Comparing the Safety and Cost of Image-Guided Percutaneous Gastrostomy Tube Placement in the Outpatient Versus Overnight Observation Setting in a Single-Center Retrospective Study.

Academic Radiology
Ryan S DolanNima Kokabi

Abstract

Historically, patients undergoing image-guided percutaneous gastrostomy tube placement have been admitted overnight with feeds commencing 12-24 hours postprocedure. With new expedited feeding protocols starting 3-4 hours postprocedure, same-day discharge is now possible. The purpose of this study was to evaluate the safety and cost of image-guided percutaneous gastrostomy tube placement as an outpatient procedure. In this retrospective study, 131 patients (age 63.9 ± 11.6; 34% female) underwent gastrostomy tube placement as an outpatient procedure with expedited feeding protocol versus 40 patients (age 61.3 ± 12.6; 38% female) who were hospitalized overnight with feeds starting at 12-24 hours, primarily based on operator preference. The two groups were compared regarding complications within 90 days of procedure. Using a subgroup of 33 consecutive patients, procedural costs (total combined insurer and patient payments for professional and hospital services) for outpatients vs. hospitalized patients were compared. Complication rates were similar (p = 0.64) for gastrostomy tubes placed on outpatients (0.17 complications/procedure: 4 bleeding, 2 aspiration pneumonia, 1 abdominal abscess, 4 significant pain, 6 cellulitis, 1 surgica...Continue Reading

References

Oct 17, 1998·Archives of Otolaryngology--head & Neck Surgery·M E BeaverK Waugh
Mar 10, 2001·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·E E DeurlooA J Balm
Oct 11, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Srinivasan DubaguntaBethann Whilden
Mar 6, 2009·Surgical Endoscopy·Gustavo Francisco de Souza e MelloGilberto Reynaldo Mansur
May 6, 2009·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·D G GrantM A Birchall
Mar 17, 2010·American Journal of Surgery·Scott M WilhelmThomas A Stellato
Feb 4, 2016·The Cochrane Database of Systematic Reviews·Yong YuanYang Hu
May 18, 2016·Cardiovascular and Interventional Radiology·James SutcliffeRaman Uberoi
Oct 25, 2016·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Devang OdedraAlexandre Menard
Nov 27, 2016·Journal of Vascular and Interventional Radiology : JVIR·Wenshuai WanRichard Duszak
Aug 23, 2018·Surgical Endoscopy·Soo-Kyung ParkUNKNOWN Small Intestine and Nutrition Research Group of the Korean Association for the Study of Intestinal Diseases (KASID)

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.