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Updated: Jul 15, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Indications for percutaneous endoscopic gastrostomy in complex tuberculosis patients
G Warmelink1, B J J Poels, R van Altena
1Tuberculosis Center, University Medical Center Groningen, University of Groningen, PO Box 30 002, 9750 RA Haren, The Netherlands. g.warmelink@cvr.umcg.nl
Percutaneous endoscopic gastrostomy (PEG) offers new solutions for tuberculosis (TB) patients, enabling tube feeding and drug administration. This method helps manage malnutrition and ensures treatment adherence in TB care.
Area of Science:
- Medical Science
- Gastroenterology
- Infectious Diseases
Background:
- Percutaneous endoscopic gastrostomy (PEG) is established for long-term tube feeding.
- Guidelines detail PEG indications for various diseases and nutritional needs.
- PEG use in tuberculosis (TB) treatment has not been previously documented.
Purpose of the Study:
- To identify and describe the specific indications for PEG placement in TB patients.
- To analyze contributing factors leading to PEG insertion in this population.
Main Methods:
- Retrospective review of medical records for 32 TB patients who underwent PEG placement.
- Analysis of indications and contributing factors for PEG insertion between March 1996 and April 2004.
Main Results:
- PEG placement served three primary indications: tube feeding (18 patients), anti-TB drug administration (4 patients), and both (10 patients).
- Key contributing factors included swallowing disabilities, weakness, anti-TB drug side effects, pain, hiccups, and food/drug refusal.
Conclusions:
- Malnutrition and the need for curative drug administration represent novel indications for PEG in TB.
- PEG facilitates overcoming treatment challenges and preventing default in TB patients.
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