Letter to the Editor
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pharmacol Ther. Jan 20, 2023; 14(1): 1-3
Published online Jan 20, 2023. doi: 10.4292/wjgpt.v14.i1.1
“Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes”: Commentary
Jonathan Willman, Brandon Lucke-Wold
Jonathan Willman, College of Medicine, University of Florida, Gainesville, FL 32610, United States
Brandon Lucke-Wold, Department of Neurosurgery, University of Florida, Gainesville, FL 32610, United States
Author contributions: Willman J contributed to conception, drafting the article, critical revision of the article; Lucke-Wold B contributed to conception, critical revision of the article.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
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: Jonathan Willman, BSc, College of Medicine, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610, United States. jonathanwillman@ufl.edu
Received: November 4, 2022
Peer-review started: November 4, 2022
First decision: November 22, 2022
Revised: November 24, 2022
Accepted: January 17, 2023
Article in press: January 17, 2023
Published online: January 20, 2023
Processing time: 76 Days and 6.4 Hours
Abstract

In this commentary, we summarize some of the key points of the original paper “Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes” and offer support for the proposed results. Specifically, we address how early percutaneous endoscopic gastrostomy (PEG) tube placement may reduce hospital length of stay and costs. We also discuss topics related to the article including PEG weaning and post-stroke nutritional formulation. However, we note that concerns purported by previous studies that early PEG placement may worsen outcomes are not fully addressed, and further research is needed.

Keywords: Percutaneous endoscopic gastrostomy tube, Post-stroke, Nutritional management, Rehabilitation, Dysphagia

Core Tip: Here we summarize some of the key points of the original paper and offer support for the proposed results. Specifically, we address how early percutaneous endoscopic gastrostomy (PEG) tube placement may reduce hospital length of stay and costs. We also discuss topics related to the article including PEG weaning and post-stroke nutritional formulation. However, we note that concerns purported by previous studies that early PEG placement may worsen outcomes are not fully addressed, and further research is needed.