Complications of and controversies associated with percutaneous endoscopic gastrostomy: Report of a case and literature review

MedGenMed Medscape General Medicine

Volumn 10, Issue 6, 2008, Pages

  Potack, Jonathan Z ^a   Chokhavatia, Sita ^a  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CALCIUM CHANNEL BLOCKING AGENT; CIPROFLOXACIN; METRONIDAZOLE;

ABDOMINAL DISTENSION; ABDOMINAL PAIN; ACID ASPIRATION; AGED; AIR EMBOLISM; ARTICLE; ARTIFICIAL VENTILATION; CASE REPORT; CEREBROVASCULAR DISEASE; CLINICAL EFFECTIVENESS; COMPUTER ASSISTED TOMOGRAPHY; DEMENTIA; DIGESTIVE SYSTEM FISTULA; DISEASE SEVERITY; ELECTROCARDIOGRAPHY; ENDOPROSTHESIS LOOSENING; ENTERIC FEEDING; EXTUBATION; HEAD AND NECK CANCER; HEART ATRIUM FIBRILLATION; HUMAN; LAPAROTOMY; LEGAL ASPECT; LEUKOCYTOSIS; LONG TERM CARE; MALE; MEDICAL DECISION MAKING; MEDICAL ETHICS; MEDLINE; MENTAL DISEASE; NUTRITIONAL SUPPORT; OUTCOME ASSESSMENT; PALLIATIVE THERAPY; PATIENT SELECTION; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; PERITONITIS; PNEUMONIA; PNEUMOPERITONEUM; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; QUALITY OF LIFE; RESPIRATORY DISTRESS; RISK BENEFIT ANALYSIS; SINUS TACHYCARDIA; TACHYCARDIA; THORAX PAIN; THORAX RADIOGRAPHY; TRACHEOSTOMY; TRANSVERSE COLON; TUBE REMOVAL; GASTROINTESTINAL ENDOSCOPY; GASTROSTOMY; REVIEW;

AGED; ENDOSCOPY, GASTROINTESTINAL; GASTROSTOMY; HUMANS; MALE; POSTOPERATIVE COMPLICATIONS;

EID: 46049121012     PISSN: 15310132     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (109)

1. Gauderer MW. Twenty years of percutaneous endoscopic gastrostomy: origin and evolution of a concept and its expanded applications. Gastrointest Endosc. 1999;50:879-883.
2. Gauderer MW, Ponsky JL, Izant RJ. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980;15:872-875.
3. Larson DE, Burton DD Schroeder KW, et al. Percutaneous endoscopic gastrostomy. Indications, success, complications and mortality in 314 consecutive patients. Gastroenterology. 1987;93:48-52.
4. Wilson WR, Hariri SM. Experience with percutaneous endoscopic gastrostomy on an otolaryngology service. Ear Nose Throat J. 1995;74:760-762.
5. Pender SM, Courtney MG, Rajan E, et al. Percutaneous endoscopic gastrostomy; results of an Irish single unit series. Ir J Med Sci. 1993; 162:452-455.
6. Gibson SE, Wenig BL, Watkins JL. Complications of percutaneous endoscopic gastrostomy in head and neck cancer patients. Ann Otol Rhinol Laryngol. 1992;101:46-50.
7. Wollman B, D'agostino HB, Walus-Wigle JR, et al. Radiologic, endoscopic and surgical gastrostomy; an institutional evaluation and meta-analysis of the literature. Radiology. 1995;197:699-704.
8. Disario J. Endoscopic approaches to enteral nutritional support. Best Pract Res Clin Gastroenterol. 2006;20:605-630.
9. Lin HS, Ibrahim HZ, Kheng JW, et al. Percutaneous endoscopic gastrostomy: strategies for prevention and management of complications. Laryngoscope. 2001;111:1847-1852.
10. Foutch G. Complications of percutaneous endoscopic gastrostomy and jejunostomy. Recognition, prevention and treatment. Gastrointest Endosc Clin N Am. 1992;2:231-248.
11. Grant JP. Percutaneous endoscopic gastrostomy: Initial placement by a single endoscopic technique and long-term follow-up. Ann Surg. 1993;217:168-174.
12. Van Someran RNM, Benson MJ, Hawcett H, et al. Origin of pulmonary aspirate in percutaneous endoscopic gastrostomy. Gastrointest Endosc. 1994;39:290 (A172).
13. Schapiro GD, Edmundowicz SA. Complications of percutaneous endoscopic gastrostomy. Gastrointest Endosc Clin North Am. 1996;6:409-422.
