787 results match your criteria: "Percutaneous Endoscopic Gastrostomy PEG Tube Placement"
Feculent Drainage from Percutaneous Endoscopic Gastrostomy Tube due to Gastrocolocutaneous Fistula Found in Emergency Department: A Case Report.
Clin Pract Cases Emerg Med
November 2024
Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California.
Introduction: Percutaneous endoscopic gastrostomy (PEG) placement is a common procedure for patients requiring non-oral feeding. One rare complication of PEG placement is the formation of a gastrocolocutaneous fistula that develops when the bowel is caught between the stomach and abdominal wall during placement. This report explores an elderly patient's gastrocolocutaneous fistula development months post-PEG placement who presented with malodorous leakage from the gastrostomy tube to the emergency department (ED).
View Article and Find Full Text PDFProphylactic gastrostomy tube during chemoradiation for head and neck cancer decreases weight loss but increases rate of tube use beyond six months.
Oral Oncol
December 2024
Department of Radiation Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA. Electronic address:
Importance: The role of prophylactic percutaneous endoscopic gastrostomy (PEG) tube placement in head and neck cancer (HNC) patients treated with chemoradiation remains controversial and varies by center.
Objective: To evaluate the impact of prophylactic PEG tube placement in patients undergoing chemoradiation for HNC PEG tube use for more than 6 months and weight loss.
Design, Setting, And Participants: This single-institution retrospective study included 502 patients with head and neck cancer.
Pediatric laparoscopic versus percutaneous gastrostomy tube placement: a single-center review.
Pediatr Surg Int
December 2024
Department of Surgery, Emory School of Medicine, Atlanta, GA, USA.
Article Synopsis
- - The study compares the outcomes of two gastrostomy tube placement techniques—laparoscopic (LAP) and percutaneous endoscopic (PEG)—in pediatric patients, focusing on complications and the need for additional procedures.
- - Researchers reviewed records of 688 patients aged 0-18 who had GT placements, finding that LAP patients were generally younger and lighter than PEG patients, but both groups had similar rates of major complications.
- - Results showed that PEG patients had a higher likelihood of developing skin infections, while no LAP placements failed during the study period, indicating potential advantages of LAP over PEG in certain aspects.
Percutaneous Endoscopic Gastrostomy (PEG) Tube Migration Complicated With Acute Pancreatitis: A Clinical Case Study.
Cureus
October 2024
Internal Medicine, East Tennessee State University Quillen College of Medicine, Johnson City, USA.
Article Synopsis
Safety and Efficacy of Rigid Bronchoscopy-guided Percutaneous Dilational Tracheostomy: A Single-center Experience.
J Bronchology Interv Pulmonol
January 2025
Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Article Synopsis
- Percutaneous dilational tracheostomy (PDT) is often favored for critically ill patients, particularly when using rigid bronchoscopy guidance, which enhances airway safety and ventilation.
- A study of 104 patients from 2008 to 2023 at Beth Israel Deaconess Medical Center revealed that many had risk factors like high BMI and prolonged mechanical ventilation, but the procedure was generally safe with no significant complications.
- The findings suggest that RBG-PDT can be effectively performed by skilled Interventional Pulmonologists, broadening the scope of patients who can benefit from this procedure.
Combined antegrade and retrograde dilation (CARD) for management of complete esophageal obstruction: Multicenter case series.
Endosc Int Open
October 2024
Gastroenterology and Nutrition, Geisinger Medical Center, Danville, United States.
Article Synopsis
- Complete esophageal obstruction (CEO) is a rare but serious complication from radiation therapy for esophageal or head and neck cancers, and managing it can be difficult using standard endoscopic methods.
- A study on six patients demonstrated that a combined anterograde and retrograde endoscopic dilation (CARD) approach successfully restored esophageal function in 86% of cases, indicating high technical success.
- While some adverse events occurred, including pneumothorax in two patients, most had improved swallowing abilities after the procedure, suggesting CARD is a safer and effective option compared to traditional methods.
