Predictors of Percutaneous Endoscopic Gastrostomy Placement in Acute Ischemic Stroke

2018 ◽  
Vol 27 (11) ◽  
pp. 3200-3207 ◽  
Author(s):  
Kristin Brown ◽  
Chunyan Cai ◽  
Andrew Barreto ◽  
Paige Shoemaker ◽  
Jade Woellner ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Percutaneous Endoscopic Gastrostomy Placement ◽  
Endoscopic Gastrostomy

Abstract WP181: Timing of Percutaneous Endoscopic Gastrostomy (PEG) for Acute Ischemic Stroke Inpatients in the United States

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
George P Albert ◽  
Benjamin P George ◽  
Adam G Kelly ◽  
David Y Hwang ◽  
Robert G Holloway
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Oldest Old ◽  
Age Groups ◽  
The United States ◽  
Nasogastric Feeding ◽  
Adult Age ◽  
Endoscopic Gastrostomy ◽  
To Receive

Background and Purpose: Stroke guidelines recommend time-limited trials of nasogastric feeding prior to placement of percutaneous endoscopic gastrostomy (PEG) tubes. We sought to describe timing of PEG placement and identify factors associated with early PEG for acute ischemic stroke. Methods: We designed a retrospective observational study to examine time to PEG for ischemic stroke admissions in the Nationwide Inpatient Sample, 2001-2011. We defined early PEG placement as 1-7 days from admission. Using multivariable regression analysis, we identified the effects of patient and hospital characteristics on time to PEG. Results: We identified 34,623 admissions receiving a PEG from 2001-2011, 53% of which received the PEG early. Among hospitals placing ≥10 PEG tubes, median time to PEG for individual hospitals ranged from 3 days to over 3 weeks (interquartile range: 6-8.5 days). Older adult age groups were associated with early PEG placement (≥85 years vs. 18-54 years: Adjusted Odds Ratio [AOR] 1.68, 95% CI 1.50-1.87). Those receiving a PEG tube and tracheostomy were less likely to receive the PEG early (vs. no tracheostomy; AOR 0.27, 95% CI 0.24-0.29), and these patients were more often younger compared to PEG only recipients ( Figure ). Those admitted to high volume hospitals were more likely to receive their PEG early (≥350 vs. <150 hospitalizations; AOR 1.26, 95% CI 1.17-1.35). Conclusions: More than half of PEG recipients received their surgical feeding tube within 7 days of admission. The oldest old, who may be the most likely to benefit from time-limited trials of nasogastric feeding, were most likely to receive a PEG early.

scholarly journals Timing of Percutaneous Endoscopic Gastrostomy for Acute Ischemic Stroke

Stroke ◽  
2017 ◽  
Vol 48 (2) ◽  
pp. 420-427 ◽  
Author(s):  
Benjamin P. George ◽  
Adam G. Kelly ◽  
George P. Albert ◽  
David Y. Hwang ◽  
Robert G. Holloway
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy

scholarly journals May chronic cough in chronic obstructive pulmonary disease be a contraindication of Percutaneous Endoscopic Gastrostomy placement: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. G. Gravina ◽  
A. Tessitore ◽  
V. M. Ormando ◽  
F. Nagar ◽  
M. Romeo ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Chronic Cough ◽  
Gastric Wall ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Percutaneous Endoscopic Gastrostomy Placement ◽  
Endoscopic Gastrostomy ◽  
Track Record

Abstract Background Percutaneous Endoscopic Gastrostomy (PEG) can involve some complications, despite the good safety of its track record. The Buried Bumper Syndrome (BBS) is a rare, late and dangerous complication that consists in the erosion of the internal bumper through the gastric wall. Case presentation We report the development of BBS in a man with chronic obstructive pulmonary disease (COPD) who had a persistent chronic cough which was prevalently but not solely in the morning and required placement of a PEG tube for continuous infusion of Levodopa/carbidopa intestinal gel for advanced Parkinson's disease. Conclusion We believe that COPD with chronic cough while not representing an absolute contraindication to PEG placement, may potentially cause BBS and therefore an appropriate regimen of tube care by expert personnel is mandatory in this setting.

Do Antibiotics Reduce the Incidence of Infections after Percutaneous Endoscopic Gastrostomy Placement in Children?

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hilde Krom ◽  
Charlotte M.W. van den Hoek ◽  
Marc A. Benninga ◽  
Eveline A. Delemarre ◽  
Justin R. de Jong ◽  
...  
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Percutaneous Endoscopic Gastrostomy Placement ◽  
Endoscopic Gastrostomy

scholarly journals Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis

2018 ◽  
Vol 34 (12) ◽  
pp. 1321-1327 ◽  
Author(s):  
Filip Sandberg ◽  
Margrét Brands Viktorsdóttir ◽  
Martin Salö ◽  
Pernilla Stenström ◽  
Einar Arnbjörnsson
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Meta Analysis ◽  
Percutaneous Endoscopic Gastrostomy Placement ◽  
Endoscopic Gastrostomy ◽  
Major Complications

Capnography monitoring of non‐anesthesiologist provided sedation during percutaneous endoscopic gastrostomy placement: A prospective, controlled, randomized trial

2019 ◽  
Vol 35 (3) ◽  
pp. 401-407 ◽  
Author(s):  
Jan Peveling‐Oberhag ◽  
Florian Michael ◽  
Andrea Tal ◽  
Christoph Welsch ◽  
Johannes Vermehren ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Percutaneous Endoscopic Gastrostomy Placement ◽  
Endoscopic Gastrostomy
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