Evidence map›Paper›PMID 38463403›Full record

ArticleCureus2024

Factors Associated With Short-Term Complications After Percutaneous Endoscopic Gastrostomy Tube Insertion: A Retrospective Cohort Study.

Mostafa Shehata, Ibrahim Al Hosani, Ishtiaq Ahmed, Heba Abu Alkas, Omar Khaddam, Abd Allah Aljanahi, Maryam Al Ahmad, Khalifa Al Tiniji, Yashbir Singh, Talha Malik

Abstract read
In one paragraph

Article in Cureus, 2024. 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. 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

10 authors.

Mostafa ShehataGastroenterology, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Ibrahim Al HosaniGastroenterology, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Ishtiaq AhmedGastroenterology, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Heba Abu AlkasGastroenterology, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Omar KhaddamInternal Medicine, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Abd Allah AljanahiInternal Medicine, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Maryam Al AhmadGastroenterology, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Khalifa Al TinijiGastroenterology, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, ARE.
Yashbir SinghRadiology, Mayo Clinic, Rochester, USA.
Talha MalikGastroenterology, Mayo Clinic, Jacksonville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous endoscopic gastrostomy (PEG) tube placement is generally safe but is associated with a range of complications. Minor complications include infections, granuloma formation, leakage, and blockages, while major complications encompass aspiration pneumonia, hemorrhage, and more serious conditions such as necrotizing fasciitis and colonic fistula.

aimThis study aimed to assess the rate of short-term complications within one month of endoscopic PEG insertion, focusing on their correlation with patient characteristics. METHODOLOGY: This retrospective cohort study analyzed data from patients who underwent PEG insertion between January 2020 and December 2022. It evaluated the incidence of complications in relation to variables such as the indication for the procedure, the patient's immune status, albumin and CRP levels, and the setting of the procedure (inpatient vs. outpatient).

resultsThe study included 121 patients, with a mean age of 69.73 years, comprising 71 males (58.7%) and 50 females (41.3%). Neurological indications accounted for 64.5% of the cases. Notably, 67.8% of the patients were immunocompromised. Within 30 days of PEG insertion, 16.5% experienced complications, including GI bleeding (4.1%), infection at the PEG site (11.6%), and peritonitis (0.8%). Complications were significantly higher in immunocompromised patients and those with non-neurological indications. Higher serum albumin and lower CRP levels were associated with fewer complications, though the association was not statistically significant.

conclusionThe study highlights that gastrostomy site infection is the most common short-term complication following PEG insertion. Immune status and the reason for PEG insertion emerged as key factors influencing the likelihood of complications.

Indexed as

gastrostomy site infectionindication for gastrostomypercutaneous endoscopic gastrostomypercutaneous endoscopic gastrostomy complicationpercutaneous endoscopic gastrostomy (peg) feedingtube feeding

Identifiers

PMID38463403
PMCPMC10920060

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