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Updated: Dec 20, 2025
06:40
Insertion of Flexible Neural Probes Using Rigid Stiffeners Attached with Biodissolvable Adhesive
Published on: September 27, 2013
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To PEG or not to PEG that is the question
Thomas Welbank1, Matthew Kurien1,2
1Department of Gastroenterology, Sheffield Teaching Hospital NHS Foundation Trust, SheffieldS10 2JF, UK.
The Proceedings of the Nutrition Society
|May 23, 2020
Summary
Percutaneous endoscopic gastrostomy (PEG) feeding offers vital nutrition support when oral intake is insufficient. However, careful patient selection is crucial to avoid futile interventions and ensure long-term benefits.
Area of Science:
- Clinical Nutrition
- Gastroenterology
- Medical Interventions
Background:
- Nutrition support is essential when oral intake is inadequate, utilizing oral supplements, enteral, or parenteral nutrition.
- Enteral tube feeding, including percutaneous endoscopic gastrostomy (PEG), provides nutrition for patients with functional gastrointestinal tracts but insufficient oral intake.
- PEG feeding is typically reserved for cases where nutritional intake is expected to be inadequate for over 4-6 weeks.
Purpose of the Study:
- To review the indications for gastrostomy feeding.
- To discuss controversies and complications associated with gastrostomy feeding.
- To provide guidance on optimizing patient selection for PEG interventions.
Main Methods:
- Review of existing literature and clinical guidelines on gastrostomy feeding.
- Analysis of concerns regarding the increasing frequency and long-term benefits of PEG.
- Examination of reports highlighting futile PEG indications and their impact.
Main Results:
- PEG feeding is an established method for enteral nutrition in specific patient groups.
- Concerns exist regarding the increasing use of PEG and uncertainty about long-term benefits.
- A significant proportion of PEG procedures have been performed for futile indications, impacting patient outcomes.
Conclusions:
- Optimizing patient selection for PEG feeding is critical.
- Addressing controversies and potential complications is necessary for appropriate use.
- Evidence-based guidelines are needed to ensure the effective and ethical application of PEG.
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