Beizavi Zahra, Al-Ogaili Mustafa, Ghozy Sherief, Khurana Aditya, Alzubaidi Sadeer J
Department of Radiology, Mayo Clinic, Phoenix, Arizona, USA.
Department of Radiology, Mayo Clinic, Rochester, Minneapolis, USA.
Nutr Clin Pract. 2025 Jun;40(3):733-741. doi: 10.1002/ncp.11275. Epub 2025 Feb 17.
Percutaneous endoscopic gastrostomy (PEG) and percutaneous radiologic gastrostomy (PRG) are used for gastric drainage, decompression, and feeding. Recent innovations enable bumper and balloon-type tube placement via transabdominal approach under guidance of fluoroscopy or sonography.
This is a single-center retrospective cohort study to evaluate the outcomes of balloon and bumper gastrostomy tube placement under guide of fluoroscopy and ultrasound. The total sample size was 470 consecutive patients. The eligibility criteria included all patients aged ≥18 years who underwent a balloon or bumper-type gastrostomy tube insertion for nutrition support in both the interventional radiology unit and at the bedside between 2017 and 2022.
This study revealed no significant differences between the two types of tubes in terms of time to tube replacement or requiring a gastrostomy tube. There was a positive correlation between the time that a patient has a gastrostomy tube and major complications (P = 0.005) and a positive correlation between number of tubes replaced and minor complications (P < 0.001). Both types of tubes were associated with low rates of complications. However, patients with a balloon tube were more likely to experience gastric-tube-related hospitalization/ED visits and require a >24-h hospital stay postoperation.
These findings can help healthcare providers make informed decisions when selecting the appropriate type of tube for their patients to have more durability with less complication.
经皮内镜下胃造口术（PEG）和经皮放射学胃造口术（PRG）用于胃引流、减压和喂养。最近的创新技术使得在荧光透视或超声引导下经腹途径放置带 bumper 和球囊型胃管成为可能。
这是一项单中心回顾性队列研究，旨在评估在荧光透视和超声引导下放置球囊和带 bumper 胃造口管的效果。总样本量为 470 例连续患者。纳入标准包括 2017 年至 2022 年期间在介入放射科和床边接受球囊或带 bumper 型胃造口管插入术以进行营养支持的所有年龄≥18 岁的患者。
该研究表明，两种类型的胃管在更换胃管时间或需要胃造口管方面无显著差异。患者留置胃造口管的时间与主要并发症之间存在正相关（P = 0.005），更换胃管的数量与轻微并发症之间存在正相关（P < 0.001）。两种类型的胃管并发症发生率均较低。然而，使用球囊胃管的患者更有可能因胃管相关问题住院/急诊就诊，且术后需要住院超过 24 小时。
这些发现可帮助医疗服务提供者在为患者选择合适类型的胃管时做出明智决策，以提高耐用性并减少并发症。