14. Kitamura T, Nakase H, Iizuka H. Risk factors for aspiration pneumonia after percutaneous endoscopic gastrostomy. Gerontology. 2007;53:224-227.
15. Marik PE, Zalonga GP. Gastric vs post-pyloric feedings: a systematic review. Crit Care. 2003;7:46-51.
16. Disario JA, Baskin WN, Brown RD, et al. Endoscopic approaches to enteral nutrition support. Gastrointest Endosc. 2002;55:901-908.
17. Weitz CR, Morris JB, Mullen JL. Surgical jejenostomy in aspiration risk patients. Ann Surg. 1992;215:140-145.
18. Foulch PG, Woods CA, Talbert GA et al. A critical analysis of the Sacks-Vine gastrostomy tube: a review of 120 consecutive procedures. Am J Gastroenterol. 1988;83:812-815.
19. Hogan RB, DeMarco DC. Percutaneous endoscopic gastrostomy- to push or pull: a prospective randomized controlled trial. Gastrointest Endosc. 1986;32:253-258.
20. Shaheen JJ, Hill AD, Fanning NP, et al. Percutaneous endoscopic gastrostomy; 5 years of clinical experience on 238 patients. Ir Mad J. 2003;96:265-267.
21. Lumen W, Kwek KR, Loi KL, et al. Percutaneous endoscopic gastrostomy · indications and outcomes of our experience at Singapore General Hospital. Singapore Med J. 2001;42:460-465.
22. Safadi BY, Marks JM, Ponsky JL. Percutaneous endoscopic gastrostomy. Gastrointest Endosc Clin N Am. 1998;8:551-568.
23. Cappell MS, Abdullah M. Management of gastrointestinal bleeding induced by gastrointestinal endoscopy. Gastroenterol Clin North Am. 2000;29:125-167.
24. Guidelines of the management of anticoagulation and antiplatelet therapies for endoscopic procedures. Gastrointest Endosc. 2002;55:775-779.
25. Horbach T, Teske V, Hohenberger W, et al. Endoscopic therapy of the buried bumper syndrome; a clinical algorithm. Surg Endosc.2007 Apr 24; {epub ahead of print).
26. Patwardhan N, McHugh K, Drake D, et al. Gastroenteric fistula complicating percutaneous endoscopic gastrostomy. J Pediatr Surg. 2004;39:561-564.
27. Khatak IU, Kimber C, Kiely EM. Percutaneous endoscopic gastrostomy in paediatric practice: complications and outcome. J Pediatr Surg. 1998;33:67-72.
28. Lee JH, Kim A Kim YH, et al. Increased risk of peristomal wound infections after percutaneous endoscopic gastrostomy in patients with diabetes mellitus. Dig Liver Dis. 2002;34:857-861.
29. Gencosmanoglu R, Koc D, Tozun N. Percutaneous endoscopic gastrostomy: results of 115 cases. Hepatogastroenterology. 2003;50:886-888.
30. Ahmad I, Mouncher A, Abdoolah A, at al. Antibiotic prophylaxis for percutaneous endoscopic gastrostomy · a prospective randomized double blind trial. Aliment Pharmacol Ther. 2003; 18:209-215.
31. Saadeddin A, Freshwater DA, Fisher NC, et al. Antibiotic prophylaxis for percutaneous endoscopic gastrostomy for non malignant conditions: a double blind randomized control trial. Aliment Pharmacol Ther. 2005;22:565-570.
32. McClave SA, Chang WK. Complications of enteral access. Gastrointest Endosc. 2003;58:739-751.
33. Deitel M, Bendago M, Spratt EH. Percutaneous endoscopic gastrostomy by the pull and introducer method. Can J Surg. 1988;31:102-104.
34. Mamel JJ. Percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1909;84:703-710.
35. Jonas SK, Niemark S, Panwalker AP. Effect of antibiotic prophylaxis in percutaneou endoscopic gastrostomy. Am J Gastroenterol. 1985;80:438-441.
36. Sturgis TM, Yancy W, Cole JC, et al. Antibiotic prophylaxis in percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1996;91:2301-2304.
37. Jain NK, Larson DE, Schroeder KW, et al. Antibiotic prophylaxis for percutaneous endoscopic gastrostomy. A prospective randomized double blind clinical trial. Ann Intern Med. 1987;107:824-828.
38. Akkersdijk WL, van Bergeijk JD, van Egmond T, et al. Percutaneous endoscopic gastrostomy: comparison of push and pull methods and evaluation of antibiotic prophylaxis. Endoscopy.1995;27:313-316.
39. Gossner L, Keymling J, Hahn EG, et al. Antibiotic prophylaxis in percutaneous endoscopic gastrostomy: a prospective randomized clinical trial. Endoscopy. 1999;31:119-124.
