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Updated: Nov 6, 2025

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Prevention and management of major complications in percutaneous endoscopic gastrostomy
Kurt Boeykens1, Ivo Duysburgh2
1AZ Nikolaas, Nutrition Support Team, Sint-Niklaas, Oost-Vlaanderen, Belgium kurt.boeykens@aznikolaas.be.
Background:
Percutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the 'pull' technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a 'blind' perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity.
Method:
Anarrative review of the literature of major complications in percutaneousendoscopic gastrostomy.
Results:
This review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice.
Conclusions:
Majorcomplications are rare but prevention, early recognition and popper management areimportant.
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