Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pharmacol Ther. Sep 5, 2022; 13(5): 77-87
Published online Sep 5, 2022. doi: 10.4292/wjgpt.v13.i5.77
Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes
Kavya M Reddy, Preston Lee, Parul J Gor, Antonio Cheesman, Noor Al-Hammadi, David John Westrich, Jason Taylor
Kavya M Reddy, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA 90095, United States
Preston Lee, Department of Internal Medicine, Santa Clara Valley Medical Center, San Jose, CA 95128, United States
Parul J Gor, Division of Gastroenterology and Hepatology, Mercy Hospital, Saint Louis, MO 63141, United States
Antonio Cheesman, David John Westrich, Jason Taylor, Division of Gastroenterology and Hepatology, Saint Louis University School of Medicine, Saint Louis, MO 63104, United States
Noor Al-Hammadi, Saint Louis University Center for Health Outcomes Research, Saint Louis University, Saint Louis, MO 63104, United States
Author contributions: Reddy KM and Taylor J contributed equally to this work and wrote the paper, collected data, and designed the research; Westrich DJ also contributed to data gathering, writing portions of the paper and critically revised the paper; Lee P and Gor PJ collected data and contributed to revisions of the manuscript; Cheesman A contributed to revisions of the manuscript; Al-Hammadi N performed all statistical analysis.
Institutional review board statement: The study was reviewed and approved by the Saint Louis University Institutional Review Board (Approval No. 29062).
Informed consent statement: Informed consent was waived by the Saint Louis University Institutional Review Board for this retrospective chart review.
Conflict-of-interest statement: None of the authors have any conflicts of interest.
Data sharing statement: No additional data available.
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: Kavya M Reddy, MD, Attending Doctor, Instructor, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at University of California Los Angeles, 2780 Skypark Drive Suite 125, Torrance, CA 90505, United States. kavya036@gmail.com
Received: October 23, 2021
Peer-review started: October 23, 2021
First decision: December 16, 2021
Revised: January 22, 2022
Accepted: August 14, 2022
Article in press: August 14, 2022
Published online: September 5, 2022
Processing time: 311 Days and 8.5 Hours
Core Tip

Core Tip: Percutaneous Endoscopic Gastrotomy (PEG) tubes are often placed for nutrition for dysphagia following a stroke. The 2011 ASGE guidelines recommend delaying PEG tube placement for two weeks, although this guideline is based on weak evidence. There is increasing demand for early PEG tube placement to meet requirements for timely discharge to rehab facilities. This is the first study to compare outcomes such as mortality or complications of PEG tubes based on timing of placement in stroke patients. Early PEG tube placement did not result in a higher rate of mortality or complications and significantly decreased hospital length of stay.