ArticleDigestive diseases and sciences2013
Percutaneous endoscopic gastrostomy in cancer patients: predictors of 30-day complications, 30-day mortality, and overall mortality.
Article in Digestive diseases and sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 37 citations in OpenAlex.
- Percutaneous endoscopic gastrostomy tube placement after sleeve gastrectomy: a case report.AME case reports · 2026Article
- Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA.Clinical endoscopy · 2025Article
- The complication rate, but not the mortality rate, lower after percutaneous endoscopic gastrostomy than after open surgical gastrostomy: comparison of two methods in a high volume group of patients.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022Article
- Factors predicting major complications, mortality, and recovery in percutaneous endoscopic gastrostomy.JGH open : an open access journal of gastroenterology and hepatology · 2021Article
- A Novel Mobile Phone App (OncoFood) to Record and Optimize the Dietary Behavior of Oncologic Patients: Pilot Study.JMIR cancer · 2018Article
- Prospective experience of percutaneous endoscopic gastrostomy tubes placed by otorhinolaryngologist-head and neck surgeons: safe and efficacious.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017Article
- Comparison of Complications Following Laparoscopic and Endoscopic Gastrostomy Placements.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Trends regarding percutaneous endoscopic gastrostomy: A nationwide population-based study from 1997 to 2010.Medicine · 2016Article
- Reducing Accidental Dislodgement of the Percutaneous Endoscopic Gastrostomy: A Prospective Trial of the "SafetyBreak" Device.Surgical innovation · 2016Article
- Peritonitis related to percutaneous endoscopic gastrostomy using the direct method for cancer patients.Surgical endoscopy · 2015Article
- Palliative percutaneous endoscopic gastrostomy placement for gastrointestinal cancer: Roles, goals, and complications.World journal of gastrointestinal endoscopy · 2015Review
- Outcomes of percutaneous endoscopic gastrostomy in hospitalized patients at a tertiary care center in Turkey.European journal of clinical nutrition · 2014Article
- Usefulness of the introducer method for percutaneous endoscopic gastrostomy using ultrathin transnasal endoscopy.Surgical endoscopy · 2014Article
- Risk factors for complications of percutaneous endoscopic gastrostomy.Digestive diseases and sciences · 2014Article
- Single endoscopist-performed percutaneous endoscopic gastrostomy tube placement.World journal of gastroenterology · 2013Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCancer patients benefit from percutaneous endoscopic gastrostomy (PEG) in many ways including nutritional support and venting in cases of malignant obstruction. Lack of high-quality studies with adequate follow-up has led to limited information regarding risk stratification and predictors of morbidity and mortality.
aimsElucidate predictors of complications and mortality with long-term follow-up in cancer patients undergoing PEG.
methodRetrospective review of all patients undergoing PEG placement at MD Anderson Cancer Center from January 1, 2004 to December 31, 2006. Statistical analysis included descriptive statistics, Kaplan-Meier survival estimates, and Cox proportional hazards regression analyses.
resultsA total of 218 subjects underwent PEG. Those with American Society of Anesthesiology (ASA) scores of 4, 4E, or 5E were at significant risk of a major complication in the first 30 days. Multivariate analysis revealed ASA scores ≥4, elevated WBC count, and advanced tumor stage to be independent predictors of mortality in the first 30 days and INR >1.5 and diversion/venting as an indication for PEG placement to be independent predictors of overall mortality.
conclusionsPatients with high baseline illness severity are more likely to have complications and are at increased risk of mortality after PEG. Our study results suggest that particular attention be directed to ASA score, INR, WBC counts, transfusion requirements, presence of advanced malignancies, and the indication for PEG placement when determining risk of complications or death. Patients undergoing venting PEG are expected to have short post-PEG survival but improvement in quality of life likely justifies the risks associated with PEG placement.
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