title: Comparison of open gastrostomy tube to percutaneous endoscopic gastrostomy tube in lung transplant patients.
abstract: BACKGROUND
  Lung transplant patients require a high degree of immunosuppression, which can impair wound healing when surgical procedures are required. We hypothesized that because of impaired healing, lung transplant patients requiring gastrostomy tubes would have better outcomes with open gastrostomy tube (OGT) as compared to percutaneous endoscopic gastrostomy tube (PEG).
  
  
  METHODS
  The National Inpatient Sample (NIS) Database (2005-2010) was queried for all lung transplant recipients requiring OGT or PEG.
  
  
  RESULTS
  There were 215 patients requiring gastrostomy tube, with 44 OGT and 171 PEG. The two groups were not different with respect to age (52.0 vs. 56.9 years, p = 0.40) and Charlson Comorbidity Index (3.3 vs. 3.5, p = 0.75). Incidence of acute renal failure was higher in the PEG group (35.2 vs. 11.8%, p = 0.003). Post-operative pneumonia, myocardial infarction, surgical site infection, DVT/PE, and urinary tract infection were not different. Post-operative mortality was higher in the PEG group (11.2 vs. 0.0%, p = 0.02). Using multiple variable analysis, PEG tube was independently associated with mortality (HR: 1.94, 95%C.I: 1.45-2.58). Variables associated with survival included age, female gender, white race, and larger hospital bed capacity.
  
  
  CONCLUSIONS
  OGT may be the preferred method of gastric access for lung transplant recipients.
  
  
  CONCLUSIONS
  In lung transplant recipients, OGT results in decreased morbidity and mortality when compared to PEG.
authors.affiliation: Washington University in St. Louis, Division of Cardiothoracic Surgery, St Louis, MO 63110, USA.
authors.forename: Sharven
authors.initials: S
authors.lastname: Taghavi
authors.affiliation: Temple University School of Medicine, Department of Surgery, Philadelphia, PA 19140, USA.
authors.forename: Vishnu
authors.initials: V
authors.lastname: Ambur
authors.affiliation: Washington University in St. Louis, Section of Vascular Surgery, St. Louis, MO 63108, USA.
authors.forename: Senthil
authors.initials: S
authors.lastname: Jayarajan
authors.affiliation: Temple University School of Medicine, Biostatistics Consulting Center, Philadelphia, PA 19140, USA.
authors.forename: John
authors.initials: J
authors.lastname: Gaughan
authors.affiliation: Temple University School of Medicine, Department of Cardiac Surgery, Philadelphia, PA 19140, USA.
authors.forename: Yoshiya
authors.initials: Y
authors.lastname: Toyoda
authors.affiliation: Temple University School of Medicine, Department of Surgery, Philadelphia, PA 19140, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Dauer
authors.affiliation: Temple University School of Medicine, Department of Surgery, Philadelphia, PA 19140, USA.
authors.forename: Lars Ola
authors.initials: LO
authors.lastname: Sjoholm
authors.affiliation: Temple University School of Medicine, Department of Surgery, Philadelphia, PA 19140, USA.
authors.forename: Abhijit
authors.initials: A
authors.lastname: Pathak
authors.affiliation: Temple University School of Medicine, Department of Surgery, Philadelphia, PA 19140, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Santora
authors.affiliation: Temple University School of Medicine, Department of Surgery, Philadelphia, PA 19140, USA.
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Goldberg
keywords: Gastrostomy; Lung transplantation; Nutritional support