PURPOSE: Advances in percutaneous endoscopic gastrostomy (PEG) and laparoscopic (LAP) techniques, including LAP-assisted PEG, offer alternatives to the standard open gastrostomy technique. This study compares the outcomes of the PEG and LAP techniques. METHODS: All gastrostomy tube placements were reviewed at our institution from January 2004 to October 2008. Demographic, procedural, and outcome data were collected. Univariate and logistic regression statistical analysis was performed with SPSS (SPSS, Chicago, IL), and P < or = .05 considered significant. RESULTS: Of 238 gastrostomy tubes placed, 134 were PEG (56.3%) and 104 were LAP (43.7%). Most tubes were inserted for failure to thrive (74.4%) and feeding difficulties (52.1%). Patient weight and age were increased and operative time decreased for PEG compared with other methods. Percutaneous endoscopic gastrostomy patients also had a statistically higher number of postoperative complications, requiring a return trip to the operating room (P = .02). CONCLUSION: Minimally invasive PEG and LAP techniques have supplanted the open technique for most patients. Operative time for PEG placement is shorter than other methods, and patients chosen for the PEG method of placement are older and of greater weight. However, there were significant and more serious postoperative complications requiring a second operation in the PEG group when compared with the LAP group. Copyright 2010. Published by Elsevier Inc.
PURPOSE: Advances in percutaneous endoscopic gastrostomy (PEG) and laparoscopic (LAP) techniques, including LAP-assisted PEG, offer alternatives to the standard open gastrostomy technique. This study compares the outcomes of the PEG and LAP techniques. METHODS: All gastrostomy tube placements were reviewed at our institution from January 2004 to October 2008. Demographic, procedural, and outcome data were collected. Univariate and logistic regression statistical analysis was performed with SPSS (SPSS, Chicago, IL), and P < or = .05 considered significant. RESULTS: Of 238 gastrostomy tubes placed, 134 were PEG (56.3%) and 104 were LAP (43.7%). Most tubes were inserted for failure to thrive (74.4%) and feeding difficulties (52.1%). Patient weight and age were increased and operative time decreased for PEG compared with other methods. Percutaneous endoscopic gastrostomy patients also had a statistically higher number of postoperative complications, requiring a return trip to the operating room (P = .02). CONCLUSION: Minimally invasive PEG and LAP techniques have supplanted the open technique for most patients. Operative time for PEG placement is shorter than other methods, and patients chosen for the PEG method of placement are older and of greater weight. However, there were significant and more serious postoperative complications requiring a second operation in the PEG group when compared with the LAP group. Copyright 2010. Published by Elsevier Inc.
Authors: Sara L Zettervall; Jeremy L Holzmacher; Michal Radomski; Matthew Skancke; Justin Shafa; Richard Amdur; Babak Sarani; Khashayar Vaziri Journal: J Gastrointest Surg Date: 2017-06-28 Impact factor: 3.452
Authors: Jennifer L Carpenter; Timothy A Soeken; Alfred J Correa; Irving J Zamora; Sara C Fallon; Mark J Kissler; Charles D Fraser; David E Wesson Journal: Pediatr Surg Int Date: 2015-12-31 Impact factor: 1.827
Authors: Jason P Sulkowski; Ana C De Roo; Jason Nielsen; Erica Ambeba; Jennifer N Cooper; Mark J Hogan; Steven Erdman; Katherine J Deans; Peter C Minneci; Brian Kenney Journal: Pediatr Surg Int Date: 2015-12-19 Impact factor: 1.827
Authors: Ruiwen Liu; A Jiwane; A Varjavandi; A Kennedy; G Henry; A Dilley; B Currie; S Adams; U Krishnan Journal: Pediatr Surg Int Date: 2013-04-30 Impact factor: 1.827