[Update on endoscopic percutaneous gastrostomy]

Trans-endoscopic gastrostomy (TEG), after 25 years since it's introduction, is at present the most utilized method to gain access to the upper digestive tract, to place an enteral feeding tube. There are different modalities that must be known to be able to decide which alternative is the best according to our judgment and experience. The endoscopist is one more member of a multidisciplinary team caring for the patient who must have a pro-active role in the clinical management of each case. We must not forget that a good result is based on an adequate patient selection, keeping in mind the limitations, the complications and very importantly, the final care of each procedure.