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Balloon-type versus non-balloon-type replacement percutaneous endoscopic gastrostomy: which is better?
1Veterans Affairs Medical Center, Digestive Disease Section (111D), 2002 Holcombe Boulevard, Houston, TX 77030, USA.
Summary
This study compared balloon and non-balloon percutaneous endoscopic gastrostomy (PEG) replacement tubes. While both showed similar stomal responses, the non-balloon type had a significantly longer lifespan.
Area of Science:
- Gastroenterology
- Medical Devices
- Nursing Practice
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a long-established procedure.
- Nurses in gastroenterology settings frequently manage patients with PEGs.
- Questions exist regarding optimal care and cost-effectiveness of PEG replacement tubes.
Purpose of the Study:
- To compare patient stomal response between two types of replacement PEG tubes (balloon vs. non-balloon).
- To evaluate the difference in lifespan between balloon and non-balloon replacement PEG tubes.
Main Methods:
- A non-experimental, two-group descriptive study was conducted.
- Two types of replacement PEG tubes were evaluated: balloon and non-balloon.
- Stoma response and PEG lifespan were the primary outcome measures.
Main Results:
- No statistically significant difference was found in stomal response (skin and insertion site issues) between the two PEG tube types.
- A statistically significant difference was observed in the lifespan of the two PEG tube types across three time intervals.
Conclusions:
- Findings provide valuable data for healthcare practitioners making decisions about PEG replacement tube selection.
- The non-balloon PEG tube demonstrated a longer lifespan compared to the balloon type.
- Further research and replication are recommended to validate these findings.