Clinical Endoscopy

Original Article

Comparison of Clinical Outcomes Associated with Pull-Type and Introducer-Type Percutaneous Endoscopic Gastrostomies: Sin Won Lee, Jeong Hoon Lee, Hyungjin Cho, Yeonjung Ha, Hyun Lim, Ji Yong Ahn, Kwi Sook Choi, Do Hoon Kim, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim; Clin Endosc 2014;47(6):530-537. Published online November 30, 2014; DOI: https://doi.org/10.5946/ce.2014.47.6.530

Background/Aims

Percutaneous endoscopic gastrostomy (PEG) is a method of providing enteral nutrition using endoscopy. The PEG techniques differ according to the insertion method, and include the pull type, push type, and introducer type. The aim of this study was to compare the clinical outcomes associated with the pull-type and introducer-type PEG insertion techniques, which included the adverse events, at our tertiary care center in Korea.

Methods

We retrospectively reviewed 141 cases that had undergone PEG insertion at our center from January 2009 to June 2012. The indications for PEG insertion and the acute and chronic complications caused by each type of PEG insertion were analyzed.

Results

The indications for PEG insertion in our cohort included neurologic disease (58.7%), malignancy (21.7%), and other indications (19.6%). Successful PEG insertions were performed on 136 cases (96.5%), and there were no PEG-associated deaths. Bleeding was the most frequent acute complication (12.8%), and wound problems were the most frequent chronic complications (8.8%). There were no statistically significant differences between the pull-type and introducer-type PEG insertion techniques in relation to complication rates in our study population.

Conclusions

PEG insertion is considered a safe procedure. The pull-type and introducer-type PEG insertion techniques produce comparable outcomes, and physicians may choose either of these approaches according to the circumstances.

Citations

Citations to this article as recorded by

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Yun-Kai Hu, Bo-Wu He, Yu-Gang Su, Yong-Tang Chen, Qing-Jing Ru
World Chinese Journal of Digestology.2025; 33(5): 412. CrossRef
Single-step replacement of a push-type PEG with a pull-type PEG in a patient with dysphagia
Soo Bin Synn, Su Jin Kim
Journal of Innovative Medical Technology.2025; 3(2): 66. CrossRef
Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
Gut and Liver.2024; 18(1): 10. CrossRef
Clinical practice guidelines for percutaneous endoscopic gastrostomy
Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
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Journal of Korean Medical Science.2022;[Epub] CrossRef
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Jin Hee Noh, Hee Kyong Na, Ji Yong Ahn, Suk‐Kyung Hong, Jiyoun Kim, Jina Yang, Hwoon‐Yong Jung
Nutrition in Clinical Practice.2021; 36(1): 225. CrossRef
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Scientific Reports.2020;[Epub] CrossRef
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Antibacterial gauzes are effective in preventing infections after percutaneous endoscopic gastrostomy placement
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10,737 View
102 Download
13 Web of Science
13 Crossref

Case Report

A Needle Penetrating the Stomach Cavity after Acupuncture: Sin Won Lee, Ji Yong Ahn, Won Jung Choi, Eun Jin Kim, Seung-Hyeon Bae, Yun Sik Choi, Hwoon-Yong Jung, Jin-Ho Kim; Clin Endosc 2014;47(3):258-261. Published online May 31, 2014; DOI: https://doi.org/10.5946/ce.2014.47.3.258

Abstract PDF

Although acupuncture is known as a safe procedure that is widely used in many countries, complications including infection, hemorrhage, hematoma, pneumothorax, nerve damage, and cardiac tamponade have been reported. A needle penetrating the stomach after acupuncture, however, is very rare. Here, we report the case of 47-year-old woman who experienced abdominal pain 2 days after receiving acupuncture. Upper gastrointestinal endoscopy identified an approximately 2.5-cm long needle in the posterior wall of the antrum. The needle was removed endoscopically using rat tooth forceps with no complications.

Citations

Citations to this article as recorded by

Review on Intraperitoneal Acupuncture and Needling Depth
Soyeon Kim
Korean Journal of Acupuncture.2023; 40(3): 55. CrossRef
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Healthcare.2022; 10(9): 1707. CrossRef
Literature Review on Adverse Events (2012-2015) associated with Acupuncture and Moxibustion
Nobutatsu FURUSE, Akihito UEHARA, Masaaki SUGAWARA, Toshiya YAMAZAKI, Hisashi SHINBARA, Hitoshi YAMASHITA
Zen Nihon Shinkyu Gakkai zasshi (Journal of the Japan Society of Acupuncture and Moxibustion).2017; 67(1): 29. CrossRef
Retrospective study using MRI to measure depths of acupuncture points in neck and shoulder region
Pei-Chi Chou, Yu-Chuen Huang, Chun-Jen Hsueh, Jaung-Geng Lin, Heng-Yi Chu
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Evidence-Based Complementary and Alternative Medicine.2014;[Epub] CrossRef

12,185 View
73 Download
5 Web of Science
5 Crossref

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