40. Dormann AJ, Wigginghaus B, Risius H, et al. A single dose of Ceftriaxone administered 30 minutes before percutaneous endoscopic gastrostomy significantly reduces local and systemic infective complications. Am J Gastroenterol. 1999;94:3220-3224.
41. Panigrahi H, Shreeve DR, Tan WC, et al. Role of antibiotic prophylaxis in percutaneous endoscopic gastrostomy (PEG): result of a prospective double - blind randomized trial. J Hosp Infect. 2002;50:312-315.
42. Sharma VK, Howden CW. Meta-analysis of randomized, controlled trials of antibiotic prophylaxis before percutaneous endoscopic gastrostomy. Am J Gastroenterol. 2000;95:3133-3136.
43. Jafri NS, Mahid SS, Minor KS, et al. Meta-analysis: antibiotic prophylaxis to prevent peristornal infection following percutaneous endoscopic gastrostomy. Aliment Pharmacol Ther. 2007;25:647-656.
44. Lipp A, Lusardi G. Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy. Cochrane Database Syst Review. 2006;(4):CD005571.
45. Kulling D, Sonnenberg A, Fried M, et al. Cost analysis of antibiotic prophylaxis for PEG. Gastrointest Endosc. 2000;51:152-156.
46. Mainie I, Loughrey A, Watson J, et al. Percutaneous endoscopic gastrostomy sites infected by methicillin resistant Staphylococcus aureus: impact on outcome. J Clin Gastroenterol. 2006;40:297-300.
47. Horiuchl A, Nakayama Y, Kajiyama M, et al. Nasopharyngeal decolonization of methicillin resistant Staphylococcus aureus can reduce PEG peristomal wound infection. Am J Gastroenterol. 2006;101:274-277.
48. Rao GG, Osman M, Johnson L, et al. Prevention of percutaneous endoscopic gastrostomy site infections caused by methicilline resistant Staphylococcus aureus. J Hosp Infect. 2004;58:81-83.
49. Maclean AA, Miller G, Bamboat ZM et al, Abdominal wall necrotizing fasciits from dislodged percutaneous endoscopic gastrostomy tubes: a case series. Am Surg. 2004;70:827-831
50. Bender JS, Levison MA. Complications after percutaneous endoscopic gastrostomy removal. Surg Laparosc Endosc.1991;1:101-103.
51. Eisdorfer DS, DiLorenzo JC, Miskovitz P. A complication of PEG change [letter]. Gastrointest Endosc. 1991;37:108.
52. Marshall JB, Bodnarchuk G, Barthel JS. Early accidental dislodgement of PEG tubes. J Clin Gastroenterol. 1994;48:210-212.
53. Galat SA, Gerig KD, Porter JA, et al. Management of premature removal of percutaneous endoscopic gastrostomy. Am Surg 1990;56:733-736.
54. Sinclair JJ, Scolapio JS, Stark ME, et al. Metastasis of head and neck carcinoma to the site of percutaneous endoscopic gastromy: case report and literature review. J Parenter Enteral Nutr. 2001;25:282-285.
55. Mincheff TV. Metastatic spread to a percutaneous gastrostomy site from head and neck cancer; case report and literature review. JSLS. 2005;9:466-471.
56. Ware H, Vuksenaj D, McGill C. Aortogastric fistula: A complication of tube gastrostomy. J Pediatr Surg. 1989:24:1149-1151.
57. Chaer FA, Rekkas D, Trevino J, et al. Intrahepatic placement of a PEG tube. Gastrointest Endosc. 2003;57:763-765.
58. Alawachi A, Chou S, Soucy P. Gastric volvulus: A late complication of gastrostomy. Can J Surg. 1991;34:485-486.
59. Stathopoulos G, Rudberg MA, Harig JM. Subcutaneous emphysema following PEG. Gastrointest Endosc. 1991;37:374-376.
60. Thirumahilmaran S, Patel N, Thomas E. Prolonged benign pneumoperitoneum after percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1995;90:147-148.
61. Rogers SN, Thomson R, O'Toole P, et al. Patients experience with long-term percutaneous endoscopic gastrostomy feeding following primary surgery for oral and oropharyngeal cancer. Oral Oncol. 2007;43:499-507.
62. Koulentaki M, Reynolds N, Steinke D et al. Eight years experience of gastrostomy tube management. Endoscopy. 2002;34:941-945.
63. Strodel WE, Ponsky JL. Complications of percutaneous gastrostomy. In: Ponsky JL, ed. Techniques of Percutaneous Endoscopy. New York: Iguku-Shoin: 1988:63-78.
