{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T13:46:01Z","timestamp":1782135961810,"version":"3.54.5"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T00:00:00Z","timestamp":1692748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp;amp; Dietetics"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Gastrostomy feeding represents a vital component of supportive care provided to people with swallowing or feeding difficulties; however, the rate of specific long\u2010term complications is currently unknown in the adult population. This study aimed to determine the prevalence of specific long\u2010term gastrostomy\u2010related complications and unplanned replacements in adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective systematic review of Medline, CINAHL\u00a0and Embase databases was performed. Key complications of hypergranulation, infection and displacement among studies relevant to percutaneous endoscopic gastrostomy tubes, radiologically inserted gastrostomy tubes and balloon replacement tubes were critically appraised by two independent reviewers. Results were synthesised quantitatively in a meta\u2010analysis using random effects where the population and condition were sufficiently homogeneous.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 453 studies were identified, of which 17 met inclusion criteria. 8.5% of adults with a gastrostomy were found to have had an infection \u226542\u2009days after initial tube insertion (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), while 13% had hypergranulation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Displacement occurred in 10.8% of adults (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), with age (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and sex (<jats:italic>p\u2009&lt;<\/jats:italic>\u20090.001) presenting as a risk factor (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200975%) following meta\u2010regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Approximately 1 in 10 people with a gastrostomy will experience a complication related to either hypergranulation, infection or dislodgement. Age, in combination with sex, may provide a guide for risk of displacement among adult female cohorts, though further studies reporting prevalence of gastrostomy\u2010related complications along with participant demographics are required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1747-0080.12839","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T05:44:48Z","timestamp":1692855888000},"page":"63-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Proportion of unplanned tube replacements and complications following gastrostomy: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2153-1200","authenticated-orcid":false,"given":"Emily","family":"Farrugia","sequence":"first","affiliation":[{"name":"Allied Health Northern Health  Bundoora Victoria Australia"},{"name":"School of Allied Health, Human Services and Sport La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam Ivan","family":"Semciw","sequence":"additional","affiliation":[{"name":"Allied Health Northern Health  Bundoora Victoria Australia"},{"name":"School of Allied Health, Human Services and Sport La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanelle","family":"Bailey","sequence":"additional","affiliation":[{"name":"Allied Health Northern Health  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Cooke","sequence":"additional","affiliation":[{"name":"School of Allied Health, Human Services and Sport La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Tuck","sequence":"additional","affiliation":[{"name":"School of Allied Health, Human Services and Sport La Trobe University  Bundoora Victoria Australia"},{"name":"School of Health Sciences Swinburne University of Technology  Hawthorn Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,23]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition","author":"National Collaborating Centre for Acute Care (UK)","year":"2006"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2016.28"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.10.018"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-010-9917-8"},{"key":"e_1_2_9_6_1","article-title":"Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances","volume":"5","author":"Gomes CA","year":"2015","journal-title":"Cochrane Database Syst 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In: Agency for Clinical Innovation Gastroenterological Nurses College of Australia ed.SHPN; (ACI) 140485. The Agency for Clinical Innovation; Gastroenterological Nurses College of Australia.2014."}],"container-title":["Nutrition &amp; Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1747-0080.12839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T02:40:00Z","timestamp":1707100800000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1747-0080.12839"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,23]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/1747-0080.12839"],"URL":"https:\/\/doi.org\/10.1111\/1747-0080.12839","archive":["Portico"],"relation":{},"ISSN":["1446-6368","1747-0080"],"issn-type":[{"value":"1446-6368","type":"print"},{"value":"1747-0080","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,23]]},"assertion":[{"value":"2023-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}