48266
document
Endoscopic versus operative gastrostomy : final results of a prospective randomized trial . This study compared operative gastrostomy ( OG ) ( by surgeons ) with endoscopic gastrostomy ( PEG ) ( by physicians ) in a prospective randomized fashion to determine whether one technique was superior . PEG ( Sachs-Vine ) and OG ( Stamm ) were done using local anesthesia . Patients were assessed for complications , mortality , tube function , and cost . Groups were equally matched for indications and underlying disease . Fifty-seven had OG and 64 had attempted PEG . Complications occurred in 26 % of OG patients and 9 % died . Complications occurred in 25 % of PEG patients and 12 % died . Tube feeding was initiated in both groups within a mean of 29 ( 24 to 72 ) hours of the gastrostomy placement . OG cost $ 1675 and PEG $ 979 to perform . Twenty-one PEG patients required endoscopic tube change which raised their total cost to $ 1574 . We conclude there is no difference between OG ( using local anesthesia ) and PEG with regard to morbidity , mortality , or tube function . The endoscopic technique does appear to have economic advantage .
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Intervention_Surgical
Endoscopic versus operative gastrostomy
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Intervention_Surgical
operative gastrostomy ( OG )
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Intervention_Surgical
endoscopic gastrostomy ( PEG )
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Intervention_Surgical
PEG ( Sachs-Vine )
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Intervention_Surgical
OG ( Stamm )
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Intervention_Surgical
PEG
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Intervention_Physical
PEG
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Outcome_Adverse-effects
complications
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Outcome_Mortality
mortality
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Outcome_Other
tube function
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Outcome_Other
cost
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Outcome_Adverse-effects
Complications
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Outcome_Mortality
died
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Outcome_Adverse-effects
Complications
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Outcome_Mortality
died
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Outcome_Other
OG cost
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Outcome_Other
endoscopic tube change
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Outcome_Other
raised their total cost
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Outcome_Other
morbidity
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Outcome_Mortality
mortality
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Outcome_Other
tube function
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Outcome_Other
economic advantage
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Participant_Condition
gastrostomy
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Participant_Condition
operative gastrostomy ( OG )
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Participant_Condition
endoscopic gastrostomy ( PEG )
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Participant_Sample-size
Fifty-seven
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Participant_Condition
OG
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Participant_Sample-size
64
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Participant_Condition
PEG