Publications by authors named "R A Pugash"

Article Synopsis
  • - The study examines the safety and complications of two methods for placing percutaneous endoscopic gastrostomy (PEG) tubes in head and neck cancer patients, focusing on the push and pull techniques.
  • - Data from 1,575 patients indicated that 36% experienced complications, with the push technique linked to a higher risk of issues overall, while infections occurred at similar rates in both methods.
  • - Although the push technique increased the likelihood of tube-related problems, the pull technique was associated with all reported cases of stomal metastases (0.32% prevalence).
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The aim of this study was to examine the safety and efficacy of 40 µm and 75 µm calibrated irinotecan-eluting beads (DEBIRI-TACE) for the treatment of colorectal cancer metastases. We conducted a retrospective review of 36 patients with unresectable liver metastases from colorectal cancer who were treated with DEBIRI-TACE between 2017 to 2020. Patients who received at least one session of DEBIRI were included in our analysis.

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Purpose: To identify patient and procedural factors associated with extrusion of the Dacron cuff from the subcutaneous tunnel of tunneled hemodialysis catheters (THDCs).

Materials And Methods: Single center 5-year retrospective analysis of 625 catheters in 293 adult patients. Patient data included age, gender, body mass index (BMI), and common comorbidities.

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Article Synopsis
  • The study compares balloon-assisted gastrostomy (BAG) with conventional dilator methods for inserting large bore feeding tubes.
  • Data was collected from 200 patients over two years, focusing on safety, efficiency, and complication rates between the two techniques.
  • Results showed that BAG had fewer minor complications and required less sedation, making it a safe and effective option for patients needing gastrostomy tubes.
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Background And Aims: Metastasis to the gastrostomy site in patients with upper aerodigestive tract (UADT) malignancies is a rare but devastating adverse event that has been poorly described. Our aim was to determine the overall incidence and clinicopathologic characteristics observed with development of gastrostomy site metastasis in patients with UADT cancers.

Methods: This was a systematic review and meta-analysis of 6138 studies retrieved from Medline, EMBASE, CINAHL, and the Cochrane Register after being queried for studies including gastrostomy site metastasis in patients with UADT malignancies.

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