New "introducer" PEG-gastropexy with T fasteners: a pilot study
CONTEXT: Enteral feeding is indicated for patients unable to maintain appropriate oral intake, and percutaneous endoscopic gastrostomy (PEG) is the most adequate long-term enteral access. Peristomal infections are the most common complications of PEG, occurring in up to 8% of patients, despite the u...
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| Format: | Article |
| Language: | English |
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Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
2011-12-01
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| Series: | Arquivos de Gastroenterologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032011000400003&lng=en&tlng=en |
| _version_ | 1817993112162664448 |
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| author | Fernanda Prata Martins Maris Celia Batista de Sousa Angelo Paulo Ferrari |
| author_facet | Fernanda Prata Martins Maris Celia Batista de Sousa Angelo Paulo Ferrari |
| author_sort | Fernanda Prata Martins |
| collection | DOAJ |
| description | CONTEXT: Enteral feeding is indicated for patients unable to maintain appropriate oral intake, and percutaneous endoscopic gastrostomy (PEG) is the most adequate long-term enteral access. Peristomal infections are the most common complications of PEG, occurring in up to 8% of patients, despite the use of prophylactic antibiotics. The "introducer" PEG-gastropexy technique avoids PEG tube passage through the oral cavity, preventing microorganisms' dislodgment to the peristomal site. OBJECTIVES: To compare the incidence of peristomal wound infection at 7-day post-procedure after conventional "pull" technique versus a new "introducer" PEG-gastropexy kit. Secondary outcomes included success rates, procedure time, and other complications. METHODS: Eighteen patients referred for PEG placement between June and December 2010 were randomly assigned to "pull" PEG with antibiotics or "introducer" PEG-gastropexy technique without antibiotics. RESULTS: Overall success rate for both methods was 100%, although mean procedure duration was higher in the "introducer" PEG-gastropexy group (12.6 versus 6.4 minutes, P = 0.0166). Infection scores were slightly higher in patients who underwent "pull" PEG with antibiotics compared with "introducer" PEG-gastropexy without antibiotics (1.33 ± 0.83 versus 0.75 ± 0.67, P = 0.29). CONCLUSION: Although procedure duration was longer in the "introducer" PEG-gastropexy, infection scores were marginally higher in the "pull" PEG technique. |
| first_indexed | 2024-04-14T01:35:25Z |
| format | Article |
| id | doaj.art-23eaea59ba874374bd8499ea898c4eb0 |
| institution | Directory Open Access Journal |
| issn | 1678-4219 |
| language | English |
| last_indexed | 2024-04-14T01:35:25Z |
| publishDate | 2011-12-01 |
| publisher | Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE) |
| record_format | Article |
| series | Arquivos de Gastroenterologia |
| spelling | doaj.art-23eaea59ba874374bd8499ea898c4eb02022-12-22T02:19:57ZengInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)Arquivos de Gastroenterologia1678-42192011-12-0148423123510.1590/S0004-28032011000400003S0004-28032011000400003New "introducer" PEG-gastropexy with T fasteners: a pilot studyFernanda Prata MartinsMaris Celia Batista de SousaAngelo Paulo FerrariCONTEXT: Enteral feeding is indicated for patients unable to maintain appropriate oral intake, and percutaneous endoscopic gastrostomy (PEG) is the most adequate long-term enteral access. Peristomal infections are the most common complications of PEG, occurring in up to 8% of patients, despite the use of prophylactic antibiotics. The "introducer" PEG-gastropexy technique avoids PEG tube passage through the oral cavity, preventing microorganisms' dislodgment to the peristomal site. OBJECTIVES: To compare the incidence of peristomal wound infection at 7-day post-procedure after conventional "pull" technique versus a new "introducer" PEG-gastropexy kit. Secondary outcomes included success rates, procedure time, and other complications. METHODS: Eighteen patients referred for PEG placement between June and December 2010 were randomly assigned to "pull" PEG with antibiotics or "introducer" PEG-gastropexy technique without antibiotics. RESULTS: Overall success rate for both methods was 100%, although mean procedure duration was higher in the "introducer" PEG-gastropexy group (12.6 versus 6.4 minutes, P = 0.0166). Infection scores were slightly higher in patients who underwent "pull" PEG with antibiotics compared with "introducer" PEG-gastropexy without antibiotics (1.33 ± 0.83 versus 0.75 ± 0.67, P = 0.29). CONCLUSION: Although procedure duration was longer in the "introducer" PEG-gastropexy, infection scores were marginally higher in the "pull" PEG technique.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032011000400003&lng=en&tlng=enNutrição enteralGastrostomia, métodosGastrostomia, efeitos adversos |
| spellingShingle | Fernanda Prata Martins Maris Celia Batista de Sousa Angelo Paulo Ferrari New "introducer" PEG-gastropexy with T fasteners: a pilot study Arquivos de Gastroenterologia Nutrição enteral Gastrostomia, métodos Gastrostomia, efeitos adversos |
| title | New "introducer" PEG-gastropexy with T fasteners: a pilot study |
| title_full | New "introducer" PEG-gastropexy with T fasteners: a pilot study |
| title_fullStr | New "introducer" PEG-gastropexy with T fasteners: a pilot study |
| title_full_unstemmed | New "introducer" PEG-gastropexy with T fasteners: a pilot study |
| title_short | New "introducer" PEG-gastropexy with T fasteners: a pilot study |
| title_sort | new introducer peg gastropexy with t fasteners a pilot study |
| topic | Nutrição enteral Gastrostomia, métodos Gastrostomia, efeitos adversos |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032011000400003&lng=en&tlng=en |
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