Meta-Analysis
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Meta-Anal. Sep 18, 2023; 11(6): 277-289
Published online Sep 18, 2023. doi: 10.13105/wjma.v11.i6.277
Endoscopic vs radiologic gastrostomy for enteral feeding: A systematic review and meta-analysis
Evellin Souza Valentim dos Santos, Guilherme Henrique Peixoto de Oliveira, Diogo Turiani Hourneaux de Moura, Bruno Salomão Hirsch, Roberto Paolo Trasolini, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura
Evellin Souza Valentim dos Santos, Guilherme Henrique Peixoto de Oliveira, Diogo Turiani Hourneaux de Moura, Bruno Salomão Hirsch, Wanderley Marques Bernardo, Eduardo Guimarães Hourneaux de Moura, Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-010, Brazil
Roberto Paolo Trasolini, Department of Gastroenterology and Hepatology, Hospital Harvard Medical School, Boston, MA 02115, United States
Author contributions: dos Santos ESV contributed acquisition of data, analysis, interpretation of data, drafting the article, revising the article, final approval; de Oliveira GHP, dos Santos ESV and Hirsch BS contributed analysis and interpretation of data, revising the article; de Moura DTH contributed analysis of data, interpretation of data, drafting the article, revising the article, final approval; Bernardo WM contributed analysis of data, interpretation of data, drafting the article, revising the article, final approval; de Moura EGH contributed analysis and interpretation of data, drafting the article, revising the article, final approval.
Conflict-of-interest statement: The authors deny any conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
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: Guilherme Henrique Peixoto de Oliveira, MD, Medical Assistant, Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr Enéas de Carvalho Aguiar, 225, São Paulo 05403-010, Brazil. guilherme.hpoliveira@hc.fm.usp.br
Received: February 28, 2023
Peer-review started: February 28, 2023
First decision: March 24, 2023
Revised: May 17, 2023
Accepted: June 16, 2023
Article in press: June 16, 2023
Published online: September 18, 2023
Core Tip

Core Tip: Gastrostomy is a routine and preferred feeding route in patients who require enteral nutrition for prolonged period. This metanalysis compared percutaneous endoscopic gastrostomy and percutaneous radiological gastrostomy multiple outcomes, such as bleeding, infection, pneumonia, pain, and tube-related complications. Based on this meta-analysis, gastrostomy technique is related to a lower complication rate of tube-related complications and thus, should be preferred. Costs, devices availability, personal and local experience as well as patients preference should be considered when choose the best technique.