{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T01:27:07Z","timestamp":1790213227919,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T00:00:00Z","timestamp":1649980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Gastrostomy tubes placed radiologically, endoscopically or surgically facilitate long\u2010term home enteral nutrition (HEN). Patient\u2010specific clinical factors may affect placement techniques, confounding direct comparisons between radiologically inserted gastrostomy (RIG) and percutaneous endoscopic gastrostomy (PEG) outcomes. This study sought to evaluate the differences in clinical outcomes in patients undergoing gastrostomy tube placement by interventional radiologists or gastroenterologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010center prospective trial randomizing patients initiating HEN to RIG or PEG was conducted between March 2018 and June 2021. Patients were followed until the time of gastrostomy removal or until 9 months after tube placement. Tracked complications included peritonitis, abscess, bleeding, bowel perforation, and tube occlusion, malposition, or damage. Periprocedural pain rating and quality of life (QoL) surveys were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010two patients were randomized to RIG or PEG. Twenty patients underwent RIG (mean age, 63.0\u2009\u00b1\u200911.7 years; 85% male; 95% with head and neck cancer) and 22 patients underwent PEG (mean age, 66.3\u2009\u00b1\u200910.9 years; 81.8% male; 90.9% with head and neck cancer). RIG and PEG groups had 4.18\u2009\u00b1\u20095.49 and 2.80\u2009\u00b1\u20095.82 complications per 1000 HEN days, respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.357). The most frequent complications were tube malposition and abscess formation for the RIG and PEG groups, respectively. No major complications occurred in either group. There was no difference in the average of pain ratings in all pain inventory components across both groups. Both groups reported improvement in overall QoL after gastrostomy tube placement (<jats:italic>P<\/jats:italic>\u2009=\u20090.532).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RIG is noninferior to PEG regarding complication rates, pain, and QoL when compared in a prospective randomized fashion.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.2365","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T23:44:21Z","timestamp":1650066261000},"page":"1808-1817","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Safety and effectiveness of radiologic and endoscopic percutaneous gastrostomy placement: A randomized study"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0240-6453","authenticated-orcid":false,"given":"Osman","family":"Mohamed Elfadil","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Diabetes, Metabolism, and Nutrition Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3743-2734","authenticated-orcid":false,"given":"Forrest B.","family":"Linch","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara L.","family":"Seegmiller","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, Metabolism, and Nutrition Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan T.","family":"Hurt","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, Metabolism, and Nutrition Mayo Clinic Rochester Minnesota USA"},{"name":"Division of General Internal Medicine Mayo Clinic Rochester Minnesota USA"},{"name":"Division of Gastroenterology and Hepatology Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7902-3544","authenticated-orcid":false,"given":"Manpreet S.","family":"Mundi","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, Metabolism, and Nutrition Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa J.","family":"Neisen","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607108330314"},{"issue":"6","key":"e_1_2_10_3_1","first-page":"799","article-title":"Prevalence of home parenteral and enteral nutrition in the United States","volume":"32","author":"Mundi MS","year":"2017","journal-title":"Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000777"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2019.04.022"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607116673053"},{"issue":"5","key":"e_1_2_10_7_1","first-page":"172","article-title":"Enteral access","volume":"9","author":"Minard G","year":"1994","journal-title":"Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2018.07.037"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.SGA.0000296252.70834.19"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/003655299750025174"},{"issue":"2","key":"e_1_2_10_11_1","first-page":"103","article-title":"Complications following gastrostomy tube insertion in patients with head and neck cancer: a prospective multi\u2010institution study, systematic review and meta\u2010analysis","volume":"34","author":"Grant DG","year":"2009","journal-title":"Clin Otolaryngol Off J ENT\u2010UK Off J Neth Soc Oto\u2010Rhino\u2010Laryngol Cervico\u2010Facial Surg"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.1020"},{"issue":"2","key":"e_1_2_10_13_1","first-page":"129","article-title":"Pain assessment: global use of the Brief Pain Inventory","volume":"23","author":"Cleeland CS","year":"1994","journal-title":"Ann Acad Med 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