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ORIGINAL ARTICLE

Comparison of two percutaneous radiological gastrostomy tubes in the nutritional management of ALS patients

, , , , , , & show all
Pages 177-181 | Received 10 Nov 2004, Accepted 21 Feb 2005, Published online: 10 Jul 2009
 

Abstract

Patient care and minimizing complications post gastrostomy have to date received little attention in ALS patients. We compare the complications associated with pigtail and mushroom type percutaneous radiological gastrostomy tubes in this patient group. Patients requiring PRG received either Wills‐OglesbyTM or the skin level EntristarTM. Retrospective review of the clinical notes was performed capturing demographic data, peristomal infection, tube displacement, tube failure, nutritional status, site of disease onset, and survival. Thirty‐five patients (Group 1) had the Wills‐OglesbyTM tube of which 14 (40%) tubes required replacement. The EntristarTM tube was inserted in 29 patients (Group 2) where 8 (28%) required replacement (NS). The incidence of infection was significantly lower with the EntristarTM tube, (p<0.001). The mean time to tube removal in Group 2 was 223 days (SD 147; range 71–494 days) due to ‘buried bumper syndrome’. We conclude that the Entristar TM skin level gastrostomy tube is associated with a reduction in peristomal infection, tube failure and blockage compared with the Wills‐OglesbyTM tube.

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