Abstract
[Aims] We compared the efficacy and complications between the percutaneous endoscopic gastrostomy (PEG) with and without gastropexy in two weeks after PEG was performed. We also compared the cost and benefits of PEG between our original low-cost method (Hokushin Method) and standard gastropexy (Funada's method). [Methods] The 149 patients with gastric wall fixation (gastropexy) and 117 patients without gastropexy were involved. In the gastropexy group, 93 patients received our original method and remaining 56 patients had Funada's method. The complications at the regional area surrounding PEG and general clinical problems were retrospectively surveyed in each cases. [Results] Regional PEG site infection was more prevalent in the group of PEG without gastropexy than the group with gastropexy (7.7% vs 2.0%). However, no significant difference was seen in general complications in those two groups. There were no significant differences between our method and Funada's method in terms of efficacy and the incidence of complications. [Conclusions] PEG with gastropexy significantly reduced the risk of regional infection. PEG should be performed with gastropexy and our low-cost original method would contribute to perform gastropexy more widely than Funada's method.
