ArticleWorld journal of gastrointestinal pharmacology and therapeutics2022
Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes.
Article in World journal of gastrointestinal pharmacology and therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Application of dietary training combined with acupuncture based on syndrome differentiation for treating dysphagia in stroke rehabilitation patients.Archives of medical science : AMS · 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
- Anatomical predictors of gastrostomy tube placement after large vessel occlusion ischemic stroke.Frontiers in neurology · 2025Article
- Can one-step reinforcement learning guide optimal timing for PEG and tracheostomy in severe TBI? Insights from a 2016-2023 retrospective cohort study at a single academic institution.Frontiers in neurology · 2025Article
- Timing and Outcomes of Percutaneous Endoscopic Gastrostomy After Ischemic Stroke.Gastroenterology research · 2023Article
- "Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes": Commentary.World journal of gastrointestinal pharmacology and therapeutics · 2023Article
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7 authors.
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Abstract
backgroundPercutaneous Endoscopic Gastrostomy (PEG) tubes are often placed for dysphagia following a stroke in order to maintain sufficient caloric intake. The 2011 ASGE guidelines recommend delaying PEG tube placement for two weeks, as half of patients with dysphagia improve within 2 wk. There are few studies comparing outcomes based on timing of PEG tube placement, and there is increasing demand for early PEG tube placement to meet requirements for timely discharge to rehab and skilled nursing facilities.
aimTo assess the safety of early (≤ 7 d post stroke)
methodsWe performed a retrospective study of patients undergoing PEG tube placement for dysphagia following a stroke at two hospitals in Saint Louis, MO between January 2011 and December 2017. Patients were identified by keyword search of endoscopy reports. Mortality, peri-procedural complication rates, and post-procedural complication rates were compared in both groups. Predictors of morbidity and mortality such as protein-calorie malnutrition, presence of an independent cardiovascular risk equivalent, and presence of Systemic inflammatory response syndrome (SIRS) criteria or documented infection were evaluated by multivariate logistic regression.
results154 patients had a PEG tube placed for dysphagia following a stroke, 92 in the late group and 62 in the early group. There were 32 observed deaths, with 8 occurring within 30 d of the procedure. There was an increase in peri-procedural and post-procedural complications with delayed PEG placement which was not statistically significant. Hospital length of stay was significantly less in patients with early PEG tube placement (12.9
conclusionEarly PEG tube placement following a stroke did not result in a higher rate of mortality or complications and significantly decreased hospital length of stay. Given similar safety outcomes in both groups, early PEG tube placement should be considered in the appropriate patient to potentially reduce length of hospital stay and incurred costs.
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