[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"percutaneous-endoscopic-gastrostomy\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:percutaneous-endoscopic-gastrostomy":24},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,47],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":22,"conditions":23,"keywords":29,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":4},"100651262","comparison-of-sedated-and-unsedated-peg-in-elderly-asa-iv-patients-100651262",false,"NCT07758153","Comparison of Sedated and Unsedated PEG in Elderly ASA IV Patients","Comparison Of Safety And Clinical Outcomes Of Sedated And Unsedated Percutaneous Endoscopic Gastrostomy Procedures İn ASA IV Elderly Patients: A Prospective Observational Cohort Study.","Inclusion Criteria:\n\n* Patients aged 65 years and older Patients classified as ASA physical status IV Patients with an indication for percutaneous endoscopic gastrostomy for long-term enteral nutrition Patients scheduled to undergo PEG placement in routine clinical practice Written informed consent obtained from the patient or legally authorized representative Availability of clinical, laboratory, procedural, and follow-up data\n\nExclusion Criteria:\n\n* Requirement for emergency PEG placement International normalized ratio greater than 1.5 Platelet count less than 50,000\u002Fmm³ Massive ascites Active peritonitis Previous total gastrectomy Pregnancy Refusal to participate in the study","ALL","65 Years",{"count":19,"type":20},70,"ESTIMATED","OBSERVATIONAL","This prospective observational cohort study aims to compare the safety and clinical outcomes of sedated and unsedated percutaneous endoscopic gastrostomy procedures in elderly patients classified as ASA IV. The primary outcome is the development of cardiopulmonary complications within the first 24 hours after the procedure. Secondary outcomes include technical success, procedure duration, early procedure-related complications, length of hospital stay, intensive care requirement, 30-day mortality, and 30-day readmission.",[24,25,26,27,28],"Percutaneous Endoscopic Gastrostomy","Enteral Nutrition Feeding","Dysphagia","Elderly Patients (>65 Years)","ASA Physical Status IV",[30,31,32,33,34],"Percutaneous endoscopic gastrostomy","Sedation","Unsedated PEG","ASA IV","Cardiopulmonary complications","NOT_YET_RECRUITING","2026-08-06",{"date":38,"type":39},"2026-08-11","ACTUAL",{"date":41,"type":20},"2026-07-15",{"date":43,"type":20},"2027-07",{"name":45,"class":46},"Mersin University","OTHER",{"id":48,"slug":49,"hasResults":11,"nctId":50,"briefTitle":51,"officialTitle":51,"acronym":4,"eligibilityCriteria":52,"healthyVolunteers":11,"sex":16,"minAge":53,"maxAge":4,"enrollmentInfo":54,"targetDuration":56,"studyType":21,"phases":4,"briefSummary":57,"conditions":58,"keywords":62,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":69,"lastUpdatePostDateStruct":70,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":4},"100641152","the-effect-of-the-distance-of-the-percutaneous-endoscopic-gastrostomy-peg-feeding-tube-from-the-pylorus-on-postoperative-outcomes-100641152","NCT07658079","The Effect of the Distance of the Percutaneous Endoscopic Gastrostomy (PEG) Feeding Tube From the Pylorus on Postoperative Outcomes","Inclusion Criteria:\n\n* Over 18 years of age\n* No history of major abdominal surgery (appendectomy, hernia, etc.)\n* Patients who started feeding 24 hours after the PEG procedure\n* Patients not using prokinetic agents.\n\nExclusion Criteria:\n\n* History of stomach, small intestine, large intestine surgery or any history of major abdominal surgery\n* Having undergone surgical gastrostomy\n* Expected gastroparesis (hemodynamic instability, inotropic support, electrolyte imbalance, etc.)\n* Intestinal motility disorder\n* Patients who started feeding early","18 Years",{"count":55,"type":20},200,"14 Days","Nutrition is the intake of essential nutrients in sufficient quantities and at the appropriate times to maintain and improve health and enhance quality of life.\n\nEnteral nutrition is superior to parenteral nutrition and should be preferred. Patients should begin enteral nutrition as soon as possible to protect the gastrointestinal mucosa and maintain normal flora. In patients unable to take food orally, enteral nutrition is provided via a nasogastric\u002Fnasojejunal tube or gastrostomy tube.\n\nGastrostomy is the first choice for patients with a functional gastrointestinal system, poor oral intake, and requiring long-term nutritional support. Feeding tubes can be placed percutaneously or surgically. Percutaneous endoscopic gastrostomy (PEG) is a minimally invasive procedure that does not increase morbidity or mortality compared to surgical gastrostomy, and is cheaper and more time-saving. It was first applied in 1980 as an alternative to surgical gastrostomy. Initially described, a line was drawn between the umblicus and the middle of the left lower costal margin, and a feeding tube was inserted under local anesthesia at the junction of the middle 2\u002F3 and the outer 1\u002F3, with feeding starting the next day. Vudayagiri et al. reported that the placement site is generally 2 cm medial to the costal margin and 2 cm below the xiphoid process.\n\nDifferent methods for placing a PEG tube into the stomach (pull technique, push technique, and Russell method) are described in the literature, with the most common being the \"pull\" technique. The 2005 ESPEN guidelines note that in the \"pull\" technique, gastroscopic visualization of the anterior gastric wall is performed, followed by determination of the puncture site at the distal corpus level.\n\nThe exact placement of the PEG feeding tube, both on the skin and within the gastric lumen, is not fully understood. Its localization on the abdominal skin will be optimally determined by endoscopic transillumination. However, its level within the gastric lumen is predictable.\n\nIn our study, we aimed to measure the distance of the feeding tube from the pylorus in patients undergoing PEG surgery, to investigate how this affects post-procedure outcomes, and to determine the optimal level within the gastric lumen. Additionally, the catheter placement on the skin will be recorded for each patient. The anatomical skin localization obtained by examining the data of all patients will be defined as the 'Triangle of Çaykara'.",[59,24,60,61],"Poor Oral Intake","Nutrition Disorders","Gastrostomy Tube Site Complication",[63,64,65,66,67,68],"Percutaneous Endoscopic Gastrostomy (PEG)","Postoperative Outcomes","feeding tube position","pylorus distance","enteral nutrition","post-procedure complications","2026-07-04",{"date":71,"type":39},"2026-07-08",{"date":73,"type":20},"2026-08-01",{"date":75,"type":20},"2027-08-31",{"name":77,"class":46},"Sisli Hamidiye Etfal Training and Research Hospital"]