Complications following insertion and replacement of percutaneous endoscopic gastrostomy (PEG) tubes

Percutaneous endoscopic gastrostomy (PEG) tube insertion was introduced in 1980 as an alternative to nasogastric tubes and surgically placed gastrostomy tubes. The procedure is indicated in those patients who have an inability to sustain adequate nutrition in the presence of a functioning gastrointestinal tract. We report four deaths that arose within a ten-week period in 1998.