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Percutaneous endoscopic gastrostomy.

B J Moran1, M B Taylor, C D Johnson

  • 1University Surgical Unit, Southampton General Hospital, UK.

The British Journal of Surgery
|August 1, 1990
PubMed
Summary
This summary is machine-generated.

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Percutaneous endoscopic gastrostomy is a safer, faster, and cheaper alternative to surgical gastrostomy. This minimally invasive procedure should be considered for all patients requiring a gastrostomy due to its improved patient outcomes.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Surgical gastrostomy methods carry significant risks, including morbidity and mortality.
  • Traditional surgical approaches for nutritional support or gastric decompression are invasive.

Purpose of the Study:

  • To evaluate the safety, efficacy, and cost-effectiveness of percutaneous endoscopic gastrostomy (PEG) compared to surgical gastrostomy.
  • To determine the suitability of PEG for a broad patient population requiring gastrostomy.

Main Methods:

  • Literature review comparing percutaneous endoscopic gastrostomy with surgical gastrostomy.
  • Analysis of patient safety, procedure time, cost, and complication rates.

Main Results:

  • Percutaneous endoscopic gastrostomy is demonstrably safer, easier, and faster to perform than surgical gastrostomy.

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  • The percutaneous technique is considerably more cost-effective.
  • Most patients are suitable candidates for percutaneous endoscopic gastrostomy.

    • Conclusions:

    • Percutaneous endoscopic gastrostomy offers significant advantages over surgical gastrostomy.
    • Given its favorable risk profile and cost-effectiveness, PEG should be the preferred method for gastrostomy.
    • Complications, though infrequent, often necessitate surgical intervention, highlighting PEG's surgical nature.