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Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

Endoscopic Procedures I: Esophagogastroduodenoscopy

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
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Endoscopic Procedures III: Video Capsule Endoscopy

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Endotracheal Tube Extubation

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Related Experiment Video

Updated: May 27, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Percutaneous endoscopic gastrostomy tube replacement.

¹PGIMER – Gastroenterology, Chandigarh, India. abdulkhaliq_23@yahoo.com

Tropical Doctor

|November 15, 2011

Summary

Percutaneous endoscopic gastrostomy (PEG) tubes require replacement due to deterioration. This study presents a cost-effective method for PEG tube replacement that avoids repeat endoscopic procedures, improving patient care and resource utilization.

Area of Science:

Gastroenterology
Medical Devices
Surgical Procedures

Background:

Percutaneous endoscopic gastrostomy (PEG) provides essential long-term nutritional support for patients with dysphagia.
Deterioration of PEG tubes necessitates periodic replacement, posing challenges for patient management.
Current replacement methods may involve repeat endoscopic procedures, increasing costs and patient burden.

Purpose of the Study:

To describe an innovative and cost-effective method for replacing percutaneous endoscopic gastrostomy (PEG) tubes.
To present a technique that eliminates the need for repeat endoscopy during PEG tube replacement.
To offer a practical solution for managing deteriorated PEG tubes in clinical practice.

Main Methods:

A novel, non-endoscopic technique for percutaneous endoscopic gastrostomy (PEG) tube replacement was developed.

Related Experiment Videos

Last Updated: May 27, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

The procedure focuses on efficient and safe exchange of the gastrostomy tube without requiring a repeat endoscopic session.

Detailed procedural steps are outlined for reproducibility and clinical application.

Main Results:

The described method offers a cost-effective alternative for PEG tube replacement.
The technique successfully replaces deteriorated PEG tubes without the need for repeat endoscopy.
This approach simplifies the management of PEG tubes, potentially reducing healthcare resource utilization.

Conclusions:

A non-endoscopic PEG tube replacement method is presented as a viable, cost-effective solution.
This technique streamlines the management of PEG tube complications, enhancing patient care.
The described approach represents a significant advancement in the maintenance of long-term enteral feeding.