Transoral laser microsurgery for supraglottic carcinomas: results of a prospective multicenter trial (SUPRATOL).
Front Oncol
September 2024
Institute of Medical Informatics and Statistics, Christian-Albrechts-University Kiel, Kiel, Germany.
Article Synopsis
- A study referred to as SUPRATOL investigated the effects of transoral laser microsurgery for supraglottic laryngectomy, comparing its outcomes for swallowing and quality of life to traditional open surgery, revealing similar oncologic results but limited data on swallowing rehabilitation and QoL before this trial.
- The trial included 102 patients across 26 hospitals in Germany, with the main goal of measuring aspiration-free swallowing after one year and exploring various related factors such as tracheostomy needs and overall survival.
- Results showed high rates of aspiration-free swallowing at the 12-month mark, with a majority of patients still managing well with swallowing, although some required tracheostomy and PEG tube interventions, indicating mixed results on QoL
Comparative Analysis of Early Versus Late Feeding Post-percutaneous Endoscopic Gastrostomy Tube Placement: A Systematic Review and Meta-Analysis.
Dig Dis Sci
November 2024
Gastroenterology, University of Texas Health Science Center, San Antonio, TX, USA.
Article Synopsis
- Previous studies have indicated that starting tube feedings within 4 hours after PEG tube placement is safe, yet many practices still delay feeding up to 24 hours.
- An updated analysis compared outcomes of early (≤ 4 hours) versus delayed (> 4 hours) feedings in adult patients, focusing on complications and mortality rates within 72 hours post-procedure.
- Results showed no significant differences in complication rates or mortality between the two feeding groups, supporting early feeding as a safe, effective alternative that may reduce hospital stays and costs.
Safety and Effectiveness of Percutaneous Endoscopic Gastrostomy May Be Improved by Proper Pre- and Post-Positioning Management of Elderly Patients with Multimorbidity.
Nutrients
August 2024
Vivisol Srl. at Clinical Nutrition Unit, National Institute of Health and Science on Aging, IRCCS INRCA Ancona, Via della Montagnola 81, 60127 Ancona, Italy.
Article Synopsis
- The study focuses on the risk factors and complications associated with percutaneous endoscopic gastrostomy (PEG) in elderly patients, emphasizing old age, multimorbidity, and improper PEG placement as major risks.
- It involved a retrospective analysis of 136 elderly patients who underwent PEG placement between 2017 and 2023, finding that while minor complications were higher than expected, major complications and mortality rates were lower than reported in other studies.
- The authors conclude that enhancing PEG placement techniques and patient management may help reduce the risks associated with PEG, particularly in older adults.
Factors Associated with Differences in Physicians' Attitudes toward Percutaneous Endoscopic Gastrostomy Feeding in Older Adults Receiving End-of-Life Care in Japan: A Cross-Sectional Study.
Palliat Med Rep
July 2024
Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan.
Article Synopsis
- A study was conducted to understand the perceptions of Japanese physicians regarding the use of percutaneous endoscopic gastrostomy (PEG) in older adults receiving end-of-life care.
- The research revealed that only 26% of physicians recommended PEG for bedridden patients and those with cognitive decline, with their recommendations influenced by factors like perceived benefits and facility practices.
- Key findings suggest that physicians’ attitudes towards PEG feeding are heavily shaped by their beliefs about its outcomes and whether they work in a facility that offers PEG procedures.
Article Synopsis
- Myositis is a rare autoimmune disorder causing chronic muscle inflammation, leading to weakness, fatigue, and pain, with possible complications in other organs like the gastrointestinal tract.
- The case series discusses two patients with polymyositis and dermatomyositis who experienced dysphagia (difficulty swallowing) as a complication, which required specialized assessments and treatments.
- Effective management included intravenous immunoglobulin, immunosuppressants, and lifestyle changes, underscoring the need for a collaborative, personalized approach in treating myositis-related upper GI issues for better patient outcomes.
[Intrajejunal levodopa in Parkinson's disease: Optimization of PEG application].
