Evidence map›Paper›PMID 31488448›Full record

ArticleBMJ case reports2019

Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement.

Peter Cmorej, Matthew Mayuiers, Choichi Sugawa

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Loose PEG Tube Leading to Peristomal Leakage and Peritonitis, a Case Report.Journal of education & teaching in emergency medicine · 2020
    Article
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

3 authors.

Peter CmorejDepartment of Surgery, Wayne State University, Detroit, Michigan, USA.
Matthew MayuiersDepartment of Surgery, Wayne State University, Detroit, Michigan, USA.
Choichi SugawaDepartment of Surgery, Wayne State University, Detroit, Michigan, USA.ORCID http://orcid.org/0000-0003-2291-0585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 53-year-old man with dysphagia underwent uneventful placement of a percutaneous endoscopic gastrostomy (PEG) tube for long-term enteral feeding access. 11 hours after the procedure, it was discovered that he had accidentally dislodged the feeding tube. On physical examination, he was found to have a benign abdomen without evidence of peritonitis or sepsis. He was observed overnight with serial abdominal examinations and nasogastric decompression. In the morning, he was taken back to the endoscopy suite where endoscopic clips were employed to close the gastric wall defect and a PEG tube was replaced at an adjacent site. The patient was fed 24 hours thereafter and discharged from the hospital 48 hours after the procedure. Early accidental removal of a PEG tube in patients without sepsis or peritonitis can be safely treated with simultaneous endoscopic closure of the gastrotomy and PEG tube replacement, resulting in earlier enteral feeding and shorter hospital stay.

Indexed as

Deglutition DisordersEnteral NutritionGastric MucosaGastrostomyHumansIntubation, GastrointestinalMaleMiddle AgedPostoperative Complicationsgastrointestinal surgeryparenteral/enteral feedingstomach and duodenum

Identifiers

PMID31488448
PMCPMC6731818

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.