Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy

Abstract Percutaneous endoscopic gastrostomy (PEG), which is frequently used for nutrition management in patients having difficulty with oral intake, is considered a safe procedure. However, serious complications may occur depending on site of the puncture. This study aimed to clarify whether push m...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hiroshi Suzuki, Satoru Joshita, Tadanobu Nagaya, Koichi Sato, Akihiro Ito, Tomoaki Suga, Takeji Umemura
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b66921c39736447f91f0e26290ce7c6e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b66921c39736447f91f0e26290ce7c6e
record_format	dspace
spelling	oai:doaj.org-article:b66921c39736447f91f0e26290ce7c6e2021-12-02T15:10:18ZRelationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy10.1038/s41598-020-77553-62045-2322https://doaj.org/article/b66921c39736447f91f0e26290ce7c6e2020-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-77553-6https://doaj.org/toc/2045-2322Abstract Percutaneous endoscopic gastrostomy (PEG), which is frequently used for nutrition management in patients having difficulty with oral intake, is considered a safe procedure. However, serious complications may occur depending on site of the puncture. This study aimed to clarify whether push method PEG construction at the posterior wall (PW) of the greater curvature (GC) had a higher risk of complications. We retrospectively investigated the relationship between puncture site at the PW of the GC and early acute complications in 540 patients receiving PEG. Early acute complications were defined as bleeding or perforation within 30 days after the PEG procedure. PEG-related complications were observed in 80 patients in total, with early acute complications detected in 42 patients. PEG construction at the PW of the GC in 12 cases exhibited a significantly higher occurrence of early acute complications versus PEG at other sites (41.7% vs. 7.0%, p = 0.001). Further, multivariate analysis revealed PW at the GC to be independently associated with early acute complications (OR 9.59, 95% CI 2.82–32.61; p = 0.0003). It may be desirable to avoid PEG at the PW of the GC. If performed, clinicians should pay careful attention to early acute complications.Hiroshi SuzukiSatoru JoshitaTadanobu NagayaKoichi SatoAkihiro ItoTomoaki SugaTakeji UmemuraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hiroshi Suzuki Satoru Joshita Tadanobu Nagaya Koichi Sato Akihiro Ito Tomoaki Suga Takeji Umemura Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
description	Abstract Percutaneous endoscopic gastrostomy (PEG), which is frequently used for nutrition management in patients having difficulty with oral intake, is considered a safe procedure. However, serious complications may occur depending on site of the puncture. This study aimed to clarify whether push method PEG construction at the posterior wall (PW) of the greater curvature (GC) had a higher risk of complications. We retrospectively investigated the relationship between puncture site at the PW of the GC and early acute complications in 540 patients receiving PEG. Early acute complications were defined as bleeding or perforation within 30 days after the PEG procedure. PEG-related complications were observed in 80 patients in total, with early acute complications detected in 42 patients. PEG construction at the PW of the GC in 12 cases exhibited a significantly higher occurrence of early acute complications versus PEG at other sites (41.7% vs. 7.0%, p = 0.001). Further, multivariate analysis revealed PW at the GC to be independently associated with early acute complications (OR 9.59, 95% CI 2.82–32.61; p = 0.0003). It may be desirable to avoid PEG at the PW of the GC. If performed, clinicians should pay careful attention to early acute complications.
format	article
author	Hiroshi Suzuki Satoru Joshita Tadanobu Nagaya Koichi Sato Akihiro Ito Tomoaki Suga Takeji Umemura
author_facet	Hiroshi Suzuki Satoru Joshita Tadanobu Nagaya Koichi Sato Akihiro Ito Tomoaki Suga Takeji Umemura
author_sort	Hiroshi Suzuki
title	Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
title_short	Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
title_full	Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
title_fullStr	Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
title_full_unstemmed	Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
title_sort	relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/b66921c39736447f91f0e26290ce7c6e
work_keys_str_mv	AT hiroshisuzuki relationshipofearlyacutecomplicationsandinsertionsiteinpushmethodpercutaneousendoscopicgastrostomy AT satorujoshita relationshipofearlyacutecomplicationsandinsertionsiteinpushmethodpercutaneousendoscopicgastrostomy AT tadanobunagaya relationshipofearlyacutecomplicationsandinsertionsiteinpushmethodpercutaneousendoscopicgastrostomy AT koichisato relationshipofearlyacutecomplicationsandinsertionsiteinpushmethodpercutaneousendoscopicgastrostomy AT akihiroito relationshipofearlyacutecomplicationsandinsertionsiteinpushmethodpercutaneousendoscopicgastrostomy AT tomoakisuga relationshipofearlyacutecomplicationsandinsertionsiteinpushmethodpercutaneousendoscopicgastrostomy AT takejiumemura relationshipofearlyacutecomplicationsandinsertionsiteinpushmethodpercutaneousendoscopicgastrostomy
_version_	1718387715168272384

Relationship of early acute complications and insertion site in push method percutaneous endoscopic gastrostomy

Ejemplares similares