheorghe

Dumitru

Ciocîrlan

et al. 2019

JGLD

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Percutaneous endoscopic gastrostomy with jejunal extension (PEG/J) was first described in 1998 and has become the standard technique for fixing the tube in place for levodopa carbidopa intestinal gel (LCIG) infusion. The Romanian Society of Digestive Endoscopy (RSDE) decided to create a consensus paper to meet the needs in medical training and practice. After reviewing the available published data and existing recommendations, a consensus process was carried out involving the leaders of opinion in this field. The resulting text and recommendations were approved, after reaching expert consensus, and reflects the views of the RSDE for the best practice of PEG/J tube placement. The pull through method (“pull technique”) is the prevailing PEG-tube placement procedure in Romania. The procedure can be performed with intravenous sedation combined with local anesthesia. Although minor complications are common, serious complications are infrequent, and the tube insertion procedures have a good safety record. Redo procedures are sometimes necessary and clinicians should be aware of these situations.

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“…There is increasing attention within the literature on gastrostomies as evidenced by systematic reviews that focus on examining the comparative effectiveness of different placement techniques (Yuan, Zhao, & Hu, 2016) and systemic antimicrobial prophylaxis (Lipp & Lusardi, 2013). The area of complication management of gastrostomy stomas would benefit from the same focus.…”

Section: Skin Protectionmentioning

confidence: 99%

Paediatric gastrostomy stoma complications and treatments: A rapid scoping review

Townley

Wincentak

Krog

et al. 2018

Journal of Clinical Nursing

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Percutaneous endoscopic gastrostomy versus percutaneous radiological gastrostomy for swallowing disturbances

Cited by 30 publications

References 75 publications

Percutaneous Endoscopic Transgastric Jejunostomy (PEG‐J) Tube Placement for Levodopa‐Carbidopa Intrajejunal Gel Therapy in the Interventional Radiology Suite: A Long‐term Follow‐up

Percutaneous Endoscopic Transgastric Jejunostomy (PEG‐J) Tube Placement for Levodopa‐Carbidopa Intrajejunal Gel Therapy in the Interventional Radiology Suite: A Long‐term Follow‐up

Percutaneous Endoscopic Gastrostomy with Jejunal Extension Tube for the Delivery of Levodopa Carbidopa Intestinal Gel: Clinical Practice Guidelines of the Romanian Society of Digestive Endoscopy

Paediatric gastrostomy stoma complications and treatments: A rapid scoping review

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