SynthesisThe journal of nutrition, health & aging2015
Percutaneous endoscopic gastrostomy versus nasogastric feeding in older individuals with non-stroke dysphagia: a systematic review.
Synthesis in The journal of nutrition, health & aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Incidence of dysphagia-related safety incidents in older adults across feeding methods: A systematic review and meta-analysis.The journal of nutrition, health & aging · 2025Pooled it
- Bacterial counts in saliva of patients with percutaneous endoscopic gastrostomy: Cross-sectional research.Journal of dental sciences · 2026Article
- Geriatric nutrition in the surgical patient: an American Association for the Surgery of Trauma Critical Care and Geriatric Trauma Committees clinical consensus document.Trauma surgery & acute care open · 2025Article
- Profiles of oral microbiome associated with nasogastric tube feeding.Journal of oral microbiology · 2023Article
- Utility of modified Mann assessment of swallowing ability (MMASA) in predicting aspiration risk and safe swallow in stroke patients.Journal of family medicine and primary care · 2022Article
- Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults.Nutrients · 2022Article
- Clinician's attitude to enteral nutrition with percutaneous endoscopic gastrostomy: a survey in China.Journal of health, population, and nutrition · 2021Article
- Percutaneous Endoscopic Gastrostomy Reduces Aspiration Pneumonia Rate in Stroke Patients with Enteral Feeding in Convalescent Rehabilitation Wards.Progress in rehabilitation medicine · 2021Article
- Nasogastric Tube Feeding in Older Patients: A Review of Current Practice and Challenges Faced.Current gerontology and geriatrics research · 2021Review
- Evaluation of Oropharyngeal Dysphagia in Older Patients for Risk Stratification of Pneumonia.Frontiers in immunology · 2021Article
- Article
- Buried bumper syndrome presenting with bleeding.BMJ case reports · 2018Article
- [Percutaneous endoscopic gastrostomy in geriatrics : Indications, technique and complications].Zeitschrift fur Gerontologie und Geriatrie · 2018Article
- Utility of Three Prognostic Risk Scores in Predicting Outcomes in Elderly Non-Malignant Patients after Percutaneous Gastrostomy.The journal of nutrition, health & aging · 2017Article
- Pharyngeal Residue and Aspiration and the Relationship with Clinical/Nutritional Status of Patients with Oropharyngeal Dysphagia Submitted to Videofluoroscopy.The journal of nutrition, health & aging · 2017Article
- Regional Comparison of Enteral Nutrition-Related Admission Policies in Skilled Nursing Facilities.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2016Article
- Neck Circumference Is Not Associated with Dysphagia but with Undernutrition in Elderly Individuals Requiring Long-term Care.The journal of nutrition, health & aging · 2016Article
- Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting.Clinical interventions in aging · 2016Review
- Therapeutic efficacy of nutritional support by percutaneous endoscopic gastrostomy in critically ill patients: A self-control clinical trial.Pakistan journal of medical sciencesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this systematic review was to evaluate existing studies on the effectiveness of percutaneous endoscopic gastrostomy (PEG) feeding compared to nasogastric (NG) feeding for patients with non-stroke related dysphagia.
methodsWe searched Ovid MEDLINE, EMBASE, the Cochrane Library, Web of Science and PubMed databases through to December 2013 using the terms "percutaneous endoscopic gastrostomy", "gastrostomy", "PEG", "nasogastric", "nasogastric tube", "nasogastric feeding" and "intubation". We included randomized controlled trials (RCTs) and non-RCTs which compared PEG with NG feeding in individuals with non-stroke dysphagia.
results9 studies involving 847 participants were included in the final analysis, including two randomized trials. Pooled analysis indicated no significant difference in the risk of pneumonia [relative risk (RR) = 1.18, 95% confidence interval (CI) = 0.87-1.60] and overall complications [relative risk (RR) = 0.80, 95% confidence interval (CI) = 0.63-1.02] between PEG and NG feeding. A meta-analysis was not possible for mortality and nutritional outcomes, but three studies suggested improved mortality outcomes with PEG feeding while two out of three studies reported PEG feeding to be better from a nutritional perspective.
conclusionsFirm conclusions could not be derived on whether PEG feeding is beneficial over NG feeding in older persons with non-stroke dysphagia, as previously published literature were unclear or had a high risk of bias. A well-designed and adequately powered RCT, which includes carer strain and quality of life as outcome measures is therefore urgently needed.
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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.