ESPEN 2012 - Late breaking abstract submission

Topic: Late Breaking Abstract

Abs n°:ESPEN12-1861

Abs Title: A COMPARISON OF OUTCOMES FOR PEG AND RIG INSERTION IN A DISTRICT GENERAL HOSPITAL

F.-M. Laskaratos 1,*M. Walker 1J. Gowribalan 1V. Wojciechowska 1A. Jenkins 1

1Department of Gastroenterology, Princess Royal University Hospital, London, United Kingdom

 

Rationale: Gastrostomy insertion is of benefit in selected patients. Percutaneous endoscopic gastrostomy (PEG) is the most widely used method, but  radiologically-inserted gastrostomy (RIG)  is an alternative. There is a shortage of data comparing the outcomes for the two techniques. The current study compares the 30-day mortality rates for PEGs and RIGs inserted over a two year period in a District General Hospital.

Methods: A retrospective review was made of case notes of all patients who underwent a PEG (n=46) or RIG (n=30) insertion between July 2009 and July 2011.

Results: The mean age of patients receiving RIGs was significantly higher than of those receiving PEGs (75 vs 68 years, p<0.05).  The indications for PEG and RIG insertion are shown in the table.

Indication

PEG 

(n=46)

RIG 

(n=30)

Cerebrovascular event             

13

9

Chronic neuromuscular disease             

15

6

Oropharyngeal and oesophageal                 

malignancy 

7

12

Intracerebral pathology                            

other than stroke           

4

3

Other

7

0

The comorbidities were comparable between the two groups. The median delay to gastrostomy insertion was 7 days (range 1-43 days) for PEGs and 4.5 days (range 2-21 days) for RIGs, but this difference was not significant (p=0.19).  There was a trend towards higher 30-day mortality in patients receiving RIGs, although this did not achieve significance (13% for PEGs vs 26.6% for RIGs, p = 0.22). Since none of the patients died of complications associated with gastrostomy insertion, the mortality trend may reflect the higher percentage of patients receiving RIGs for malignancy (40% vs 15%, p < 0.02) and the greater age of patients receiving RIGs.

 

Conclusion: There was a non-significant trend for higher mortality in the group receiving RIGs.  It is likely that this is related to the baseline characteristics of these patients, rather than to the technique per se.

 

Disclosure of Interest: None Declared

 

Keywords: percutaneous endoscopic gastrostomyradiologically-inserted gastrostomy