ArticleDigestive diseases and sciences2014
Risk factors for complications of percutaneous endoscopic gastrostomy.
Article in Digestive diseases and sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 35 citations in OpenAlex.
- Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA.Clinical endoscopy · 2025Article
- Is Percutaneous Endoscopic Gastrostomy A Solution for Aspiration Pneumonia, or Just An Illusion?The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025Article
- Percutaneous Gastrostomies: Associated Complications in PUSH vs. PULL Techniques over 12 Years in a Referral Centre.Journal of clinical medicine · 2024Article
- How far is the endoscopist to blame for a percutaneous endoscopic gastrostomy complication?World journal of gastrointestinal surgery · 2023Article
- Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes.World journal of gastrointestinal pharmacology and therapeutics · 2022Article
- Gastrostomy tubes: Fundamentals, periprocedural considerations, and best practices.World journal of gastrointestinal surgery · 2022Review
- Managing complications of percutaneous tracheostomy and gastrostomy.Journal of thoracic disease · 2021Review
- Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy.Scientific reports · 2020Article
- Comparison of Clinical Outcomes Between Surgical Gastrostomy and Percutaneous Endoscopic Gastrostomy with Introducer Technique in Patients with Upper Aerodigestive Malignancies: A Single-Center Analysis.World journal of surgery · 2020Observational
- Complications of percutaneous endoscopic and radiologic gastrostomy tube insertion: a KASID (Korean Association for the Study of Intestinal Diseases) study.Surgical endoscopy · 2019Article
- Article
- Short-Term Complications of Percutaneous Endoscopic Gastrostomy according to the Type of Technique.Pediatric gastroenterology, hepatology & nutrition · 2014Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous endoscopic gastrostomy (PEG) is a commonly performed procedure for patients with severe dysphagia leading to malnutrition. Improved knowledge of risk factors for PEG-related complications might decrease patient discomfort and healthcare costs.
aimThe aim of the present study was to investigate factors associated with complications after PEG.
methodsA retrospective review was performed for all patients referred for PEG placement from December 2002 to December 2012 in single-tertiary care center. PEG-related complications and risk factors were evaluated through chart reviews, endoscopic reports, and endoscopic and radiologic images.
resultsAmong a total of 245 consecutive individuals (146 male, mean age 59.2 ± 12.6 years) enrolled, 43 major complications had developed. Multivariate analysis revealed that patients with an internal bolster of a PEG tube in the upper body of stomach were at significant risk for early [OR 6.127 (95 % CI 1.447-26.046)] and late complications [OR 6.710 (95 % CI 1.692-26.603)]. Abnormal leukocyte counts [OR 3.198 (95 % CI 1.174-8.716)], stroke as an indication for PEG [OR 3.047 (95 % CI 1.174-8.882)], and PEG tube placement by an inexperienced endoscopist [OR 3.401 (95 % CI 1.073-10.779)] were significantly associated with early complications.
conclusionsA PEG tube should not be inserted into the upper body of stomach to reduce complication risk, and PEG procedures should be performed by skilled endoscopists to prevent early complications. An abnormal leukocyte count can be a predictor of early complication, and care is needed when PEG is performed for patients with stroke.
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