64. Blacka J, Donoghue J, Sutherland M, et al. Dwell times and functional failure in percutaneous endoscopic gastrostomy tubes: a prospective randomized controlled comparison between silicon polymer and polyurethane percutaneous endoscopic gastrostomy tubes. Aliment Pharmacol Ther. 2004;20:875-882.
65. Raykher A, Russo L, Schattner M, et al. Enteral nutrition support of head and neck cancer patients. Nutr Clin Pract. 2007;22:68-73.
66. Lees J. Incidence of weight loss in head and neck cancer patients on commencing radiotherapy treatment and a regional oncology center. Eur J Cancer Care. 1999;8:133-136.
67. Beaver MS, Matheny KE, Roberts et al. Predictors of weight loss during radiation therapy. Otolaryngol Head Neck Surg. 2001;125-645-648.
68. Mick R, Vokes EE, Weichselbaum RR et al. Prognostic factors in advanced head and neck cancer patients undergoing multimodality therapy. Otolaryngol Head Neck Surg. 1991;105:62-73.
69. Raykher A, Schattner M, Friedman A, et al. Safety and efficacy of pretreatment placement of PEG tubes in head and neck cancer patients undergoing chemoradiation treatment. Clin Nutr. 2004;23:757.
70. Lee JH, Machtay M, Unger LD, et al. Prophylactic gastrostomy tubes for patients undergoing intensive irradiation for cancer of the head and neck. Otolaryngol Head Neck Surg. 1998;124:871-875.
71. Abitbol A, Abdel-Wahab MAS, Harvey M. Phase II study of tolerance and efficacy of hyperfractionated radiation therapy and 5 fluorouracil, cisplatin, paclitaxil and amifostine in head and neck cancer squamous cell carcinomas. Am J Clin Oncol. 2005;28:449-455.
72. Schattner M, Barerra R, Nygard S, et al. Outcomes of home enteral nutrition in patients with malignant dysphagia. Nutr Clin Pract. 2001;16:292-295.
73. Schattner M Wills H, Raykher A, et al. Long term enteral nutrition facilitates optimization of body weight. J Parenter Enteral Nutr. 2005;29:198-203.
74. Senft M, Fietkeu R, Iro H, et al. The influence of supportive nutritional therapy via percutaneous endoscopic guided gastrostomy on the quality of life of cancer patients. Support Care Cancer. 1993;1:272-275.
75. Patterson PG, Juurlink BHW. Nutritional regulation of glutathione in stroke. Neurotox Res. 1999;1:90-112.
76. Finestone HM, Greene Finestone LS, Wilson ES, et al. Malnutrition in stroke patients on the rehabilitation service and at follow-up: prevalence and predictors. Arch Phys Med Rehabil. 1995;76:310-316.
77. Dennis M. Nutrition after stroke. Br Med Bull. 2000;56:466-475.
78. Davalos A, Ricart W, Gozalez-Huix F, et al. Effect of malnutrition after acute stroke on clinical outcome. Stroke. 1996;27:1028-1032.
79. Garibella SE, Parker SG, Taub N, et al. Influence of nutritional status on clinical outcome after stroke. Am J Clin Nutr. 1998;68:275-281.
80. Finestone HM, Greene-Finestone LS, Wilson ES, et al. Prolonged length of stay and reduced functional improvement in malnourished stroke rehabilitation patients. Arch Phys Med Rehabil. 1996;77:340-345.
81. Garibella SE, Parker SG, Castleden CM. A randomized controlled trial of nutritional supplementation after stroke. Age Ageing. 1997;27:66.
82. Nyswonger GD, Helmchen RH. Early enteral nutrition and length of stay in stroke patients. Neuroscr Nurs. 1992;24:220-223.
83. Norton B, Homer-Ward M, Donnelly MT, et al. A randomized prospective comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding after acute dysphagic stroke. BMJ. 1996;312:13-16.
84. FOOD Trial Collaboration. Routine oral nutritional supplementation for stroke patients in hospital (FOOD): a multicenter randomized controlled trial. Lancet. 2005;365:755-763.
85. FOOD Trial Collaboration. Effect of timing and method of enteral tube feeding for dysphagic stroke patients (FOOD): a multicenter randomized controlled trial. Lancet. 2005;365:764-672.
86. Loser C, Aschl G, Hebuterne X, et al. Consensus Statement: ESPEN guidelines on artificial-enteral nutrition - percutaneous endoscopic gastrostomy (PEG). Clin Nutr. 2005;24:848-861.
