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Complications of percutaneous endoscopic gastrostomy
G D Schapiro1, S A Edmundowicz
1Division of Gastroenterology and Hepatology, Jefferson Medical College, Philadelphia, Pennsylvania, USA.
Abstract:
Percutaneous endoscopic gastrostomy has become the procedure of choice for the establishment of enteral feedings in most clinical settings. Minor modifications in the technique and tools of PEG may have had some effect on the type of complications seen with this procedure. The major and minor complications of PEG are reviewed with a focus on those manipulations that may assist in reducing the incidence of common complications of this procedure.
Insights
Percutaneous endoscopic gastrostomy (PEG) is a preferred method for enteral feeding. This review focuses on common complications and techniques to minimize their occurrence during PEG procedures.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Surgical Techniques
Background:
- Percutaneous endoscopic gastrostomy (PEG) is the standard for long-term enteral nutrition.
- Technological advancements and procedural modifications may influence PEG-related complications.
- Understanding complication profiles is crucial for patient safety and effective feeding.
Purpose of the Study:
- To review major and minor complications associated with PEG.
- To identify specific procedural modifications that can reduce PEG complication rates.
- To provide guidance for optimizing PEG procedures and patient outcomes.
Main Methods:
- Comprehensive literature review of PEG techniques and associated complications.
- Analysis of reported major and minor adverse events.
- Evaluation of strategies aimed at complication reduction.
Main Results:
- PEG is widely adopted, but complications remain a concern.
- Specific modifications in technique and instrumentation can alter complication incidence.
- Key strategies exist to mitigate common PEG-related issues.
Conclusions:
- Ongoing refinement of PEG techniques is essential for patient care.
- Awareness and implementation of complication-reducing strategies are vital.
- Optimizing PEG procedures enhances the safety and efficacy of enteral feeding.