Thirty-Day Major Clinical Reintervention After Gastrostomy Tube Placement: An Adjudicated Multihospital…

Cohort studySurgical laparoscopy, endoscopy & percutaneous techniques· Sep 2026

Thirty-Day Major Clinical Reintervention After Gastrostomy Tube Placement: An Adjudicated Multihospital Comparison of Endoscopic, Laparoscopic, Open, and Radiologic Routes.

Ramsey M Dallal, Anthony Ciro, Michael E Goldberg … Jay Strain

RadiologyCohort studyQ2IF 1.2

Open gastrostomy placement was associated with higher odds of major reintervention within 30 days than endoscopic or laparoscopic placement.

Thirty-Day Major Clinical Reintervention After Gastrostomy Tube Placement: An Adjudicated Multihospital Comparison of Endoscopic, Laparoscopic, Open, and Radiologic Routes.

Ramsey M Dallal … Jay Strain

Surgical laparoscopy, endoscopy & percutaneous techniques · Sep 2026 · Q2 in Surgery

Background

Reported complication rates after gastrostomy tube (gastrostomy tube) placement vary widely, largely because studies count routine tube care as an adverse event.

Methods

We studied patients undergoing a first or clean index gastrostomy tube placement at 21 hospitals and ambulatory sites within one integrated health system between April 3, 2017 and July 29, 2025.

n = 69 patients

Results

open placement carried roughly double the odds of major reintervention versus endoscopic or laparoscopic routes

OR by subgroup · 95% CI

More results

Crude rates were 1.00% (percutaneous endoscopic gastrostomy), 0.44% (MIS), 2.59% (open), and 1.41% (interventional radiology).

Events clustered early (median: 6 d; IQR: 3-11), with 43 of 69 (62%) in the first week and 9 (13%) after day 14.

Interventional radiology placement was not (OR: 1.28; 95% CI: 0.65-2.52), nor was any patient characteristic.

More results

Within percutaneous endoscopic gastrostomy cases, gastroenterology and surgery did not differ significantly (OR: 0.58; 95% CI: 0.31-1.06).

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Conclusion · 1 of 3

With routine tube care excluded and events adjudicated, major gastrostomy tube failure requiring reintervention within 30 days follows roughly 1 in 89 placements.

Conclusion · 2 of 3

Open placement carried about twice the odds of the endoscopic and laparoscopic routes, whereas radiologic placement did not differ despite serving more difficult anatomy.

Conclusion · 3 of 3

Where all routes are feasible, an open approach should not be chosen as the presumed safer one.

Thirty-Day Major Clinical Reintervention After Gastrostomy Tube Placement: An Adjudicated Multihospital Comparison of Endoscopic, Laparoscopic, Open, and Radiologic Routes.

Thirty-Day Major Clinical Reintervention After Gastrostomy Tube Placement: An Adjudicated Multihospital Comparison of Endoscopic, Laparoscopic, Open, and Radiologic Routes.

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