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Dysphagia

Consider inserting a polyurethane percutaneous gastrostomy tubes (PEG) f

Why?
  • Polyurethane PEG tubes lead to fewer initial complications (e.g. wound infection, pain, bleeding, peristomal leakage, obstruction, or displacement) than silicone ones. a
  • Long-term survival and malfunction rates are similar for the two types of tube. a

Dysphagia: polyurethane PEG tubes are safer than silicone ones

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNH
(95% CI)
requiring PEG tube insertion a polyurethane PEG tube silicone PEG tube complications
at 4 weeks
8.0% -280%
(-950% to -37%)
4
(3 to 12)

Expiry date: October 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   G  Donnan
CAT Writers   CJ   Wotton , N   Shenker , CM   Ball