Comparison of complications between endoscopic and percutaneous replacement of percutaneous endoscopic gastrostomy tubes

Journal of Korean Medical Science
Chang Geun LeeJae Hak Kim

Abstract

When replacing percutaneous endoscopic gastrostomy (PEG) tubes, an internal bolster may be retrieved either percutaneously or endoscopically. The aim of this study was to compare the complications of percutaneous and endoscopic method during PEG tube replacement. The medical records of 330 patients who received PEG tube replacement were retrospectively analyzed. According to the removal method of internal bolster, we categorized as endoscopic group and percutaneous group. Demographic data, procedure-related complications and risk factors were investigated. There were 176 cases (53.3%) in endoscopic group and 154 cases (46.7%) in percutaneous group. The overall immediate complication rate during PEG tube replacement was 4.8%. Bleeding from the stoma (1.3%) occurred in percutaneous group, whereas esophageal mucosal laceration (7.4%) and microperforation (0.6%) occurred in endoscopic group. The immediate complication rate was significantly lower in the percutaneous method (OR, 6.57; 95% CI, 1.47-29.38, P=0.014). In multivariate analysis, old age was a significant risk factor of esophageal laceration and microperforation during PEG tube replacement (OR, 3.83; 95% CI, 1.04-14.07, P=0.043). The percutaneous method may be more safe an...Continue Reading

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Citations

Oct 1, 2015·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Ana Belén Friginal-Ruiz, Alfredo J Lucendo
Oct 7, 2015·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Jesús M Culebras
Sep 24, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Matthew L BechtoldDouglas L Nguyen
May 31, 2019·JPEN. Journal of Parenteral and Enteral Nutrition·Rana Elcin SezerSevilay Senol Celik
Jan 25, 2018·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Jihyun LeeSung Ae Jung
Dec 1, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Matthew L BechtoldDouglas L Nguyen

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