{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:59:00Z","timestamp":1777921140217,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T00:00:00Z","timestamp":1443657600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2015,10,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n The utility of percutaneous endoscopic gastrostomy (PEG) decompression for inoperable malignant bowel obstruction is well documented. However, there are limited data on decompressive PEG for prolonged ileus, gut dysmotility, and\/or complicated nonmalignant bowel obstruction. The aim of this study was to assess the safety and short-term outcomes of decompressive PEG for nonmalignant indications.<\/jats:p>\n <\/jats:sec>\n \n Subjects and Methods:<\/jats:title>\n After Institutional Review Board approval, we retrospectively reviewed and analyzed all PEG insertions completed at our institution between 2009 and 2014 for prolonged ileus, gut dysmotility, or nonmalignant obstruction.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n We identified 72 patients (42 females, 30 males; mean age, 58.8\u2009\u00b1\u200915.2 years) who underwent decompressive PEG for nonmalignant indications. There were no procedural complications or mortalities. The mean pre- and postprocedural length of stays were 14.4\u2009\u00b1\u200910.7 and 7.6\u2009\u00b1\u200911.1 days, respectively (\n P<\/jats:italic>\n \u2009=\u2009.0003). The 30-day re-admission rate was 12.5% (9 patients; the majority for unrelated issues). Fifty-two (72%) of the 72 patients were discharged with a PEG for decompression for a median of 69.5 (range, 17\u2013316) days; the remaining 20 (28%) patients were lost to follow-up and were assumed to continue follow-up with their primary referring center. Of the 72 patients, 63 (87.5%) were discharged on total parenteral nutrition (TPN); 36 (50%) of those continued to receive TPN for a median of 51 (range, 4\u2013316) days after discharge, and resolution of their mechanical obstruction was ultimately achieved, so that they subsequently resumed enteral nutrition. Twenty-four (33%) patients were lost to follow-up; because they were referred to our tertiary referral center, we assumed they continued follow-up at their referring institution. Three (4%) patients ultimately went on to use TPN indefinitely and thus were considered to be chronically TPN-dependent.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Decompressive PEG insertion is safe and effective at alleviating obstructive symptoms in patients with prolonged postoperative ileus, gut dysmotility, and\/or complicated nonmalignant obstruction.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2014.0619","type":"journal-article","created":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T10:39:09Z","timestamp":1442918349000},"page":"804-807","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous Endoscopic Gastrostomy for Decompression of Nonmalignant Gastrointestinal Disease"],"prefix":"10.1177","volume":"25","author":[{"given":"Christopher R.","family":"Daigle","sequence":"first","affiliation":[{"name":"Bariatric and Metabolic Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mena","family":"Boules","sequence":"additional","affiliation":[{"name":"Digestive Disease Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricard","family":"Corcelles","sequence":"additional","affiliation":[{"name":"Bariatric and Metabolic Institute"},{"name":"University of Barcelona","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"McMichael","sequence":"additional","affiliation":[{"name":"Digestive Disease Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Kroh","sequence":"additional","affiliation":[{"name":"Bariatric and Metabolic Institute"},{"name":"Digestive Disease Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"El-Hayek","sequence":"additional","affiliation":[{"name":"Digestive Disease Institute"},{"name":"Digestive Disease Institute","place":["United Arab Emirates"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy A.","family":"Brethauer","sequence":"additional","affiliation":[{"name":"Bariatric and Metabolic Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,10,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(80)80296-X"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198702000-00002"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(92)70423-4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(87)90312-X"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7022.13"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3368-7"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/den.12139"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-006-0046-1"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1996.0197"},{"key":"e_1_3_2_11_2","first-page":"573","article-title":"Percutaneous endoscopic gastrostomy for gastric decompression in metastatic gynecological malignancies","volume":"177","author":"Marks WH","year":"1993","unstructured":"Marks WH, , Schwartz PE. Percutaneous endoscopic gastrostomy for gastric decompression in metastatic gynecological malignancies. Surg Gynecol Obstet, 1993; 177:573\u2013576.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.150.2.295"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.11.002"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3181875509"}],"container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2014.0619","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2014.0619","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2014.0619","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:46:55Z","timestamp":1777664815000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2014.0619"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,1]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2015,10,1]]}},"alternative-id":["10.1089\/lap.2014.0619"],"URL":"https:\/\/doi.org\/10.1089\/lap.2014.0619","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,1]]}}}