Gastrostomy Tube Outcomes Among Surgical and Non-Surgical Services: A Retrospective Review

Am Surg. 2023 Apr;89(4):813-820. doi: 10.1177/00031348211047173. Epub 2021 Sep 27.


Background: Our objective was to evaluate differences in baseline characteristics, complications, and mortality among patients receiving a gastrostomy tube (GT) by surgical or non-surgical services.

Methods: We performed a retrospective analysis of adult patients who underwent GT placement from 2014 to 2017 at a single institution. Using bivariate and multivariable analyses, we compared baseline characteristics, complications, and overall 30-day mortality of patients undergoing GT placement with surgical or non-surgical services.

Results: Of the 1339 adults who underwent GT placement, surgical and non-surgical services performed 45% (n = 609) and 55% (n = 730) procedures, respectively. Gastrostomy tube-related complications were similar (29.6% surgical vs 28.8% non-surgical, P = .76). Thirty-day mortality was higher among non-surgical services (23.7% vs 16.5%, P = .004). On multivariable analysis, this was not significant (OR 1.21, 95% CI 0.83; 1.77).

Conclusion: Surgical and non-surgical service placement of GTs had equivalent GT-related mortality and complication rates.

Keywords: complications; gastrostomy tube; mortality; outcomes.

MeSH terms

  • Adult
  • Gastrostomy* / methods
  • Humans
  • Postoperative Complications* / epidemiology
  • Postoperative Complications* / etiology
  • Retrospective Studies