Complications Associated With Primary Placement of Gastrostomy for Feeding

Inclusion criteria: * Age greater than or equal to 18 years * Cannot maintain adequate nutrition by mouth Exclusion criteria: * Venting-only gastrostomy * Patients with Amyotrophic Lateral Sclerosis (ALS) * Coagulopathy with uncorrectable International Normalized Ratio (INR) greater than 1.5 or inability to hold anticoagulation * Structural abnormality that would prevent one or both techniques * Known severe esophageal stricture * Obstructing malignancy in oropharynx or esophagus that prohibits pull-through technique * Neoplastic, inflammatory, or infiltrative disease of abdominal wall or gastric wall * Known hepatomegaly * Abdominal wall mesh * Enteric functional abnormality * Small bowel or colonic obstruction * Gastric or small bowel dysmotility * Active abdominal infection/peritonitis/enterocutaneous fistula * Ascites * Ventriculoperitoneal shunt * Inpatient status * Pregnant patient