Comparison between Single-Puncture Loop Retained versus Multi-Puncture Balloon Retained Gastrostomies

Introduction: Percutaneous gastrostomy is a procedure where a feeding tube is placed percutaneously into the stomach via the guidance of imaging. In our study, we are comparing two methods, single-puncture loop-retained (PLG) versus multi-puncture balloon gastrostomy (PBG), for complications and need for reinsertion.

Method(s): This will be a retrospective case-control study. It includes all patients who underwent PLG (controls) in comparison with PBG (cases) from the January 1, 2018 to December 31, 2020 in King Faisal Specialist Hospital and Research Center, Riyadh. The main variables we analyzed include: age, gender, category of the primary diagnosis, the number of deployed of gastropexies, using PLG or PBG, the need of catheter change and complications in the first 3 months.

Result(s): Sample included the total of 151 patients split almost equally. Analysis showed that in regard to PLG, 40 patients underwent reinsertion in compared with the opposing 21 from PBG (p < 0.001). Most common indication for PLG was it being pulled out, while for PBG it was a blocked tube.

Conclusion(s): Multi-puncture balloon retained gastrostomy requires a statically significant less rate of reinsertion in compared with single-puncture loop retained gastrostomy tube in the first 3 months.

Publication History

Article published online:
09 February 2023