A Comparison of Complication Rates Between GI Percutaneous Endoscopic Gastrostomy (PEG) and IR Percutaneous Radiologic Gastrostomy (PRG) Tube Placement

2014 ◽  
Vol 109 ◽  
pp. S54-S55
Author(s):  
Bilal ElChaarani ◽  
Christopher Gal ◽  
Ismet Lukolic ◽  
James Walsh ◽  
David Lee
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Tube Placement ◽  
Complication Rates ◽  
Endoscopic Gastrostomy ◽  
Percutaneous Radiologic Gastrostomy

Earlier tracheostomy and percutaneous endoscopic gastrostomy in patients with hemorrhagic stroke: associated factors and effects on hospitalization

2020 ◽  
Vol 132 (1) ◽  
pp. 87-93 ◽  
Author(s):  
Matthew R. McCann ◽  
Kevin W. Hatton ◽  
Olga A. Vsevolozhskaya ◽  
Justin F. Fraser
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Hemorrhagic Stroke ◽  
Tube Placement ◽  
Complication Rates ◽  
Data Set ◽  
Early Tracheostomy ◽  
Factors Associated ◽  
Endoscopic Gastrostomy ◽  
Icu Length Of Stay ◽  
Peg Tube

OBJECTIVEExisting literature supports benefits of early tracheostomy and percutaneous endoscopic gastrostomy (PEG) in certain patient populations. The aim of this study was to review tracheostomy and PEG placement data in patients with hemorrhagic stroke in order to identify factors associated with earlier placement and to evaluate outcomes.METHODSThe authors performed a retrospective review of consecutive patients treated for hemorrhagic stroke between June 1, 2011, and June 1, 2015. Data were analyzed by logistic and multiple linear regression.RESULTSOf 240 patients diagnosed with hemorrhagic stroke, 31.25% underwent tracheostomy and 35.83% underwent PEG tube placement. Factors significantly associated with tracheostomy and PEG included the presence of pneumonia on admission and subarachnoid hemorrhage. Earlier tracheostomy was significantly associated with shorter ICU length of stay; earlier tracheostomy and PEG placement were associated with shorter overall hospitalization. Timing of tracheostomy and PEG was not significantly associated with patient survival or the incidence of complications in this population.CONCLUSIONSThis study identified patient risk factors associated with increased likelihood of tracheostomy and PEG in patients with hemorrhagic stroke who were critically ill. Additionally, we found that the timing of tracheostomy was associated with length of ICU stay and overall hospital stay, and that the timing of PEG was associated with overall length of hospitalization. Complication rates related to tracheostomy and PEG in this population were minimal. This retrospective data set supports some benefit to earlier tracheostomy and PEG placement in this population and justifies the need for further prospective study.

Early report on percutaneous endoscopic gastrostomy at Owerri, Nigeria

2021 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Christopher Nonso Ekwunife ◽  
Kelechi E. Okonta ◽  
Stephen E. Enendu
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Early Report ◽  
Cross Sectional Study ◽  
Tube Placement ◽  
Safe Procedure ◽  
Cross Sectional ◽  
Endoscopic Gastrostomy ◽  
Neurologic Disorders ◽  
Superficial Skin ◽  
Peg Tube

Objectives: Percutaneous endoscopic gastrostomy (PEG) is a well-established endoscopic procedure that is used predominantly to create enteral access for feeding. Its use has not been widespread in Nigeria despite its efficacy. This study is done to review the early experiences in the use of PEG in Federal Medical Centre, Owerri and Carez Clinic, Owerri. Material and Methods: This is a 4-year retrospective cross-sectional study of patients who had PEG from January 2015 to December 2018. The indications, complications, and outcomes of the procedure were analyzed. Results: A total of 13 patients had pull-type gastrostomy during this period. Six (46.1%) patients had the procedure on account of neurologic disorders, 4 (30.8%) patients had esophageal tumors, while 3 (23.1%) patients had esophageal motility disorders. The overall success rate for PEG tube placement was 100%. The most common complication was superficial skin infection 30.8% (4/13). No mortality was attributable to the procedure. Conclusion: PEG is still not commonly done in our setting, but it is a relatively safe procedure. Physicians should be encouraged to offer it to our teeming patients with neurologic disorders who may benefit from it.

Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy: Its Role in Providing Enteric Access when Percutaneous Endoscopic Gastrostomy is not Possible

2006 ◽  
Vol 72 (12) ◽  
pp. 1222-1224 ◽  
Author(s):  
Randal L. Croshaw ◽  
James M. Nottingham
Keyword(s):  
General Anesthesia ◽  
Patient Care ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Wound Complications ◽  
Unsuccessful Attempt ◽  
Endoscopic Gastrostomy ◽  
Laparoscopic Gastrostomy ◽  
Laparoscopic Assisted ◽  
Surgical Gastrostomy ◽  
Percutaneous Radiologic Gastrostomy

Percutaneous endoscopic gastrostomy (PEG) replaced open surgical gastrostomy (OSG) as the preferred method for enteric access soon after its introduction in 1980.1 Since that time, laparoscopic gastrostomy (LG), percutaneous radiologic gastrostomy (PRG), and laparoscopic-assisted PEG (LAPEG) have been introduced. PEG and PRG have been found to be over 95 per cent successful, convenient, economical, and associated with less morbidity than OSG.2, 3 However, there are patients that are not appropriate candidates for, or have failed attempts at, PEG or PRG placement. At one time, OSG was the only option left for these patients, but they may be better served by LAPEG or, in some cases, LG. LAPEG offers less morbidity than OSG by having less pain and wound complications, and potentially may avoid the use of general anesthesia.4–6 We present a series of patients that underwent successful LAPEG placement after an unsuccessful attempt at PEG placement, and we describe its role in patient care.

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