ArticleBMC gastroenterology2011
Safety of pull-type and introducer percutaneous endoscopic gastrostomy tubes in oncology patients: a retrospective analysis.
Article in BMC gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03252509 (Outpatient Percutaneous Radiologic Gastrostomy in Patients With Head and Neck Tumors), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Outpatient Percutaneous Radiologic Gastrostomy in Patients With Head and Neck Tumors
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy.Gut and liver · 2024Guideline
- Effectiveness of betadine-coating gastrostomy tube to reduce peristomal infection after percutaneous endoscopic gastrostomy: a randomized controlled trial.BMC gastroenterology · 2023Trial
- Gastropexy-Assisted vs. Gastropexy-Free Introducer Percutaneous Endoscopic Gastrostomy: A Prospective Randomized Trial.Endoscopy international open · 2026Article
- Hybrid percutaneous endoscopic gastrostomy (Hybrid PEG) improves patient safety by combining pull-through technique with gastropexy.Endoscopy international open · 2025Article
- Percutaneous Gastrostomies: Associated Complications in PUSH vs. PULL Techniques over 12 Years in a Referral Centre.Journal of clinical medicine · 2024Article
- [Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2023Review
- Clinical practice guidelines for percutaneous endoscopic gastrostomy.Clinical endoscopy · 2023Review
- Risk Factors and Role of Antibiotic Prophylaxis for Wound Infections after Percutaneous Endoscopic Gastrostomy.Journal of clinical medicine · 2023Article
- Complication rates of direct puncture and pull-through techniques for percutaneous endoscopic gastrostomy: Results from a large multicenter cohort.Endoscopy international open · 2022Article
- An overview of percutaneous endoscopic gastrostomy tube placement in the intensive care unit.Journal of thoracic disease · 2021Review
- Percutaneous endoscopic gastrostomy - Too often? Too late? Who are the right patients for gastrostomy?World journal of gastroenterology · 2020Review
- Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors.Acta bio-medica : Atenei Parmensis · 2018Review
- Usage characteristics and adverse event rates of the direct puncture and pull techniques for percutaneous endoscopic gastrostomy in patients with malignant tumors of the upper aerodigestive tract.Endoscopy international open · 2018Article
- Comparison of the pull and introducer percutaneous endoscopic gastrostomy techniques in patients with head and neck cancer.United European gastroenterology journal · 2017Article
- Percutaneous endoscopic gastrostomy (PEG) using a novel large-caliber introducer technique kit: a retrospective analysis.Endoscopy international open · 2016Article
- Feasibility and Safety of Overtubes for PEG-Tube Placement in Patients with Head and Neck Cancer.Gastroenterology research and practice · 2015Article
- Complications of percutaneous endoscopic gastrostomy tube insertion in cancer patients: a retrospective study.Journal of gastrointestinal cancer · 2014Article
- Comparison of clinical outcomes associated with pull-type and introducer-type percutaneous endoscopic gastrostomies.Clinical endoscopy · 2014Article
- Usefulness of percutaneous endoscopic gastrostomy for supportive therapy of advanced aerodigestive cancer.World journal of gastrointestinal pathophysiology · 2013Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous endoscopic gastrostomy (PEG) allows long-term tube feeding. Safety of pull-type and introducer PEG placement in oncology patients with head/neck or oesophageal malignancies is unknown.
methodsRetrospective analysis of 299 patients undergoing PEG tube placement between January 2006 and December 2008 revealed 57 oncology patients. All patients with head/neck or oesophageal malignancy were treated with chemo- and radiotherapy. In case of high-grade stenosis introducer Freka® Pexact PEG tube was placed (n = 24) and in all other patients (n = 33) conventional pull-type PEG tube. Short-term complications and mortality rates were compared.
resultsPatients' characteristics and clinical status were comparable in both groups. Short-term complications were encountered in 11/24 (48%) introducer PEG patients as compared to only 4/33 (12%) pull-type PEG patients (P < 0.05). Accidental removal of the introducer PEG tube occurred in 4/24 (17%) with need for surgical intervention in 1 vs. 0/33 (0%, P < 0.05). Wound infection occurred in 3/24 (12%) leading to septic shock and admission to intensive care unit (ICU) in 1 vs. 3/33 (9%, NS). Finally, 3/24 gastrointestinal perforations (12%) resulted from a difficult placement procedure vs. 1/33 (3%), leading to urgent surgical intervention and admission to ICU. Two introducer PEG patients died at ICU, resulting in an overall mortality rate of 8% vs. 0% (P = 0.091).
conclusionThe introducer Freka® Pexact PEG procedure for long-term tube feeding may lead to significantly higher complication and mortality rates in patients with head/neck or oesophageal malignancies treated with chemo- and radiotherapy. It is suggested to use the conventional pull-type PEG tube placement in this group of patients, if possible.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.