{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T17:51:07Z","timestamp":1760982667593,"version":"build-2065373602"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,1,1]],"date-time":"2006-01-01T00:00:00Z","timestamp":1136073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> Abdominal and gastric wall inflammation, infection, and necrosis after percutaneous endoscopic gastrostomy (PEG) placement is a topic of importance but of limited study. Healing of the abdominal wound after PEG placement is thought to be dependent on a number of factors, including the patient's nutrition status, comorbid disease status, and postprocedural PEG wound care. Another important factor that may influence wound healing is tissue tension and compression. This requires special attention to the correct placement of the external bolster of the PEG tube against the abdominal wall. <jats:italic>Methods:<\/jats:italic> We performed a study in mongrel dogs to determine the relevance of tissue compression on PEG\u2010tube wound healing; 8 mongrel dogs each received 3 separate 24 Fr PEG tubes at 1 endoscopic setting. After PEG placement, the external bolster was placed at 0 cm, 1 cm, or 4 cm from the abdominal wall. Post\u2010PEG care and enteral feedings were standardized. The dogs were killed at 3 weeks. <jats:italic>Results:<\/jats:italic> Partial migration of the PEG internal bolster into the gastric wall occurred in 1 of 8 of the PEG tubes with the external bolster at 0 cm. PEG\u2010tube\u2010tract tissue inflammation was worse in the dogs with the external bolster placed at 0 cm. <jats:italic>Conclusions:<\/jats:italic> The position of the external bolster in relation to the abdominal wall may be an important factor in the healing of a post\u2013PEG\u2010tube\u2010placement tissue tract.<\/jats:p>","DOI":"10.1177\/014860710603000116","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:51:26Z","timestamp":1210794686000},"page":"16-20","source":"Crossref","is-referenced-by-count":21,"title":["External Bolster Placement After Percutaneous Endoscopic Gastrostomy Tube Insertion: Is Looser Better?"],"prefix":"10.1002","volume":"30","author":[{"given":"Mark","family":"DeLegge","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"DeLegge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney","family":"Brady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,1]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"111","volume-title":"A Brief History of Endoscopy.","author":"Modlin IR","year":"2000"},{"key":"e_1_2_5_3_1","first-page":"324","article-title":"Gastrostomy by the new method","volume":"65","author":"Stamm M","year":"1894","journal-title":"Med News."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(80)80296-X"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199302000-00011"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(85)80017-9"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(87)90312-X"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70452-4"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.01630.x"},{"key":"e_1_2_5_10_1","first-page":"1827","article-title":"Role of tube design and selection in occurrence of gastric lesser curvature ulceration by percutaneous gastrostomy tubes: an issue for adult patients?","volume":"49","author":"Ugochukwu NC","year":"2001","journal-title":"Dig Dis Sci."},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860710102500203"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(03)00304-0"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1062-0303(99)90003-1"},{"key":"e_1_2_5_14_1","first-page":"134","article-title":"Pathogenesis of complications of percutaneous endoscopic gastrostomy: a lesson in surgical principles","volume":"56","author":"Chung RS","year":"1990","journal-title":"Am Surg."},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM193610222151703"},{"key":"e_1_2_5_16_1","first-page":"750","article-title":"Functional and angiographic vasculature in healing wounds","volume":"36","author":"Meyers MB","year":"1970","journal-title":"Ann Surg."},{"key":"e_1_2_5_17_1","first-page":"27","article-title":"Pressure necrosis is the primary cause of wound dehiscence","volume":"28","author":"Bartlett LC","year":"1985","journal-title":"Can J Surg."},{"key":"e_1_2_5_18_1","first-page":"4","article-title":"Evidence\u2010based protocol: prevention of pressure ulcers","volume":"30","author":"Frantz RA","year":"2004","journal-title":"J Gerontol Nurs."},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02653261"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014860710603000116","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/014860710603000116","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/014860710603000116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:59:12Z","timestamp":1760882352000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/014860710603000116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,1]]}},"alternative-id":["10.1177\/014860710603000116"],"URL":"https:\/\/doi.org\/10.1177\/014860710603000116","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"type":"print","value":"0148-6071"},{"type":"electronic","value":"1941-2444"}],"subject":[],"published":{"date-parts":[[2006,1]]}}}