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Percutaneous endoscopic gastrostomy. Initial placement by single endoscopic technique and long-term follow-up.

Publication ,  Journal Article
Grant, JP
Published in: Ann Surg
February 1993

Of 598 patients, 595 underwent placement of a percutaneous endoscopic gastrostomy (PEG) tube using a single endoscopy technique and a polyurethane gastrostomy tube. Primary indications were altered mental status and dysphagia. All procedures were performed in the operating room, with 74 patients receiving general anesthesia and 524 intravenous sedatives with or without topical anesthesia. Average operating room time was 34 minutes. Of 208 patients with prior intra-abdominal surgery, 207 underwent successful placement. The overall complication rate was 4.9%, with a major complication rate of 1.3%. One death occurred from presumed leakage at the gastrostomy site with peritonitis. One hundred twenty patients subsequently died of causes unrelated to the gastrostomy tube after 75 +/- 164 days (range, 1 to 972). One hundred fifty-four patients recovered an adequate oral diet and had the PEG removed after 169 +/- 244 days (range, 6 to 1337). The remaining 319 patients continued to use their gastrostomy tube for 1532 +/- 411 days (range, 134 to 2251). The polyurethane gastrostomy tube has been very durable; none has required replacement because of deterioration.

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Published In

Ann Surg

DOI

ISSN

0003-4932

Publication Date

February 1993

Volume

217

Issue

2

Start / End Page

168 / 174

Location

United States

Related Subject Headings

  • Time Factors
  • Surgery
  • Polyurethanes
  • Middle Aged
  • Male
  • Intubation, Gastrointestinal
  • Humans
  • Gastrostomy
  • Follow-Up Studies
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Grant, J. P. (1993). Percutaneous endoscopic gastrostomy. Initial placement by single endoscopic technique and long-term follow-up. Ann Surg, 217(2), 168–174. https://doi.org/10.1097/00000658-199302000-00011
Grant, J. P. “Percutaneous endoscopic gastrostomy. Initial placement by single endoscopic technique and long-term follow-up.Ann Surg 217, no. 2 (February 1993): 168–74. https://doi.org/10.1097/00000658-199302000-00011.
Grant, J. P. “Percutaneous endoscopic gastrostomy. Initial placement by single endoscopic technique and long-term follow-up.Ann Surg, vol. 217, no. 2, Feb. 1993, pp. 168–74. Pubmed, doi:10.1097/00000658-199302000-00011.

Published In

Ann Surg

DOI

ISSN

0003-4932

Publication Date

February 1993

Volume

217

Issue

2

Start / End Page

168 / 174

Location

United States

Related Subject Headings

  • Time Factors
  • Surgery
  • Polyurethanes
  • Middle Aged
  • Male
  • Intubation, Gastrointestinal
  • Humans
  • Gastrostomy
  • Follow-Up Studies
  • Female