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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1990-4-26
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pubmed:abstractText |
This study compared operative gastrostomy (OG) (by surgeons) with endoscopic gastrostomy (PEG) (by physicians) in a prospective randomized fashion to determine whether one technique was superior. PEG (Sachs-Vine) and OG (Stamm) were done using local anesthesia. Patients were assessed for complications, mortality, tube function, and cost. Groups were equally matched for indications and underlying disease. Fifty-seven had OG and 64 had attempted PEG. Complications occurred in 26% of OG patients and 9% died. Complications occurred in 25% of PEG patients and 12% died. Tube feeding was initiated in both groups within a mean of 29 (24 to 72) hours of the gastrostomy placement. OG cost $1675 and PEG $979 to perform. Twenty-one PEG patients required endoscopic tube change which raised their total cost to $1574. We conclude there is no difference between OG (using local anesthesia) and PEG with regard to morbidity, mortality, or tube function. The endoscopic technique does appear to have economic advantage.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0016-5107
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
36
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1-5
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2107116-Adolescent,
pubmed-meshheading:2107116-Adult,
pubmed-meshheading:2107116-Aged,
pubmed-meshheading:2107116-Aged, 80 and over,
pubmed-meshheading:2107116-Child,
pubmed-meshheading:2107116-Costs and Cost Analysis,
pubmed-meshheading:2107116-Enteral Nutrition,
pubmed-meshheading:2107116-Female,
pubmed-meshheading:2107116-Gastroscopy,
pubmed-meshheading:2107116-Gastrostomy,
pubmed-meshheading:2107116-Humans,
pubmed-meshheading:2107116-Male,
pubmed-meshheading:2107116-Middle Aged,
pubmed-meshheading:2107116-Prospective Studies,
pubmed-meshheading:2107116-Randomized Controlled Trials as Topic
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pubmed:articleTitle |
Endoscopic versus operative gastrostomy: final results of a prospective randomized trial.
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pubmed:affiliation |
Department of Surgery (Gastrointestinal/Tumor), University of Colorado, Denver.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|