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1 "Su Jin Chung"
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Original Article
Thirty-day mortality after percutaneous gastrostomy by endoscopic versus radiologic placement: a systematic review and meta-analysis
Joo Hyun Lim, Seung Ho Choi, Changhyun Lee, Ji Yeon Seo, Hae Yeon Kang, Jong In Yang, Su Jin Chung, Joo Sung Kim
Intest Res 2016;14(4):333-342.   Published online October 17, 2016
DOI: https://doi.org/10.5217/ir.2016.14.4.333
AbstractAbstract PDFPubReader
<b>Background/Aims</b><br/>

A percutaneous gastrostomy can be placed either endoscopically (percutaneous endoscopic gastrostomy, PEG) or radiologically (radiologically-inserted gastrostomy, RIG). However, there is no consistent evidence of the safety and efficacy of PEG compared to RIG. Recently, 30-day mortality has become considered as the most important surrogate index for evaluating the safety and efficacy of percutaneous gastrostomy. The aim of this meta-analysis was to compare the 30-day mortality rates between PEG and RIG.

Methods

Major electronic databases (MEDLINE, Embase, Scopus, and Cochrane library) were queried for comparative studies on the two insertion techniques of gastrostomy among adults with swallowing disturbance. The primary outcome was the 30-day mortality rate after gastrostomy insertion. Forest and funnel plots were generated for outcomes using STATA version 14.0.

Results

Fifteen studies (n=2,183) met the inclusion criteria. PEG was associated with a lower risk of 30-day mortality after tube placement compared with RIG (odds ratio, 0.60; 95% confidence interval [CI], 0.38–0.94; P=0.026). The pooled prevalence of 30-day mortality of PEG was 5.5% (95% CI, 4.0%–6.9%) and that of RIG was 10.5% (95% CI, 6.8%–14.3%). No publication bias was noted.

Conclusions

The present meta-analysis demonstrated that PEG is associated with a lower probability of 30-day mortality compared to RIG, suggesting that PEG should be considered as the first choice for long-term enteral tube feeding. Further prospective randomized studies are needed to evaluate and compare the safety of these two different methods of gastrostomy.

Citations

Citations to this article as recorded by  
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  • Factors Predicting Major Complications and Mortality in Percutaneous Endoscopic Gastrostomy: 8 Years of Experience of a Tertiary Surgery Center
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  • Improving 30-day mortality after radiologically inserted gastrostomy tube from 2007 to 2019: A population-based study of 15,605 patients
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    Journal of Clinical Gastroenterology.2025;[Epub]     CrossRef
  • S3-Leitlinie Heimenterale und heimparenterale Ernährung der Deutschen Gesellschaft für Ernährungsmedizin (DGEM)
    Stephan C. Bischoff, Jann Arends, Christiane Decker-Baumann, Elisabeth Hütterer, Sebastian Koch, Stefan Mühlebach, Ingeborg Roetzer, Andrea Schneider, Claudia Seipt, Ralph Simanek, Zeno Stanga
    Aktuelle Ernährungsmedizin.2024; 49(02): 73.     CrossRef
  • Percutaneous radiologic gastrostomy versus percutaneous endoscopic gastrostomy for enteral feeding: A systematic review and meta‐analysis
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    Journal of Parenteral and Enteral Nutrition.2024; 48(6): 667.     CrossRef
  • Direct Percutaneous Endoscopic Gastrostomy Versus Radiological Gastrostomy in Patients Unable to Undergo Transoral Endoscopic Pull Gastrostomy
    Divyanshoo R. Kohli, Craig Smith, Omer Chaudhry, Madhav Desai, Dion DePaolis, Prateek Sharma
    Digestive Diseases and Sciences.2023; 68(3): 852.     CrossRef
  • Complications of Percutaneous Radiologic Gastrostomy Among Patients in a Tertiary Care Hospital in Riyadh, Saudi Arabia
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    Cureus.2023;[Epub]     CrossRef
  • A retrospective study of outcomes and the validation of the Sheffield Gastrostomy Score in PEGs, RIGs and PIGs
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    Scandinavian Journal of Gastroenterology.2023; 58(12): 1542.     CrossRef
  • Endoscopic vs radiologic gastrostomy for enteral feeding: A systematic review and meta-analysis
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    World Journal of Meta-Analysis.2023; 11(6): 277.     CrossRef
  • Outcomes of push and pull percutaneous endoscopic gastrostomy placements in 854 patients: A single‐center study
    Hicham Bouchiba, Maarten A J M Jacobs, Gerd Bouma, Dewkoemar Ramsoekh
    JGH Open.2022; 6(1): 57.     CrossRef
  • Factors affecting late complications of percutaneous endoscopic gastrostomy tube replacement
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    Clinical Nutrition ESPEN.2022; 49: 378.     CrossRef
  • The Outcomes of Nutritional Support Techniques in Patients with Gastrointestinal Cancers
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    Gastroenterology Insights.2022; 13(3): 245.     CrossRef
  • Improving 30-day mortality after PEG tube placement in England from 2007 to 2019: a retrospective national cohort analysis of 87,862 patients
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    Gastrointestinal Endoscopy.2022; 96(6): 943.     CrossRef
  • Outcomes following percutaneous endoscopic gastrostomy versus fluoroscopic procedures in the Medicare population
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    Surgery Open Science.2021; 3: 2.     CrossRef
  • Safety of endoscopic gastrostomy tube placement compared with radiologic or surgical gastrostomy: nationwide inpatient assessment
    Divyanshoo R. Kohli, Kevin F. Kennedy, Madhav Desai, Prateek Sharma
    Gastrointestinal Endoscopy.2021; 93(5): 1077.     CrossRef
  • Laparoscopic vs open insertion of feeding gastrostomy tube in adults with head and neck cancers: A case‐matched comparative study
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    International Journal of Clinical Practice.2021;[Epub]     CrossRef
  • Percutaneous endoscopic gastrostomy
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    American Journal of Gastroenterology.2021; 116(12): 2367.     CrossRef
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    Clinical Radiology.2020; 75(5): 375.     CrossRef
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    Frontline Gastroenterology.2020; 11(5): 364.     CrossRef
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    Clinical Nutrition ESPEN.2020; 40: 282.     CrossRef
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    GE - Portuguese Journal of Gastroenterology.2020; 27(3): 172.     CrossRef
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    David J. Tischfield, Gregory J. Nadolski, Stephen J. Hunt, Maxim Itkin, Richard D. Shlansky-Goldberg, Terence P. Gade
    Abdominal Radiology.2019; 44(1): 318.     CrossRef
  • Percutaneous endoscopic gastrostomy for enteral nutrition: a 5-year clinical experience with 324 patients
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    Minerva Gastroenterologica e Dietologica.2019;[Epub]     CrossRef
  • Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion
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    Canadian Journal of Gastroenterology and Hepatology.2019; 2019: 1.     CrossRef
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