Gastrostomies: experience and complications with three modalities in a tertiary centre over a 26-year period

Frontiers in Medicine

Medicine

Juan Manuel Bozada-García¹  Francisco José García-Fernández¹  Salvador Morales-Conde²  María Socas²  Verónica Nacarino Mejías³  Álvaro Iglesias-López³  Pilar Garrancho-Domínguez⁴  Ana Piñar-Gutiérrez⁴  Dolores Tatay-Domínguez⁴  Irene González-Navarro⁴  Pedro Pablo García-Luna⁴  José Luis Pereira-Cunill⁴  Pablo J. Remón-Ruiz⁴  Silvia García Rey⁴  Rocío Vázquez Gutiérrez⁴  Antonio J. Martínez-Ortega⁴  Pilar Serrano-Aguayo⁴ 

[1] Servicio de Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, Spain;Servicio de Cirugía General, Hospital Universitario Virgen del Rocío, Sevilla, Spain;Servicio de Radiología, Hospital Universitario Virgen del Rocío, Sevilla, Spain;UGC Endocrinología y Nutrición, Hospital Universitario Virgen del Rocío, Sevilla, Spain;

关键词: gastrostomy;    enteral nutrition;    complications;    PEG;    PRG;    PLAG;    interventional radiology;   

DOI  :  10.3389/fmed.2023.1191204

 received in 2023-03-21, accepted in 2023-10-06,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectivesTo describe the complications associated with the different gastrostomy techniques [endoscopic (PEG), radiologic (PRG), and surgical (SG)] performed in the last 26 years in a terciary hospital.MethodsRetrospective observational study. Patients who underwent gastrostomy at the Virgen del Rocío University Hospital between 1995 and 2021 were included. For PEG, the PULL technique was performed until 2018 and subsequently the PUSH technique predominantly. For PRG, a pigtail catheter was used until 2003, a balloon catheter between 2003 and 2009, and a balloon catheter with gastropexy between 2015 and 2021. For SG, the conventional technique (CSG) was performed until 2009 and since then the laparoscopic assisted percutaneous gastrostomy (PLAG) technique. Descriptive analysis was performed obtaining the median and quartiles of the quantitative variables [P50 (P25-P75)] and the frequency for the qualitative variables [n (%)].The comparison of complications between patients who underwent different techniques was performed with Fisher’s test.Resultsn = 1,070 (PEG = 608, PRG = 344, SG = 118). The three most frequent indications were head and neck tumors, neurological diseases and gastroesophageal tumors. The percentage of patients who had any complication was 48.9% (PEG-PULL), 23.7% (PEG-PUSH), 38.5% (pigtail PRG), 39.2% (balloon PRG), 29.7% (balloon with gastropexy PRG), 87.3% (CSG), and 41.26% (PLAG). 2 (0.18%) patients died from gastrostomy-related complications. 18(1.68%) presented with peritonitis and 5 (0.4%) presented with gastrocolic fistula. The rest of the complications were minor.ConclusionGastrostomy in any of its modalities is currently a safe procedure with a low rate of complications, most of which are minor.

【 授权许可】

Unknown   
Copyright © 2023 Piñar-Gutiérrez, Serrano-Aguayo, Gutiérrez, Rey, González-Navarro, Tatay-Domínguez, Garrancho-Domínguez, Remón-Ruiz, Martínez-Ortega, Mejías, Iglesias-López, Socas, Morales-Conde, García-Fernández, Bozada-García, Pereira-Cunill and García-Luna.