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Article

Percutaneous Gastrostomies: Associated Complications in PUSH vs. PULL Techniques over 12 Years in a Referral Centre

by
Ana Piñar-Gutiérrez
1,
Lucía González-Gracia
1,
Rocío Vázquez Gutiérrez
1,
Silvia García-Rey
1,
Andrés Jiménez-Sánchez
1,
Irene González-Navarro
1,
Dolores Tatay-Domínguez
1,
Pilar Garrancho-Domínguez
1,
Pablo J. Remón-Ruiz
1,
Antonio J. Martínez-Ortega
1,
Pilar Serrano-Aguayo
1,
María Dolores Giménez-Andreu
1,
Francisco José García-Fernández
2,
Juan Manuel Bozada-García
2,
Verónica Nacarino-Mejías
3,
Álvaro López-Iglesias
3,
José Luis Pereira-Cunill
1,* and
Pedro Pablo García-Luna
1
1
UGC Endocrinología y Nutrición, Hospital Universitario Virgen del Rocio, 41013 Sevilla, Spain
2
Unidad de Aparato Digestivo, Hospital Universitario Virgen del Rocio, 41013 Sevilla, Spain
3
Unidad de Radiodiagnóstico, Hospital Universitario Virgen del Rocio, 41013 Sevilla, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(7), 1836; https://doi.org/10.3390/jcm13071836
Submission received: 14 February 2024 / Revised: 18 March 2024 / Accepted: 21 March 2024 / Published: 22 March 2024
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
Versions Notes

Abstract

Objectives: To compare complications associated with percutaneous gastrostomies performed using PUSH and PULL techniques, whether endoscopic (PEG) or radiological (PRG), in a tertiary-level hospital. Methods: This was a prospective observational study. Adult patients who underwent percutaneous PULL or PUSH gastrostomy using PEG or PRG techniques at the Virgen del Rocio University Hospital and subsequently followed up in the Nutrition Unit between 2009–2020 were included. X2 tests or Fisher’s test were used for the comparison of proportions when necessary. Univariate analysis was conducted to study risk factors for PRG-associated complications. Results: n = 423 (PULL = 181; PUSH = 242). The PULL technique was associated with a higher percentage of total complications (37.6% vs. 23.8%; p = 0.005), exudate (18.2% vs. 11.2%; p = 0.039), and irritation (3.3% vs. 0%; p = 0.006). In the total sample, there were 5 (1.1%) cases of peritonitis, 3 (0.7%) gastrocolic fistulas, and 1 (0.2%) death due to complications associated with gastrostomy. Gender, age, and different indications were not risk factors for a higher number of complications. The most common indications were neurological diseases (35.9%), head and neck cancer (29%), and amyotrophic lateral sclerosis (17.2%). Conclusions: The PULL technique was associated with more total complications than the PUSH technique, but both were shown to be safe techniques, as the majority of complications were minor.
Keywords: gastrostomy; complications; enteral nutrition; peritonitis; interventional radiology; endoscopic techniques gastrostomy; complications; enteral nutrition; peritonitis; interventional radiology; endoscopic techniques

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MDPI and ACS Style

Piñar-Gutiérrez, A.; González-Gracia, L.; Vázquez Gutiérrez, R.; García-Rey, S.; Jiménez-Sánchez, A.; González-Navarro, I.; Tatay-Domínguez, D.; Garrancho-Domínguez, P.; Remón-Ruiz, P.J.; Martínez-Ortega, A.J.; et al. Percutaneous Gastrostomies: Associated Complications in PUSH vs. PULL Techniques over 12 Years in a Referral Centre. J. Clin. Med. 2024, 13, 1836. https://doi.org/10.3390/jcm13071836

AMA Style

Piñar-Gutiérrez A, González-Gracia L, Vázquez Gutiérrez R, García-Rey S, Jiménez-Sánchez A, González-Navarro I, Tatay-Domínguez D, Garrancho-Domínguez P, Remón-Ruiz PJ, Martínez-Ortega AJ, et al. Percutaneous Gastrostomies: Associated Complications in PUSH vs. PULL Techniques over 12 Years in a Referral Centre. Journal of Clinical Medicine. 2024; 13(7):1836. https://doi.org/10.3390/jcm13071836

Chicago/Turabian Style

Piñar-Gutiérrez, Ana, Lucía González-Gracia, Rocío Vázquez Gutiérrez, Silvia García-Rey, Andrés Jiménez-Sánchez, Irene González-Navarro, Dolores Tatay-Domínguez, Pilar Garrancho-Domínguez, Pablo J. Remón-Ruiz, Antonio J. Martínez-Ortega, and et al. 2024. "Percutaneous Gastrostomies: Associated Complications in PUSH vs. PULL Techniques over 12 Years in a Referral Centre" Journal of Clinical Medicine 13, no. 7: 1836. https://doi.org/10.3390/jcm13071836

APA Style

Piñar-Gutiérrez, A., González-Gracia, L., Vázquez Gutiérrez, R., García-Rey, S., Jiménez-Sánchez, A., González-Navarro, I., Tatay-Domínguez, D., Garrancho-Domínguez, P., Remón-Ruiz, P. J., Martínez-Ortega, A. J., Serrano-Aguayo, P., Giménez-Andreu, M. D., García-Fernández, F. J., Bozada-García, J. M., Nacarino-Mejías, V., López-Iglesias, Á., Pereira-Cunill, J. L., & García-Luna, P. P. (2024). Percutaneous Gastrostomies: Associated Complications in PUSH vs. PULL Techniques over 12 Years in a Referral Centre. Journal of Clinical Medicine, 13(7), 1836. https://doi.org/10.3390/jcm13071836

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