| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Radiology, Vol 197, 699-704, Copyright © 1995 by Radiological Society of North America
ARTICLES |
B Wollman, HB D'Agostino, JR Walus-Wigle, DW Easter and A Beale
Department of Radiology, University of California San Diego Medical Center 92103-8756, USA.
PURPOSE: To evaluate the effectiveness and safety of radiologic, percutaneous endoscopic (PEG), and surgical gastrostomy. MATERIALS AND METHODS: This project involved 5,752 patients (837 patients underwent radiologic gastrotomy; 4,194, PEG; and 721, surgical gastrostomy). Seventy-two (47 male, 25 female; age range, 12-94 years) underwent gastrostomy within 1 year in this series (radiologic gastrostomy, n = 33; PEG, n = 35; surgical gastrostomy, n = 4). A meta-analysis of 5,680 additional cases from literature published from 1980 to the present was also performed. RESULTS: Rates of successful tube placement were higher for radiologic gastrostomy than for PEG in our series and in the meta- analysis (99.2% vs 95.7%, P < .001). Major complications occurred less frequently after radiologic gastrostomy in our series and in the meta- analysis (5.9% vs 9.4% for PEG and 19.9% for surgery, P < .001). Thirty- day procedure-related mortality rates were highest for surgery (2.5% vs 0.3% for radiologic gastrostomy and 0.53% for PEG, P < .001). CONCLUSION: Radiologic gastrostomy is associated with a higher success rate than is PEG and less morbidity than either PEG or surgery.
This article has been cited by other articles:
|
|
 |
|
  J. Rosenberg, J. G. Amaral, C. M. Sklar, B. L. Connolly, M. J. Temple, P. John, and P. G. Chait Gastrostomy and Gastrojejunostomy Tube Placements: Outcomes in Children with Gastroschisis, Omphalocele, and Congenital Diaphragmatic Hernia Radiology, July 1, 2008; 248(1): 247 - 253. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Wolch To the Editor: Nutr Clin Pract, December 1, 2007; 22(6): 689 - 690. [Full Text] [PDF]
|
|
|
|
 |
|
 R. E. Sedlack, N. L. Pochron, and T. H. Baron Percutaneous Endoscopic Gastrostomy Placement Without Skin Incision: Results of a Randomized Trial JPEN J Parenter Enteral Nutr, May 1, 2006; 30(3): 240 - 245. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. L. Nosher, L. J. Bodner, W. S. Girgis, R. Brolin, R. L. Siegel, and C. Gribbin Percutaneous Gastrostomy for Treating Dilatation of the Bypassed Stomach After Bariatric Surgery for Morbid Obesity Am. J. Roentgenol., November 1, 2004; 183(5): 1431 - 1435. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Shaw, M. A. Ampong, A. Rio, J. McClure, P. N. Leigh, and P. S. Sidhu Entristar Skin-Level Gastrostomy Tube: Primary Placement with Radiologic Guidance in Patients with Amyotrophic Lateral Sclerosis Radiology, November 1, 2004; 233(2): 392 - 399. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. N. Friedman, S. Ahmed, B. Connolly, P. Chait, and S. Mahant Complications Associated With Image-Guided Gastrostomy and Gastrojejunostomy Tubes in Children Pediatrics, August 1, 2004; 114(2): 458 - 461. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Stroud, H Duncan, and J Nightingale Guidelines for enteral feeding in adult hospital patients Gut, December 1, 2003; 52(90007): vii1 - 12. [Full Text] [PDF]
|
|
|
|
|
|
F. J. Thornton, T. Fotheringham, M. Alexander, O. Hardiman, F. P. McGrath, and M. J. Lee Amyotrophic Lateral Sclerosis: Enteral Nutrition Provision—Endoscopic or Radiologic Gastrostomy? Radiology, September 1, 2002; 224(3): 713 - 717. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Bernstein, M. Weinstein, B. Connolly, and M. Temple Subcutaneous Emphysema in a Pediatric Patient After Radiologic Placement of a Percutaneous Gastrostomy Tube Am. J. Roentgenol., September 1, 2001; 177(3): 693 - 694. [Full Text] [PDF]
|
|
|
|
|
|
B. Funaki, R. Peirce, J. Lorenz, P. B. Menocci, J. D. Rosenblum, C. Straus, T. V. Ha, J. A. Leef, and G. X. Zaleski Comparison of Balloon- and Mushroom-Retained Large-Bore Gastrostomy Catheters Am. J. Roentgenol., August 1, 2001; 177(2): 359 - 362. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Funaki, G. X. Zaleski, J. Lorenz, P. B. Menocci, A. N. Funaki, J. D. Rosenblum, C. Straus, and J. A. Leef Radiologic Gastrostomy Placement: Pigtail- Versus Mushroom-Retained Catheters Am. J. Roentgenol., August 1, 2000; 175(2): 375 - 379. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. Dewald, P. O. Hiette, L. E. Sewall, P. G. Fredenberg, and A. M. Palestrant Percutaneous Gastrostomy and Gastrojejunostomy with Gastropexy: Experience in 701 Procedures Radiology, June 1, 1999; 211(3): 651 - 656. [Abstract] [Full Text]
|
|
|
|
|
|
T. de Baere, R. Chapot, V. Kuoch, P. Chevallier, J. P. Delille, C. Domenge, G. Schwaab, and A. Roche Percutaneous Gastrostomy with Fluoroscopic Guidance: Single-Center Experience in 500 Consecutive Cancer Patients Radiology, March 1, 1999; 210(3): 651 - 654. [Abstract] [Full Text]
|
|
|
|
 |
|
 T A T HUGHES and C M WILES Neurogenic dysphagia: the role of the neurologist J. Neurol. Neurosurg. Psychiatry, May 1, 1998; 64(5): 569 - 572. [Full Text] [PDF]
|
|
|
|
 |
|
 B. L Murphy, P. S Sidhu, and R. E Greene Radiological placement of the gastrostomy tube should be the preferred method BMJ, April 13, 1996; 312(7036): 972c - 973. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
