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The Utility of Open Gastrostomy Using Local Anesthesia and a Gastrostomy Tube for Percutaneous Endoscopic Gastrostomy
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Jae Kyun Park, Chang In Choi, Dae Hwan Kim
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Surg Metab Nutr 2020;11(1):22-26. Published online June 30, 2020
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DOI: https://doi.org/10.18858/smn.2020.11.1.22
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 Abstract
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- Purpose: The purpose of this study is to introduce the technical details of open gastrostomy using local anesthesia and a gastrostomy tube for percutaneous endoscopic gastrostomy, and to evaluate the safety and utility of the procedure.
Materials and Methods: Between January 2011 and December 2015, a total of 46 patients who underwent open gastrostomy using local anesthesia and a gastrostomy tube for percutaneous endoscopic gastrostomy (open group, n=25) or laparoscopic gastrostomy (laparoscopy group, n=21) were enrolled in this retrospective study. We analyzed the clinical data and the perioperative data.
Results: There were no significant differences in the clinical characteristics of the two groups. However, the patients with a high anesthetic risk (American Society of Anesthesiologists [ASA] grade 3 or more) were significantly more prevalent in the open group than in the laparoscopic group (96.0% vs. 66.7%, respectively, P=0.013). The operation time (31.8±6.6 vs. 67.9±15.7 minutes, respectively, P<0.001) and the time to first tubal feeding (1.3±0.6 vs. 2.7±1.3 days, respectively, P<0.001) was significantly shorter in the open group than that in the laparoscopic group. Postoperative complications were more frequent in the laparoscopic group (4 cases, 19%) than that in the open group (1 case, 4%), but there was no statistically significant difference.
Conclusion: Open gastrostomy using local anesthesia and a gastrostomy tube for PEG is a safe and feasible method for treating patients with a high anesthetic risk.
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