• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Prospective Evaluation of Percutaneous Endoscopic Gastrostomy Related Peritonitis in the Surgical Intensive Care Unit (sicu) — A Preliminary Analysis

Prospective Evaluation of Percutaneous Endoscopic Gastrostomy Related Peritonitis in the Surgical Intensive Care Unit (sicu) — A Preliminary Analysis

Introduction: The purpose of this study was to prospectively examine the impact of technical factors during percutaneous endoscopic gastrostomy (PEG) tube placement on the development of subsequent peritonitis. Determination of whether BMI or nutritional status were independent risk factors for the development of this complication were secondary endpoints.
Methods: All patients undergoing PEG tube placement in the SICU at William Beaumont Hospital from August 2006 to January 2008 were included. Patient demographics including age, BMI, and albumin were prospectively collected and evaluated for the development of peritonitis. Technical factors including abdominal wall trans-illumination and indentation of the anterior gastric wall were graded by the surgical endoscopist as Excellent/Good/Fair/Poor. These grades were then converted into continuous numerical scores of 1/2/3/4. Overall technical difficulty of the procedure was quantified as None/Some/A lot (score 1/2/3). These 3 individual scores and the cumulative scores (all 3 combined) were recorded. Data was analyzed with SAS (version 9.1.3).
Results: Over 18 months, 110 patients had PEG tubes placed in SICU by 3 surgical intensivists. The patients’ mean age was 68. 61 patients (55%) were male. Four patients (3.6%) had peritonitis from leaking of gastric contents around the PEG tube requiring a laparotomy. There was no difference between the BMI (31 +/- 3.2 vs. 28.1 +/- 7.6, p = 0.15) and serum albumin (2.5 +/- 0.5 vs. 2.7 +/- 0.5, p = 0.45) in the peritonitis group and the non-peritonitis group. Cumulative technical score was 6.3 in the peritonitis group and 4.7 in the non-peritonitis group (Wilcoxon’s Rank test, p-value 0.043). Of the individual scores, trans-illumination was poor (score of 4) in 2 patients (50%) in the peritonitis group and 8 (7.3%) patients in the non-peritonitis group (Fisher’s exact test, p-value 0.041). There was no difference in the indentation of gastric wall and overall technical difficulty score between the 2 groups (p-values 0.20 & 0.58 respectively).
Conclusion: Our prospective observations suggest a relation between certain technical factors and development of peritonitis. Trans-illumination seems to be the most important aspect of PEG tube placement and resultant peritonitis could be secondary to suboptimal approximation of anterior gastric wall to the abdominal wall. Non-significance of the BMI and serum albumin in the development of peritonitis was likely secondary to a smaller study size. A larger study with adequate power is required to validate these preliminary findings.


Session: Podium Presentation

Program Number: S067

66

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals