Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 14, 2024; 30(10): 1358-1367
Published online Mar 14, 2024. doi: 10.3748/wjg.v30.i10.1358
Time trends and outcomes of gastrostomy placement in a Swedish national cohort over two decades
Martin Löfling Skogar, Magnus Sundbom
Martin Löfling Skogar, Magnus Sundbom, Department of Surgical Sciences, Uppsala University, Uppsala 75185, Sweden
Author contributions: Skogar ML interpretated and analyzed the data and drafted the article; Sundbom M contributed to data acquisition and drafting the article; Skogar ML and Sundbom M contributed equally to conception and design of the study, made critical revisions of the manuscript, and approved the final version of the article to be published.
Institutional review board statement: The study was approved by the Swedish Ethical Review Authority.
Informed consent statement: Since this was a retrospective registry-based study, signed informed consent was not applicable.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Martin Löfling Skogar, MD, PhD, Doctor, Researcher, Statistical Worker, Surgeon, Department of Surgical Sciences, Uppsala University, Entrance 70, 1 Floor, Uppsala 75185, Sweden. martin.skogar@uu.se
Received: November 15, 2023
Peer-review started: November 15, 2023
First decision: December 14, 2023
Revised: December 27, 2023
Accepted: January 31, 2024
Article in press: January 31, 2024
Published online: March 14, 2024
Core Tip

Core Tip: In this large population-based cohort of 48682 individuals, the use of gastrostomies in Sweden increased during the 22-year study period, from 13.7/100000 to 22.3/100000 individuals. Percutaneous endoscopic gastrostomy more than doubled, while a 10-fold increase was seen in laparoscopic gastrostomies. Although the procedure-related mortality was low (0.1%), a 10% 30-d mortality was seen. The latter, however, decreased from 11.6% in 1998-2009 to 8.5% in 2010-2019. One-year and ten-year survival rates for children, adults, and elderly were 93.7%, 67.5%, and 42.1% and 79.9%, 39.2%, and 6.8%, respectively. The most common causes of death were malignancies and cardiovascular and respiratory diseases.