Fortschr Neurol Psychiatr
July 2024
Parkinson-Klinik Ortenau, Wolfach, Germany.
Article Synopsis
- PEG is important in treating advanced Parkinson's disease through intrajejunal levodopa delivery, but its standard administration (JET-PEG) can lead to complications due to absorption area limitations and improper placement techniques.
- High complication rates, like local infections and catheter dislocations, highlight the need for improved PEG placement and follow-up care.
- A modified application technique and the new Hybrid-PEG method have shown effectiveness in reducing complications, emphasizing the importance of anatomical and surgical details in their implementation.*
Article Synopsis
- * PI is primarily classified into idiopathic cases, which are uncommon, and secondary cases that arise from various gastrointestinal and non-gastrointestinal issues, including infections and vascular problems.
- * The first documented case of spontaneous PI following a gastrostomy tube placement in a 79-year-old woman with cancer highlights the potential dangers of this common procedure and the need for prompt, coordinated treatment to address complications.
Article Synopsis
- Critically ill patients needing long-term nutrition often require a feeding tube for support.
- Percutaneous endoscopic gastrostomy (PEG) is the preferred method for placing these feeding tubes.
- When done correctly and considering patient limitations, PEG placement is less invasive and recognized as a standard practice in the ICU.
Percutaneous Endoscopic Gastrostomy with T-Fasteners versus "Pull Technique": Analysis of Complications.
Eur J Pediatr Surg
June 2024
Department of Pediatric Surgery and Urology, Vall d'Hebron University Hospital, Barcelona, Spain.
Article Synopsis
- The study compares complications between two methods of gastrostomy: T-fasteners gastrostomy (T-PEG) and pull-technique gastrostomy (P-PEG) in pediatric patients.
- A total of 146 patients were included, with the results showing similar overall complication rates but P-PEG had higher instances of sedation and early dislodgment.
- The findings suggest that T-PEG may be a safer option, leading to fewer urgent complications and requiring less sedation compared to P-PEG.
Complications and survival following percutaneous endoscopic gastrostomy tube placement.
Rev Esp Enferm Dig
October 2024
Aparato Digestivo, Hospital Universitario Miguel Servet, España.
Article Synopsis
- Percutaneous endoscopic gastrostomy (PEG) is a safe and effective way to provide nutrition for patients with malnutrition and swallowing difficulties, though not recommended for those with advanced cognitive decline.* -
- A study of 648 patients from 2001 to 2019 found that 39.5% experienced complications, with the most common being bronchoaspiration and rupture/dysfunction.* -
- Factors such as early complications, male gender, and older age were linked to a shorter survival time after PEG placement, while being female appeared to offer some protective benefits.*
Delayed Pneumoperitoneum After Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement: A Case Report.
Cureus
March 2024
General Surgery, Ascension Saint Agnes Hospital, Baltimore, USA.
Article Synopsis
- * PEG tubes usually have a low risk of severe complications, but minor complications can be serious if not diagnosed in time.
- * This study discusses a case where a delayed diagnosis of pneumoperitoneum occurred weeks after PEG placement, highlighting the need for careful evaluation before considering surgery.
Push-PEG or Pull-PEG: Does the Technique Matter? A Prospective Study Comparing Outcomes After Gastrostomy Placement.
J Pediatr Surg
September 2024
Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Norway; University of Oslo, Norway.
Article Synopsis
- - The study compares two methods of inserting a gastrostomy tube in children: Push-PEG with T-fastener (PEG-T) and pull-PEG, to assess complications and parent-reported outcomes over a 3-month period.
- - Results showed similar overall complication rates (54% early complications, 63% late complications) between both methods, but pull-PEG patients experienced more discomfort and limitations in activities reported by their parents (49% reported restrictions vs. 24% in PEG-T).
- - The findings suggest that while both methods are effective, PEG-T may be the better option considering the reported quality of life and comfort for the patients.
Percutaneous Endoscopic Gastrostomy: A Possible Trigger for Dieulafoy's Lesion.
HCA Healthc J Med
March 2024
HCA Florida Westside Hospital, Plantation, FL.
