Percutaneous endoscopic gastrostomy with Funada-style gastropexy greatly reduces the risk of XXXX .

@entity1 @entity281 @entity32 @entity548
BACKGROUND AND AIMS: Peristomal wound @entity281 are common complications of percutaneous endoscopic gastrostomy (PEG). The Funada-style gastropexy device has two parallel needles with a wire loop and suture thread, and was developed about 20 years ago in Japan. This kit has allowed us to perform dual gastropexy very easily; PEG with gastropexy has become a very popular technique in Japan. The present study aimed to compare the advantages and disadvantages of PEG with the gastropexy technique with the standard 'pull' method. METHODS: We retrospectively reviewed 182 consecutive, non-randomized @entity1 undergoing PEG in our hospital, and a comparative analysis was made between the gastropexy (87 @entity1 ) and non-gastropexy (95 @entity1 ) groups. RESULTS: The rates of @entity1 having erythema (11.6% vs. 47.9%; P   <   0.001), exudates (2.3% vs. 14.9%; P   <   0.01) and @entity281 (0% vs. 6.4%; P   =   0.01) in the peristomal area were lower in the gastropexy than in the non-gastropexy group. The rate of minor @entity548 from the peristomal area was higher in the gastropexy than in the non-gastropexy group (12.8% vs. 2.1%; P   <   0.01), but no @entity1 required a blood transfusion. Mean procedure time was longer in the gastropexy group than in the non-gastropexy group (31 vs. 24   min; P   <   0.001). The 30-day mortality rates were 4.7% and 5.3% respectively, and these deaths were not related to the gastrostomy procedure. CONCLUSION: PEG with gastropexy markedly reduces peristomal @entity32 . Although minor @entity548 and a longer procedure time were disadvantages, there were no severe complications. The findings suggested that PEG with Funada-style gastropexy was a safe and feasible method for reducing early complications of PEG.
