Evidence map›Paper›PMID 23949988›Full record

Observational studyIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2013

A comparative observational study of early versus delayed feeding after percutaneous endoscopic gastrostomy.

Manoj A Vyawahare, Mrunal Shirodkar, Amit Gharat, Prachi Patil, Shaesta Mehta, K M Mohandas

Registry-linked trialAbstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04110613 (A Randomized Controlled Trial to Reduce Periprocedural Fasting in Ventilated Trauma and Surgical Intensive Care Patients), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04110613 narecruitingnot on this mapstarted 2019, after this paper: background citation

A Randomized Controlled Trial to Reduce Periprocedural Fasting in Ventilated Trauma and Surgical Intensive Care Patients

TypeinterventionalSponsorCarilion ClinicRan2019 to 2026Enrolled1,200ConditionsCritical Illness, Malnutrition, Gastrostomy, Procedural SequelaeArmsnoFast: Start tube feeds within 1 hour of procedure
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. American Society for Gastrointestinal Endoscopy guideline on gastrostomy feeding tubes: methodology and review of evidence.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Manoj A VyawahareDepartment of Medical Gastroenterology and Hepatology, Meditrina Institute of Medical Sciences, Ramdaspeth, Nagpur, 440 010, India, drmanojvyawahare@gmail.com.
Mrunal Shirodkar
Amit Gharat
Prachi Patil
Shaesta Mehta
K M Mohandas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous endoscopic gastrostomy (PEG) is the procedure of choice for long-term enteral feeding.

objectiveThis prospective observational study was carried out to compare the safety of commencing feeding 3 h compared to 16-24 h after PEG tube placement.

methodsOne hundred and ten patients with oropharyngeal malignancies who had consented for PEG were enrolled. Trial-specific consent and IRB approval were not obtained because at the time when this study was done, this was not mandatory for observational studies which involved standard procedures. Alternate patients were started on early feeding within 3 h (group I) or after overnight observation of 16 to 24 h (group II). Five hundred milliliters of Ringer's lactate was infused over 4 h initially, followed 2 h later by 200 mL of formula feed. The patients were advised to take bolus feeds of 200 mL every 2 h and oral feeds ad libitum from the next day. All patients were evaluated on days 1, 2, 7, and 30.

resultsThere were 55 patients (47 males) in group I and 54 patients (38 males) in group II who were matched for age (mean age 46.1 and 46.1 years, respectively). Complications included PEG site infection (1), peristomal leak (3), and displacement of the PEG tube (1) in group I. PEG site infection was seen in five patients in group II. All the complications were managed conservatively on an ambulatory basis.

conclusionInitiation of tube feeding 3 h after an uncomplicated PEG was safe, well tolerated, and helped to reduce the hospital stay.

Indexed as

GastroscopyEnteral NutritionFemaleGastrostomyHumansMaleMiddle AgedOropharyngeal NeoplasmsPostoperative ComplicationsProspective StudiesTime FactorsTreatment Outcome

Identifiers

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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.