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. 2014 Nov;47(6):530-7.
doi: 10.5946/ce.2014.47.6.530. Epub 2014 Nov 30.

Comparison of clinical outcomes associated with pull-type and introducer-type percutaneous endoscopic gastrostomies

Sin Won Lee  1 , Jeong Hoon Lee  1 , Hyungjin Cho  1 , Yeonjung Ha  1 , Hyun Lim  1 , Ji Yong Ahn  1 , Kwi Sook Choi  1 , Do Hoon Kim  1 , Kee Don Choi  1 , Ho June Song  1 , Gin Hyug Lee  1 , Hwoon-Yong Jung  1 , Jin-Ho Kim  1
Affiliations

Comparison of clinical outcomes associated with pull-type and introducer-type percutaneous endoscopic gastrostomies

Sin Won Lee et al. Clin Endosc. 2014 Nov.

Abstract

Background/aims: Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy. The PEG techniques differ according to the insertion method, and include the pull type, push type, and introducer type. The aim of this study was to compare the clinical outcomes associated with the pull-type and introducer-type PEG insertion techniques, which included the adverse events, at our tertiary care center in Korea.

Methods: We retrospectively reviewed 141 cases that had undergone PEG insertion at our center from January 2009 to June 2012. The indications for PEG insertion and the acute and chronic complications caused by each type of PEG insertion were analyzed.

Results: The indications for PEG insertion in our cohort included neurologic disease (58.7%), malignancy (21.7%), and other indications (19.6%). Successful PEG insertions were performed on 136 cases (96.5%), and there were no PEG-associated deaths. Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%). There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

Conclusions: PEG insertion is considered a safe procedure. The pull-type and introducer-type PEG insertion techniques produce comparable outcomes, and physicians may choose either of these approaches according to the circumstances.

Keywords: Complication; Indication for PEG; Introducer type; Percutaneous endoscopic gastrostomy; Pull type.

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Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Fig. 1
Fig. 1
Number of percutaneous endoscopic gastrostomy (PEG) insertion cases assessed for complication in the analysis
See this image and copyright information in PMC

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