PMID: 16639071Apr 28, 2006Paper

Percutaneous endoscopic gastrostomy placement without skin incision: results of a randomized trial

JPEN. Journal of Parenteral and Enteral Nutrition
Robert E SedlackTodd H Baron

Abstract

During percutaneous endoscopic gastrostomy (PEG) placement, skin incision is performed as standard practice. We suspected that this time-honored principle is unnecessary. In a prospective, randomized trial, 50 adults undergoing PEG placement were randomized to skin incision omission PEG (IOPEG) and standard PEG (SPEG). Two- and 7-day PEG site evaluations were performed to grade stomal infection, bleeding, pain, and overall satisfaction using a standardized scoring system. Median stomal evaluation scores were compared between groups using a Wilcoxon rank-sum test. Completion rates were compared using a t-test. Placement success for the IOPEG and SPEG technique was 22/25 (88%) and 24/25 (96%), respectively (p = NS). Three failed IOPEG attempts required an incision to complete due to increased pull force encountered. One SPEG failed due to inability to transilluminate. Stomal evaluation scores of infection, bleeding, pain, leakage, and patient satisfaction were not significantly different at 2 or 7 days. No serious complications occurred as a result of skin incision omission. Omitting the skin incision does not significantly alter the placement success rate, patient satisfaction, or the rate of stomal complications, thus dispellin...Continue Reading

References

Aug 1, 1986·Gastrointestinal Endoscopy·J L Ponsky
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Aug 7, 2003·Journal of Vascular and Interventional Radiology : JVIR·Richard Duszak, Michael R Mabry
Oct 18, 2003·Journal of Clinical Gastroenterology·Robert SedlackTodd Baron

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Citations

Sep 25, 2014·JPEN. Journal of Parenteral and Enteral Nutrition·Philip OppongStephen Lewis

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