Assessment of complication rates based on time of feeding initiation in radiologically guided gastrostomy tubes: a retrospective study

Özet

PURPOSEWe aimed to assess the association between complication rate and time to feeding in a cohort of patients undergoing radiologically guided placement of gastrostomy tubes.METHODSA retrospective study was conducted of all patients receiving pull-type and push-type gastrostomy tubes placed by interventional radiologists between January 1st, 2017 and December 31st, 2018 at a single institution. Primary outcomes included procedural and tube-relatedcomplications per medical chart review with a follow-up interval of 30 days. Exclusion criteriawere enteral nutrition delayed more than 48 hours, no feeding information, and tubes placedfor venting (n=20). Overall, 303 gastrostomy tubes (pull-type, n=184; push-type, n=119) wereincluded. The most common indications for placement included head and neck carcinomafor push-type tubes (n=76, 63.9%) and cerebral vascular accident for pull-type tubes (n=78,42.4%).RESULTSIn a multiple regression analysis, there was no statistically significant association betweencomplications and time to feeding (p = 0.096), age (p = 0.758), gender (p = 0.127), indicationfor tube placement (p = 0.206), or type of tube placed (p = 0.437). Average time to initiationof enteral nutrition was 12.3 hours for the pull-type and 21.7 hours for the push-type cohort(p 0.05).CONCLUSIONThere was no statistically significant correlation between time to feed and complications,suggesting that there is no clinical difference between early and late feeding following gastrostomy tube placement.