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Percutaneous endoscopic gastrostomy tube placement in a surgical training program
J B Lowe1, C P Page, W H Schwesinger
1Department of Surgery, University of Texas Health Science Center at San Antonio, 78284, USA.
American Journal of Surgery
|December 31, 1997
Summary
Percutaneous endoscopic gastrostomy (PEG) is preferable to open gastrostomy (Gtube) for surgical residents. Training programs should ensure residents gain competence in PEG placement for better patient outcomes.
Area of Science:
- Surgical training
- Gastrointestinal procedures
Background:
- Examining percutaneous endoscopic gastrostomy (PEG) and primary open gastrostomy (Gtube) usage patterns.
- Focusing on procedures performed within a surgical residency training program.
Purpose of the Study:
- To evaluate the indications and outcomes of PEG and Gtube placements.
- To assess the learning curve and success rates of these procedures in a residency setting.
Main Methods:
- Retrospective cohort study analyzing 317 PEGs and 75 isolated Gtubes.
- Data collected between 1987 and 1997 for gastric access procedures.
Main Results:
- Comparable demographics and risk factors between PEG and Gtube patients.
- High PEG success rate (97%) and jejunal extension placement success rate (88%).
- Current PEG performance averages 13 per resident annually.
Conclusions:
- Percutaneous endoscopic gastrostomy (PEG) is generally preferred over open gastrostomy (Gtube) as a primary procedure.
- Surgical residents require adequate PEG procedural volume and trained staff supervision for competence.
- Emphasis on PEG proficiency in surgical residency training programs is recommended.