Risk Factors for a Persistent Gastrocutaneous Fistula Following Gastrostomy Device Removal: A Tertiary Center Experience.

GERDon and Langer were the first to suggest that tubes inserted percutaneously were less likely to develop a persisting fistula than those inserted with the Stamm technique although their data did not reach statistical significance.[ 2 ] Several other studies also showed that the insertion technique, whether it was percutaneous or open, had no effect on gastrostomy closure.[ 1 3 ] However, it is important to note that the number of PEG insertions in those studies was possibly too small to arrive at any conclusion.

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