{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T04:37:43Z","timestamp":1778301463523,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"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":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with peritoneal carcinomatosis (PC) can develop malignant bowel obstructions (MBOs) requiring inpatient admission and nasogastric tube decompression. Palliative decompressive gastrostomy tubes (G-tubes) may affect patient disposition, allowing for self-management and reduction in inpatient services. Therefore, we sought to assess disposition and inpatient readmission rates in patients admitted with PC and MBO following G-tube placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Vizient\u00ae Clinical Data Base was queried for inpatient admissions from October 2018 to May 2022 utilizing ICD-10 codes to identify patients admitted with PC and bowel obstruction, with or without G-tube placement. Demographics and hospital outcomes were recorded. Descriptive statistics and multivariate logistic regression analysis were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 750 patients, 59 (7.9%) had a G-tube placed. Compared to patients without G-tubes, those with G-tubes had lower rates of disposition to home (32.2% vs 70.0%, P &lt; .001) and higher rates of disposition to hospice (home: 30.5% vs 7.8%, P &lt; .001, facility: 10.2% vs 3.9%, P = .02). There was no significant difference in the rate (17.3% vs 22.3%, P = .40) or risk (OR = 1.44, 95% CI .69-3.01) of 30-day readmissions with G-tubes. However, palliative care consultation (OR 33.77, 95% CI 19.16-59.52) and G-tube placement (OR 5.82, 95% CI 2.56-13.25) were independent predictors for hospice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Placement of G-tubes in patients with PC and MBO was associated with higher rates of disposition to hospice but there is no difference in 30-day readmission rates compared to those without G-tubes. Further prospective studies are needed to understand the role of G-tube placement in patients with MBO in relation to outcomes and disposition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231180915","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T15:54:33Z","timestamp":1685548473000},"page":"5915-5920","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Readmission and Disposition in Patients With Malignant Bowel Obstructions Following Gastrostomy Tube"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8616-9389","authenticated-orcid":false,"given":"Jingjing","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Surgery, University of California, Irvine Medical Center, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany G.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, Irvine Medical Center, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ninh T.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, Irvine Medical Center, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9106-1594","authenticated-orcid":false,"given":"Samuel F.","family":"Hohmann","sequence":"additional","affiliation":[{"name":"Center for Advanced Analytics and Informatics, Vizient, Inc., Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa H.","family":"Harris","sequence":"additional","affiliation":[{"name":"Center for Advanced Analytics and Informatics, Vizient, Inc., Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dejan","family":"Micic","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran K.","family":"Turaga","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yale University, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maheswari","family":"Senthil","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, Irvine Medical Center, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver S.","family":"Eng","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, Irvine Medical Center, Orange, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"key":"bibr1-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.04.011"},{"key":"bibr2-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.02.028"},{"key":"bibr3-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1438.2002.01103.x"},{"key":"bibr4-00031348231180915","doi-asserted-by":"publisher","DOI":"10.2147\/cmar.S29297"},{"key":"bibr5-00031348231180915","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2021.769658"},{"key":"bibr6-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.07.009"},{"key":"bibr7-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1200\/jop.2017.022210"},{"key":"bibr8-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10922-1"},{"key":"bibr9-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2013.08.022"},{"key":"bibr10-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1111\/den.12139"},{"key":"bibr11-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1007\/s004649901182"},{"key":"bibr12-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1177\/0825859719864915"},{"key":"bibr13-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3102-9"},{"key":"bibr14-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0465"},{"key":"bibr15-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.10.009"},{"key":"bibr16-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-197810000-00003"},{"key":"bibr17-00031348231180915","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-001866"}],"container-title":["The 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