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To push or to pull? A clinical audit on the efficacy and safety of the pull and push percutaneous endoscopic gastrostomy techniques in oncological patients by Piotr Kucha; Michal Zorniak; Mateusz Szmit; Rafal Lipczynski; Paulina Wieszczy‐Szczepanik; Aleksandra Kapala; Urszula Wojciechowska; Joanna Didkowska; Maciej Rupinski; Tomasz Olesinski; Tomasz Maj; Jaroslaw Regula; Michal F. Kaminski; Wladyslaw Januszewicz is a Medicine article available to read on EtoBox.

What is To push or to pull? A clinical audit on the efficacy and safety of the pull and push percutaneous endoscopic gastrostomy techniques in oncological patients about?

## Abstract ## Background The peroral “pull” technique and the direct “push” procedure are the two main methods for percutaneous endoscopic gastrostomy (PEG) placement. Although pull‐PEG is generally recommended as the first‐line modality, many oncological patients require a push‐PEG approach to prevent tumor seeding or overcome tumor‐related obstruction. ## Objective We aimed to compare the efficacy and safety of both PEG procedures in cancer patients. ## Methods We retrospectively analyzed all consecutive PEG procedures within a tertiary oncological center. Patients were followed up with the hospital databases and National Cancer Registry to assess the technical success rate for PEG placement, the rate of minor and major adverse events (AEs), and 30‐day mortality rates. We compared those outcomes between the two PEG techniques. Finally, risk factors for PEG‐related adverse events were analyzed using a multivariable Cox proportional‐hazard regression model adjusted for patients' sex, age, performance status (ECOG), Body Mass Index (BMI), diabetes, chemoradiotherapy (CRT) status (pre‐/current‐/post‐treatment), and type of PEG. ## Results We included 1055 PEG procedures (58.7% push‐

Who reads To push or to pull? A clinical audit on the efficacy and safety of the pull and push percutaneous endoscopic gastrostomy techniques in oncological patients?

Author

Piotr Kucha; Michal Zorniak; Mateusz Szmit; Rafal Lipczynski; Paulina Wieszczy‐Szczepanik; Aleksandra Kapala; Urszula Wojciechowska; Joanna Didkowska; Maciej Rupinski; Tomasz Olesinski; Tomasz Maj; Jaroslaw Regula; Michal F. Kaminski; Wladyslaw Januszewicz

Publisher

Wiley

Published

2023

Field

Medicine (Health Sciences)