Gastrostomy Tube Placement: Study Shows Safety of Endoscopic Method Compared to Radiologic or Surgical Approaches
A recent nationwide inpatient assessment has shed light on the safety of different methods for gastrostomy tube placement. The study compared the outcomes of using a scope (percutaneous endoscopic gastrostomy or PEG), X-rays by a radiologist (IR-gastrostomy), or surgery (surgical gastrostomy) to insert the tubes.
The research, led by renowned physician and educator Dr. Sharma, analyzed hospital records of patients who underwent gastrostomy tube placement between 2016 and 2017. Divided into three groups based on the method used, the study included 16,384 patients who had PEG, 154,007 patients who underwent IR-gastrostomy, and 13,677 patients who had surgical gastrostomy. The aim was to compare the complications associated with each approach.
The findings revealed that both IR-gastrostomy and surgical gastrostomy carried higher risks of complications compared to PEG. The likelihood of problems such as colon tears was 6.65 times higher with surgical gastrostomy, while infections were 1.61 times higher with the same method. Additionally, patients who underwent IR-gastrostomy were more likely to require blood transfusions due to bleeding. Both IR-gastrostomy and surgical gastrostomy were associated with higher rates of hospital readmission within 30 days and in-hospital deaths compared to PEG.
The study’s conclusion highlights the superiority of the endoscopic method, PEG, in terms of safety and lower complication rates in a hospital setting when placing gastrostomy tubes. This finding is significant as it reinforces the importance of using the least invasive and safest approach for patients in need of nutrition support when they are unable to eat normally.
Gastrostomy tubes play a crucial role in helping individuals receive adequate nutrition in situations where oral intake is not possible. By choosing the appropriate method for tube placement, healthcare professionals can ensure patients’ safety and improve their overall outcomes.
Speaking about the study, Dr. Sharma emphasized, Our research provides valuable insights into the comparative safety of different methods for gastrostomy tube insertion. It underscores the benefits of using a scope to place the tubes, offering patients a safer and more effective option. This knowledge can guide healthcare providers in making informed decisions regarding gastrostomy tube placement and patient care.
Gastrostomy tube placement is a commonly performed medical procedure, and healthcare professionals consider multiple factors when determining the most suitable method for each patient. The findings from this nationwide assessment contribute to the existing body of knowledge surrounding gastrointestinal diseases, cancer, and the management of patients requiring enteral nutrition.
As medical advancements continue to evolve, it is essential to conduct comprehensive studies that evaluate the safety and efficacy of different procedures. Dr. Sharma’s research adds to a growing body of evidence supporting the use of endoscopic methods, specifically PEG, in gastrostomy tube placement. This will undoubtedly influence medical practices and benefit patients worldwide.
In conclusion, the study provides robust evidence that placing gastrostomy tubes through a scope (PEG) is a safer and less complicated approach compared to both radiologic (IR-gastrostomy) and surgical methods. By prioritizing patient safety and embracing innovative techniques, healthcare providers can enhance the quality of care for individuals requiring gastrostomy tube placement.
Please note that this information is based on the study conducted and does not serve as personal medical advice. Individuals are advised to consult their healthcare providers for specific recommendations and guidance related to their medical conditions and treatment options.
Read full research: ‘Safety of endoscopic gastrostomy tube placement compared with radiologic or surgical gastrostomy: Nationwide inpatient assessment.’
