Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy.

Area of Science:

• Gastroenterology
• Endoscopy
• Clinical Practice Guidelines

Background:

• Aging populations increase the incidence of dysphagia, necessitating enteral nutrition.
• Nasogastric tubes are temporary solutions with long-term complications and reduced quality of life.
• Percutaneous endoscopic gastrostomy (PEG) offers an alternative for long-term enteral feeding.

Purpose of the Study:

• To establish the first Korean clinical guidelines for percutaneous endoscopic gastrostomy (PEG).
• To provide evidence-based recommendations for physicians on PEG procedures.
• To cover indications, antibiotic use, feeding protocols, techniques, and management of complications.

Main Methods:

• Development of clinical guidelines by leading Korean gastrointestinal societies.
• Consensus-based recommendations derived from current clinical evidence.
• Comprehensive review of indications, procedural aspects, and post-procedure care for PEG.

Main Results:

• The guidelines address key aspects of PEG, including when to use it, antibiotic prophylaxis, and nutritional support timing.
• Detailed information on tube placement techniques, management of complications, and tube replacement/removal is provided.
• The document serves as a practical resource for endoscopists and physicians.

Conclusions:

• These guidelines offer a standardized approach to PEG in Korea.
• They aim to improve patient outcomes and quality of life for those requiring long-term enteral nutrition.
• Adherence to these recommendations will support safe and effective PEG procedures.