Comparison of pull and introducer percutaneous endoscopic gastrostomy techniques in patients with the oral and maxillofacial malignancies

doi:10.19438/j.cjoms.2022.04.015

Abstract

Abstract: PURPOSE: The aim of this study was to compare pull and introducer percutaneous endoscopic gastrostomy(PEG) technique in patients with oral and maxillofacial malignancies(OMM). METHODS: This study was based on a retrospective analysis of 113 patients with OMM who underwent PEG in our hospital from January 2018 to December 2020, including age, gender, complications, etc. The patients were divided into two groups according to manipulation technique of PEG, namely Pull-PEG group and Intro-PEG group. SPSS 20.0 software package was used to compare the advantages and disadvantages of the two PEG techniques. RESULTS: Age, sex and albumin levels were similar in both groups. Patients in the Intro-PEG group had higher tumor stage and lower Karnofsky scores, but the difference was not statistically significant. The overall complication rate was 8.8%, including 6.2% of local complications and of 2.7% systemic complications. Postoperative complications occurred in 7 of the 75 patients (9.3%) in the Pull-PEG group and 3 of the 38 patients (7.9%) in the Intro-PEG group. Overall, major, minor, immediate and late complications were similar in both groups (P>0.05). CONCLUSIONS: Pull and introducer PEG technique seem to be both safe and effective but present different complication profiles for patients with oral and maxillofacial malignancies.

Key words: Oral and maxillofacial malignancies, Percutaneous endoscopic gastrostomy techniques, Pull PEG, Introducer PEG

CLC Number:

R739.8

ZENG Li-ting, WU Jia-jun, FAN Jing-xian, WANG Wei, YANG Tian-ye, WANG Fan-lin, XU Bing, GE Kui. Comparison of pull and introducer percutaneous endoscopic gastrostomy techniques in patients with the oral and maxillofacial malignancies[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(4): 401-404.

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