87. Small W. Dementia. In: Cobbs EL, Duthrie EH, Murphy JB., eds. Geriatric Review Syllabus. 4th ed. Dubuque, Iowa: Kendall Hunt; 1999:103-111.
88. Kawas CH. Alzheimer's disease. In: Hazzard WR, Blass JP, Ettinger WH Jr, et al., eds. Principles of Geriatric Medicine and Gerontology. 4th ed. New York: McGraw Hill; 1998:1257-1269.
89. Miller DK, Morley JE, Rubinstein LZ. An overview of international ageing and nutrition. In:Morley JE, Glick Z, Rubinstein LZ., eds. Geriatric Nutrition. 2nd ed. New York: Raven; 1995:1-4.
90. Granville SA, Musson N. Eating abnormalities: Disorders of self-feeding and swallowing. In: Hazzard WR, Blass JP, Ettinger WH, Jr. et al., eds. Principles of Geriatric Medicine and Gerontology. 4th ed. New York: McGraw Hill; 1998:1471-1490.
91. Grant MD, Rudberg MA, Brody JA. Gastrostomy placement and mortality among hospitalized Medicare beneficiaries. JAMA. 1998;279:1973-1976.
92. Rabeneck L, Wray NP, Petersen NG. Long term outcomes of patients receiving percutaneous endoscopic gastrostomy tubes. J Gen Interm Med. 1996;11:287-293
93. Gillick MR. Rethinking the role of tube feeding in patients with advanced dementia. N Engl J Med. 2000;342:206-210.
94. Dharmarajan TS, Unnikrishnan D, Pitchumoni CS. Percutaneous endoscopic gastrostomy and outcome in dementia. Am J Gastroenterol. 2001;96:2556-2563.
95. Callahan CM, Haag KM, Weinberger M, et al. Outcomes of percutaneous endoscopic gastrostomy among older adults in a community setting. J Am Geriatr Soc. 2000;48:1048-1054.
96. Sanders DS, Carter MJ, D'Silva J, et al. Survival analysis in percutaneous endoscopic gastrostomy feeding: a worse outcome in patients with dementia. Am J Gastroenterol. 2000;95:1472-1475.
97. Nair S, Hertan H, Pitchumoni CS. Hypoalbuminemia is a poor predictor or survival after percutaneous endoscopic gastrostomy in elderly patients with dementia. Am J Gastroenterol. 2000;95:133-136.
98. Mitchell SL, Kiely DK, Lipsitz LA. The risk factors and impact on survival of feeding tube placement in nursing home residents with severe cognitive impairment. Arch Intern Med. 1997;10:327-332.
99. Mitchell SL, Kiely DK, Lipsatz LA. Does artificial enteral nutrition prolong the survival of institutionalized elders with chewing and swallowing problems? J Gerontol A Biol Sci Med Sci. 1998;53:M207-213.
100. Kaw M, Sekas G. Long term follow-up of consequences of percutaneous endoscopic gastrostomy (PEG) tubes in nursing home patients. Dig Dis Sci. 1994;39:738-743.
101. Finucane TE, Christmas C, Travis K. Tube feeding in patients with advanced dementia: a review of the evidence. JAMA. 1999;282:1365-1370.
102. McNabney MK, Beers MH, Siebens H. Surrogate decision makers: satisfaction with the placement of feeding tubes in elderly patients. J Am Geriatr Soc. 1994;42:161-168.
103. Peck A, Cohen CE, Mulvihill MN. Long term enteral feeding of aged demented nursing home patients. J Am Geriatr Soc. 1990;38:1195-1198.
104. McCann RM, Hall WJ, Groth-Juncker A. Comfort care in terminally ill patients. The appropriate use of nutrition and hydration. JAMA. 1994;272:1263-1266.
105. Scott AG, Austin HE. Nasogastric feeding in the management of severe dysphagia in motor neurone disease. Palliat Med. 1994;8:45-49.
106. Angus F, Burakoff R. The percutaneous endoscopic gastrostomy tube: Medical and ethical issues in placement. Am J Gastroenterol. 2003;98:272-277.
107. Solomon MZ, O'Donnell L, Jennings B, et al. Decisions near the end of life: Professional views on life sustaining treatment. Am J Public Health. 1993;83:14-23.
108. Callahan CM, Haag KM, Buchanan NN, et al. Decision making for percutaneous endoscopic gastrostomy among older adults in a community setting. J Am Geriatr Soc. 1999;47:1105-1109.
109. DeLegge MH, McClave SA, Disario JA et al. Ethical and medicolegal aspects of PEG-tube placement and provision of artificial nutritional therapy. Gastrointest Endosc. 2003;62:952-962.