Changes in the indications for and outcomes of gastrostomy tube placement: an analysis of serial, prospective multi-site audits in Northern England - Scorecard - MDSpire

Trends in Indications and Outcomes of Gastrostomy Tube Insertion: Insights from Multi-Site Prospective Audits in Northern England

  • By

  • Alice Rose Weidner

  • Christopher G Mountford

  • David Oliver

  • Chris Wells

  • Jo Hulley

  • Emma Johns

  • Nick Thompson

  • on behalf of the Northern Nutrition Network

  • July 16, 2026

Share

Clinical Scorecard: Trends in Indications and Outcomes of Gastrostomy Tube Insertion: Insights from Multi-Site Prospective Audits in Northern England

At a Glance

CategoryDetail
ConditionGastrostomy Tube Insertion
Key MechanismsPercutaneous endoscopic gastrostomy (PEG) and radiologically inserted gastrostomy (RIG) for enteral feeding.
Target PopulationPatients requiring medium to long-term enteral feeding.
Care SettingMultidisciplinary network involving hospitals in North East England and North Cumbria.

Key Highlights

  • Total of 889 gastrostomy procedures performed from 2004 to 2022.
  • Mean age of patients decreased from 71 years in 2004 to 63 years in 2022.
  • Most common indication shifted from stroke to dysphagia due to malignancy.
  • Use of prophylactic antibiotics increased from 83% to 93%.
  • 7-day mortality reduced from 2% in 2004 to 1% in 2022.

Guideline-Based Recommendations

Diagnosis

  • Consider gastrostomy when nutritional intake is likely inadequate for more than 4–6 weeks.

Management

  • Utilize a multidisciplinary team approach for decision-making regarding gastrostomy insertion.

Monitoring & Follow-up

  • Monitor morbidity and mortality rates associated with gastrostomy insertion.

Risks

  • Recognize the potential for complications and early mortality associated with gastrostomy procedures.

Patient & Prescribing Data

Patients at risk of malnutrition, particularly those with dysphagia.

Gastrostomy feeding can prevent weight loss and improve quality of life.

Clinical Best Practices

  • Engage in MDT discussions before proceeding with gastrostomy insertion.
  • Assess individual patient needs and risks prior to the procedure.

Related Resources & Content

    Original Source(s)

    Changes in the indications for and outcomes of gastrostomy tube placement: an analysis of serial, prospective multi-site audits in Northern England

    • by Alice Rose Weidner, Christopher G Mountford, David Oliver, Chris Wells, Jo Hulley, Emma Johns, Nick Thompson, on behalf of the Northern Nutrition Network

    • July 16, 2026

    Related Content

    Preoperative 18F-FDG PET/CT as a surgical triage tool for synchronous neoplasm detection in acute left-sided obstructive colorectal cancer: a two-institution retrospective cohort study

    Integrating fine needle aspiration and single-cell RNA sequencing for studying metabolic dysfunction-associated steatotic liver disease

    Association between preoperative neutrophil percentage-to-albumin ratio and survival outcomes in patients with colorectal cancer undergoing radical surgery: a retrospective study with external validation