Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA
Background /Aims Percutaneous endoscopic gastrostomy (PEG) tube placement is a common procedure used to initiate enteral feeding. To our knowledge, there are no previous studies that analyze predictors of PEG failure. This study aims to identify risk factors for failure of inpatient PEG placement. M...
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Korean Society of Gastrointestinal Endoscopy
2025-05-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://e-ce.org/upload/pdf/ce-2024-118.pdf |
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| author | Ryan Xin Cassandra Sanossian Melissa Fazzari Brandon Mui Marouf Hossain Jennifer Katz |
| author_facet | Ryan Xin Cassandra Sanossian Melissa Fazzari Brandon Mui Marouf Hossain Jennifer Katz |
| author_sort | Ryan Xin |
| collection | DOAJ |
| description | Background /Aims Percutaneous endoscopic gastrostomy (PEG) tube placement is a common procedure used to initiate enteral feeding. To our knowledge, there are no previous studies that analyze predictors of PEG failure. This study aims to identify risk factors for failure of inpatient PEG placement. Methods A retrospective chart review was conducted of inpatients in the Montefiore Health System who were scheduled to undergo PEG placement from 2016 to 2020 (n=1,138). Patient, endoscopist, and procedural characteristics were summarized using descriptive statistics, both overall and stratified by whether the PEG was successfully placed. Results The overall success rate of PEG placement was 89%. The most common indications included stroke (31%), dementia (27%), and ventilator use (24%). Patient characteristics, including body mass index (BMI) (p=0.16) and indication for PEG placement (p=0.06), were not significantly associated with PEG failure. Instead, endoscopist and procedural characteristics were found to be significant, including type of attending (p<0.001), location of case (p=0.02), and category of anesthesia (p<0.001). Conclusions PEG placement remains a highly successful procedure. Endoscopist and procedural characteristics, not patient characteristics, were associated with PEG placement success. Notably, patient BMI and indication for PEG placement could not be used to risk stratify candidates for PEG placement. |
| format | Article |
| id | doaj-art-0e796c519dcb479f8e1016db3314d35d |
| institution | DOAJ |
| issn | 2234-2400 2234-2443 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj-art-0e796c519dcb479f8e1016db3314d35d2025-08-20T03:16:21ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-05-0158341842410.5946/ce.2024.1187958Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USARyan Xin0Cassandra Sanossian1Melissa Fazzari2Brandon Mui3Marouf Hossain4Jennifer Katz5 Department of Gastroenterology, Montefiore Medical Center, Bronx, NY, USA Division of Gastroenterology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA Department of Biostatistics, Montefiore Medical Center, Bronx, NY, USA Department of Medicine, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA Department of Medicine, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA Department of Medicine, NYU Langone Health, New York, NY, USABackground /Aims Percutaneous endoscopic gastrostomy (PEG) tube placement is a common procedure used to initiate enteral feeding. To our knowledge, there are no previous studies that analyze predictors of PEG failure. This study aims to identify risk factors for failure of inpatient PEG placement. Methods A retrospective chart review was conducted of inpatients in the Montefiore Health System who were scheduled to undergo PEG placement from 2016 to 2020 (n=1,138). Patient, endoscopist, and procedural characteristics were summarized using descriptive statistics, both overall and stratified by whether the PEG was successfully placed. Results The overall success rate of PEG placement was 89%. The most common indications included stroke (31%), dementia (27%), and ventilator use (24%). Patient characteristics, including body mass index (BMI) (p=0.16) and indication for PEG placement (p=0.06), were not significantly associated with PEG failure. Instead, endoscopist and procedural characteristics were found to be significant, including type of attending (p<0.001), location of case (p=0.02), and category of anesthesia (p<0.001). Conclusions PEG placement remains a highly successful procedure. Endoscopist and procedural characteristics, not patient characteristics, were associated with PEG placement success. Notably, patient BMI and indication for PEG placement could not be used to risk stratify candidates for PEG placement.http://e-ce.org/upload/pdf/ce-2024-118.pdfendoscopyenteral nutritiongastrostomy |
| spellingShingle | Ryan Xin Cassandra Sanossian Melissa Fazzari Brandon Mui Marouf Hossain Jennifer Katz Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA Clinical Endoscopy endoscopy enteral nutrition gastrostomy |
| title | Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA |
| title_full | Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA |
| title_fullStr | Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA |
| title_full_unstemmed | Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA |
| title_short | Predictors of failure of percutaneous endoscopic gastrostomy tube placement: a retrospective study in a tertiary care center in the USA |
| title_sort | predictors of failure of percutaneous endoscopic gastrostomy tube placement a retrospective study in a tertiary care center in the usa |
| topic | endoscopy enteral nutrition gastrostomy |
| url | http://e-ce.org/upload/pdf/ce-2024-118.pdf |
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