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Related Experiment Videos

Patient with percutaneous endoscopic gastrostomy.

P Piskac1, J Leypold, L Hnizdil

  • 12nd Department of Surgery, Masaryk University, Brno, Czech Republic. petr.piskac@fnusa.cz

Bratislavske Lekarske Listy
|July 4, 2003
PubMed
Summary

Percutaneous endoscopic gastrostomy (PEG) provides safe and effective long-term enteral nutrition for patients unable to eat normally. While the procedure has minimal complications, local site issues can occur, requiring careful management.

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Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Patient Nutrition

Background:

  • Percutaneous endoscopic gastrostomy (PEG) has seen increasing use since 1980 for long-term enteral nutrition.
  • Patients requiring PEG feeding are now managed across various settings, including ICUs, follow-up care, and home care.

Purpose of the Study:

  • To inform physicians about the challenges and management of nutrition via PEG in long-term care settings.
  • To highlight the benefits of PEG for prolonged enteral feeding.

Main Methods:

  • A retrospective review of 78 percutaneous endoscopic gastrostomy (PEG) procedures performed using the pull technique.
  • PEG insertion required an unaffected gastrointestinal tract from the stomach distally.
  • Indications included prolonged artificial ventilation, neurological deficits affecting swallowing, and ENT tumors.

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Main Results:

  • The PEG procedure itself demonstrated no major complications or procedure-related deaths.
  • Common post-procedure issues were local complications like pressure ulcers, maceration around the tube site, and accidental tube dislodgement.

Conclusions:

  • PEG is a suitable method for enteral nutrition in patients with an inability to ingest food for over six weeks, provided the GI tract is otherwise normal.
  • PEG offers a long-term solution for enteral nutrition, avoiding complications associated with nasoenteric tubes and minimizing patient discomfort.