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Related Experiment Videos

Percutaneous endoscopic gastrostomy.

J J Mamel1

  • 1Division of Digestive Diseases and Nutrition, College of Medicine, University of South Florida, Tampa.

The American Journal of Gastroenterology
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

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Percutaneous endoscopic gastrostomy (PEG) offers an effective method for nutritional support with a low complication rate. Careful management of aspiration and infection is crucial for successful outcomes.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Clinical Nutrition

Background:

  • Endoscopic gastrostomy tube placement is increasingly used for nutritional support.
  • The percutaneous endoscopic gastrostomy (PEG) procedure is well-documented with extensive literature.
  • Both "push" and "pull" techniques are effective for gastric access.

Purpose of the Study:

  • To review the efficacy and safety of percutaneous endoscopic gastrostomy (PEG) for nutritional support.
  • To highlight innovations that minimize complications associated with PEG placement.
  • To identify key management issues following PEG insertion and feeding initiation.

Main Methods:

  • Review of existing medical literature on PEG placement.
  • Analysis of reported techniques, including "push" and "pull" methods.

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  • Evaluation of complication rates and management strategies.

    • Main Results:

    • PEG placement is generally easy with a low incidence of placement-related complications.
    • Innovations have reduced minor complications.
    • Serious concerns include pulmonary aspiration and stomal infections.

    Conclusions:

    • PEG is a valuable technique for nutritional support.
    • Ongoing vigilance is required to manage potential serious complications like aspiration and infection.
    • Nutritional support adequacy remains the ultimate measure of PEG success.