Percutaneous Endoscopic Gastrostomy Tube Placement by Otorhinolaryngologist

Study Overview
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Brief Summary
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The investigators main endpoint was focused on the analysis of the type, rate and the impact of different clinical parameters on the complications of the PEG tube placements performed at the Department of Otorhinolaryngology - Head and Neck Surgery since October 2008. In addition, the investigators aimed to compare the results with a historic cohort patient group (September 2005 - October 2008) sent to the Department of Surgery for PEG tube placement in order to evaluate the results of the changed routine.

Detailed Description
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We retrospectively reviewed a cohort of patients that had undergone PEG tube placement from October 2008 until October 2010 at the Department of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Central Hospital (HUCH), Helsinki, Finland, with a health care district currently including approximately 1.5 million inhabitants. Hospital surgical and discharge registries were used to identify the patients. Medical records were studied and details collected on the patients' age, sex, preoperative condition, preoperative laboratory parameters, coexisting medical diagnoses (Charlson Comorbidity Index, CCI (Hall 2004)), indication and date for PEG tube placement, complications, the time of PEG use, follow-up time, and clinical status at last follow up. The study period was aimed to run from PEG tube placement to the last clinical evaluation (minimum 12 months) or the time of death. These results were compared with those from a historic cohort group of patients with the PEG tube placed in the Department of Surgery, HUCH, Helsinki, Finland from September 2005 until October 2008.

Official Title
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Percutaneous Endoscopic Gastrostomy Tube Placement by Otorhinolaryngologist: a Single Institution Experience

Conditions
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Dysphagia

Intervention / Treatment
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* Procedure: PEG tube placement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ENT patient with PEG tube placement Exclusion Criteria: electrolyte imbalance coagulation imbalance morbid obesity (BMI > 40 kg/m2) large volume ascites previous gastrectomy sepsis

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| EarNoseThroatGroup<br>a cohort of patients that had undergone PEG tube placement from October 2008 until October 2010 at the Department of Otorhinolaryngology - Head and Neck Surgery | Procedure: PEG tube placement<br>* Percutaneous endoscopic gastrostomy<br>* Other names: B) = SurgeryGroup;|
| SurgeryGroup<br>a historic cohort group of patients with the PEG tube placed in the Department of Surgery from September 2005 until September 2009 | Procedure: PEG tube placement<br>* Percutaneous endoscopic gastrostomy<br>* Other names: B) = SurgeryGroup;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Complications and mortality | Complication Minor Major Mortality Procedure related < 7 days 7-30 days 30 days Overall | 12 months follow-up time |