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Surgical Endoscopy

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06-03-2024 | Gastrostomy

Utility of gastrostomy tube placement at the time of pancreaticoduodenectomy

Authors: Keouna Pather, Erin M. Mobley, Ziad T. Awad

Published in: Surgical Endoscopy | Issue 4/2024

Abstract

Purpose

The aim of this study is to investigate the utility of gastrostomy tube (G-tube) placement in reducing delayed gastric emptying (DGE) among patients undergoing pancreaticoduodenectomy (PD).

Methods

We retrospectively reviewed consecutive patients undergoing PD from 2015 to 2020 at our institution. Thirty-day patient outcomes including DGE, length of stay (LOS), reoperation rates, and morbidity were analyzed in patients with or without G-tube placement.

Results

128 patients with resectable pancreatic head cancer (54 females, median age 68.50 [59.00–74.00]) underwent PD (66 had G-tube placement and 62 did not). There was no significant difference in the incidence of DGE (n = 17 vs. n = 17, p = 0.612), and LOS between the groups. Postoperative ileus (p = 0.007) was significantly lower while atrial fibrillation (p = 0.037) was higher among the G-tube group. Gastrostomy-related complications (p = 0.001) developed in ten patients: skin-related complications (n = 6), tube dislodgement (n = 3) and clogging (n = 1). Nine patients required reoperation during index admission (n = 4 vs. n = 5, p = 1.000). There was no difference in 30-day readmissions (n = 7 vs. n = 5, p = 0.471) and no difference in 30 or 90-day mortality.

Conclusion

Gastrostomy tube placement during index PD did not affect the incidence of DGE. However, patients experienced significant morbidities due to G-tube-related complications. Placement of gastrostomy tubes at the index PD offers no clinical benefits.

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Title: Utility of gastrostomy tube placement at the time of pancreaticoduodenectomy
Authors: Keouna Pather
Erin M. Mobley
Ziad T. Awad
Publication date: 06-03-2024
Publisher: Springer US
Keywords: Gastrostomy
Ileus
Atrial Fibrillation
Published in: Surgical Endoscopy / Issue 4/2024
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-024-10735-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Utility of gastrostomy tube placement at the time of pancreaticoduodenectomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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