PEG with introducer or pull method: a prospective randomized comparison

Gastrointestinal Endoscopy
Iruru MaetaniMasao Yoshikawa


PEG by the conventional pull method has the potential drawback of being associated with a higher frequency of wound infection, presumably caused by contamination of the gastrostomy catheter as it passes through the oral cavity. This study investigated the occurrence of peristomal wound infection after PEG placement by using the pull and introducer techniques. Between September 1999 and May 2002, consecutive patients with dysphagia for whom PEG was recommended were enrolled in the study and randomly assigned to two groups: PEG with the introducer method (Group I) or PEG with the pull method (Group II). The peristomal area of each patient was evaluated on a daily basis for one week after PEG. Erythema and exudate were scored on a scale from 0 to 4 and induration on a scale of 0 to 3. Criteria for infection were a maximum combined score of 8 or higher, or the presence of microscopic and microbiologic evidence of suppurating exudate. In each group, the endoscope was passed once during the procedure, and an antibiotic (piperacillin) was given prophylactically. All procedures were performed by one investigator with the assistance of another physician. Of the 60 patients enrolled, 30 were assigned to each group. PEG was successful in ...Continue Reading


Feb 11, 2005·Current Opinion in Gastroenterology·Wahid Wassef
Nov 16, 2006·Current Gastroenterology Reports·Tonya KaltenbachGeorge Triadafilopoulos
Dec 9, 2010·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Krishdeep Singh ChadhaMichael D Sitrin
Jan 15, 2015·Pediatric Gastroenterology, Hepatology & Nutrition·Mi Hyeon Gang, Jae Young Kim
Oct 13, 2005·Current Opinion in Gastroenterology·Wahid Wassef, Ramon Rullan
Apr 4, 2007·Surgical Endoscopy·Yoichi ToyamaKatsuhiko Yanaga
Mar 25, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Paulo CampoliOrlando Mota
Dec 8, 2011·Arquivos De Gastroenterologia·Fernanda Prata MartinsAngelo Paulo Ferrari
Oct 20, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroaki ShigokaYukio Takenaka
Feb 18, 2020·World Journal of Gastroenterology : WJG·Sasan PartoviDustin Thompson
Jul 21, 2006·World Journal of Surgery·Yutaka SuzukiKatsuhiko Yanaga
Jul 19, 2016·Journal of Veterinary Emergency and Critical Care·Rebekah M MackMatthew W Beal
Jun 20, 2006·Best Practice & Research. Clinical Gastroenterology·James A DiSario
Jun 15, 2010·Gastrointestinal Endoscopy·Richard S KwonWilliam M Tierney

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.


Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.