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Hyungjin Cho 1 Article
Comparison of Clinical Outcomes Associated with Pull-Type and Introducer-Type Percutaneous Endoscopic Gastrostomies
Sin Won Lee, Jeong Hoon Lee, Hyungjin Cho, Yeonjung Ha, Hyun Lim, Ji Yong Ahn, Kwi Sook Choi, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim
Clin Endosc 2014;47(6):530-537.   Published online November 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.6.530
AbstractAbstract PDFPubReaderePub
Background/Aims

Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy. The PEG techniques differ according to the insertion method, and include the pull type, push type, and introducer type. The aim of this study was to compare the clinical outcomes associated with the pull-type and introducer-type PEG insertion techniques, which included the adverse events, at our tertiary care center in Korea.

Methods

We retrospectively reviewed 141 cases that had undergone PEG insertion at our center from January 2009 to June 2012. The indications for PEG insertion and the acute and chronic complications caused by each type of PEG insertion were analyzed.

Results

The indications for PEG insertion in our cohort included neurologic disease (58.7%), malignancy (21.7%), and other indications (19.6%). Successful PEG insertions were performed on 136 cases (96.5%), and there were no PEG-associated deaths. Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%). There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

Conclusions

PEG insertion is considered a safe procedure. The pull-type and introducer-type PEG insertion techniques produce comparable outcomes, and physicians may choose either of these approaches according to the circumstances.

Citations

Citations to this article as recorded by  
  • Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
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    Gut and Liver.2024; 18(1): 10.     CrossRef
  • Clinical practice guidelines for percutaneous endoscopic gastrostomy
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    Clinical Endoscopy.2023; 56(4): 391.     CrossRef
  • Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
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    The Korean Journal of Gastroenterology.2023; 82(3): 107.     CrossRef
  • Buried T-Bar after Gastrostomy Placement in Children
    Soon Chul Kim
    Indian Journal of Pediatrics.2022; 89(8): 833.     CrossRef
  • Nationwide Survey for Pediatric Gastrostomy Tube Placement in Korea
    Sangwoo Lee, Byung-Ho Choe, Ben Kang, Soon Chul Kim
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Clinical Outcomes of Enteral Feeding Protocol Via Percutaneous Endoscopic Gastrostomy: A Single‐Center, Retrospective Study
    Jin Hee Noh, Hee Kyong Na, Ji Yong Ahn, Suk‐Kyung Hong, Jiyoun Kim, Jina Yang, Hwoon‐Yong Jung
    Nutrition in Clinical Practice.2021; 36(1): 225.     CrossRef
  • Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
    Hiroshi Suzuki, Satoru Joshita, Tadanobu Nagaya, Koichi Sato, Akihiro Ito, Tomoaki Suga, Takeji Umemura
    Scientific Reports.2020;[Epub]     CrossRef
  • The efficacy of a novel percutaneous endoscopic gastrostomy simulator using three‐dimensional printing technologies
    Hee Kyong Na, Ji Yong Ahn, Gin Hyug Lee, Jeong Hoon Lee, Do Hoon Kim, Kee Wook Jung, Kee Don Choi, Ho June Song, Hwoon‐Yong Jung
    Journal of Gastroenterology and Hepatology.2019; 34(3): 561.     CrossRef
  • A large prospective audit of morbidity and mortality associated with feeding gastrostomies in the community
    Emily Clarke, Narrie Pitts, Andrew Latchford, Stephen Lewis
    Clinical Nutrition.2017; 36(2): 485.     CrossRef
  • Antibacterial gauzes are effective in preventing infections after percutaneous endoscopic gastrostomy placement
    Denise Strijbos, Erik J. Schoon, Wouter Curvers, Pieter Friederich, Hajo J. Flink, Arnold Stronkhorst, Lennard P.L. Gilissen
    European Journal of Gastroenterology & Hepatology.2016; 28(3): 297.     CrossRef
  • Advances in nutritional delivery interventions
    Bryan Silon, John C. Fang
    Techniques in Gastrointestinal Endoscopy.2015; 17(4): 152.     CrossRef
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