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Repeat percutaneous endoscopic gastrostomy (PEG): an outpatient procedure.
M J Cullado1, F A Slezak, J A Porter
1Department of Surgery, Akron City Hospital, Ohio.
Surgical Endoscopy
|January 1, 1990
Summary
Repeat percutaneous endoscopic gastrostomy (PEG) is a safe outpatient procedure, allowing immediate full-volume tube feeding. To avoid repeat PEG, replace tubes promptly after removal and avoid elective removal in long-term patients.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
- Repeat PEG placement may be necessary after initial PEG removal.
- Gastric adhesion post-PEG facilitates repeat procedures.
Purpose of the Study:
- To evaluate the safety and efficacy of elective repeat PEG procedures.
- To assess the feasibility of immediate full-volume tube feeding post-repeat PEG.
- To establish recommendations for preventing the need for repeat PEG.
Main Methods:
- Retrospective review of ten patients undergoing elective repeat PEG.
- Procedures performed at the original PEG site.
- Assessment of complication rates and feeding tolerance.
Main Results:
- Repeat PEG was successfully performed in all ten patients.
- Six procedures were completed as outpatient cases.
- No complications were reported, and full-volume tube feedings were well-tolerated.
Conclusions:
- Elective repeat PEG is a safe and effective outpatient option.
- Immediate feeding tolerance is achievable after repeat PEG.
- Recommendations include prompt replacement of inadvertent PEG removals and avoiding elective removal in long-term cases.