Article Synopsis
- * Dieulafoy's lesion is a rare condition that can lead to upper GI bleeding, and it lacks obvious risk factors, making it difficult to diagnose, as highlighted in a case involving a 70-year-old woman.
- * In this instance, the lesion was discovered after the patient underwent a PEG tube placement, which may have contributed to the bleeding, and it was successfully treated with medical interventions like epinephrine and hemoclips.
Dysphagia Assessments as Criteria in the 'Decision-Making Process' for Percutaneous Endoscopic Gastrostomy Placement in People with Amyotrophic Lateral Sclerosis: A Systematic Review.
Dysphagia
December 2024
School of Medicine, Unit of Neuromuscular Diseases University Hospital of Patras, University of Patras, Patras, Greece.
Article Synopsis
- * A systematic search in multiple databases led to the selection of 10 studies, with findings indicating low quality and high risk of bias among the research.
- * Dysphagia assessments, which can be subjective or objective, are critical for timely medical decisions but are not sufficiently covered in current clinical guidelines.
Factors Associated With Short-Term Complications After Percutaneous Endoscopic Gastrostomy Tube Insertion: A Retrospective Cohort Study.
Cureus
March 2024
Gastroenterology, Mayo Clinic, Jacksonville, USA.
Article Synopsis
Modifiable Preoperative Risk Factors to Mitigate Postoperative Site Infection Following Pediatric Gastrostomy.
J Pediatr Surg
June 2024
Division of General Pediatric Surgery, Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, 3959 Broadway New York, NY, 10032, United States.
Article Synopsis
- - This study investigates the impact of demographic and surgical factors on the risk of superficial infections after pediatric laparoscopic and percutaneous endoscopic gastrostomy tube placements, focusing on infection rates within 30 and 90 days post-surgery.
- - Conducted from 2015 to 2021, the research included 382 patients, showing that LGT patients (younger and more frequently admitted to ICUs) had a higher superficial infection rate compared to PEG patients after 30 days.
- - The findings highlight that previous colonization with Staphylococcus significantly increases infection risk, suggesting that addressing this issue could help reduce infection rates in these procedures among children.
Retrograde Migration of a Percutaneous Endoscopic Gastro-Jejunal Tube Into the Esophagus.
Cureus
January 2024
Gastroenterology and Hepatology, State University of New York Downstate Health Sciences University, New York, USA.
Article Synopsis
- PEG and PEG-J tube placements are procedures used for patients needing nutritional support.
- Complications from these procedures can include infection, bleeding, and issues with tube positioning.
- This text discusses a rare case where a PEG-J tube unexpectedly migrated into the esophagus.
Successful Conservative Management of Hepatic Portal Venous Gas Following Percutaneous Endoscopic Gastrostomy: A Case Report.
Am J Case Rep
February 2024
Department of General and Visceral Surgery, Sion Hospital, Sion, Switzerland.
Article Synopsis
- A case study of a 78-year-old man with a history of esophageal cancer demonstrated that conservative management of HPVG—without antibiotics—can be successful in stable patients with mild symptoms.
- The patient's condition improved after two days of PEG suctioning, with follow-up scans showing resolution of HPVG, allowing for the safe resumption of nutrition through the PEG tube.
Persistent Ostomy Following Percutaneous Endoscopic Gastrostomy Removal: Treatment Strategies.
Curr Gastroenterol Rep
February 2024
Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville School of Medicine, 530 S Jackson St ACB bldg 3rd floor, 40202, Louisville, KY, USA.
Article Synopsis
- The article reviews the management of persistent gastrocutaneous fistula (GCF) that can occur after the removal of PEG tubes, highlighting its incidence, risk factors, and proposed management strategies.
- Recent advancements in treatment include the use of over-the-scope clips (OTSC) and suturing devices, which have shown effectiveness and safety in closing fistulas.
- Although GCF is a rare but serious complication leading to skin irritation and leakage, there is limited data available, and more research with larger samples is necessary to better understand and treat this condition.