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Updated: Jul 24, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Ethical challenges of percutaneous endoscopic gastrostomy
L Morgenstern1, M Laquer, L Treyzon
1Center for Health Care Ethics, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Los Angeles, CA 90048, USA. morgenstern@cshs.org
Abstract:
Percutaneous endoscopic gastrostomy (PEG) is a widely used procedure for patients who cannot swallow. Although it is mostly performed for valid indications, its use in terminally ill patients is questionable. In this study, more than 30% of patients died in hospital after PEG placement and 16% died less than 30 days after placement. Strict guidelines and oversight or PEG placement are recommended.
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