Related Experiment Videos
PEG--percutaneous endoscopic gastrostomy
The British Journal of Theatre Nursing : Natnews : the Official Journal of the National Association of Theatre Nurses
|July 1, 1996
Summary
Percutaneous Endoscopic Gastrostomy (PEG) provides a less invasive method for creating a gastrostomy tube. This technique avoids surgical risks associated with traditional methods, enabling long-term enteral nutrition.
Area of Science:
- Medical Procedures
- Gastroenterology
- Surgical Innovation
Background:
- Surgical gastrostomy was first proposed in 1837, but its successful implementation, requiring laparotomy and anesthesia, was delayed until 1876.
- Traditional gastrostomy procedures carry inherent risks due to the necessity of laparotomy and anesthesia.
Purpose of the Study:
- To describe the development and application of Percutaneous Endoscopic Gastrostomy (PEG).
- To highlight PEG as an alternative to surgical gastrostomy, minimizing patient risk.
- To outline the utility of PEG in enteral nutrition and feeding transitions.
Main Methods:
- Percutaneous Endoscopic Gastrostomy (PEG) involves placing a plastic tube into the stomach through the abdominal wall using a gastroscope.
- This endoscopic approach bypasses the need for a surgical laparotomy.
- Successful gastroscopy is a critical prerequisite for the PEG procedure.
Main Results:
- The first non-laparotomy gastrostomy was performed in 1979, with the technique detailed in 1980.
- Numerous kits for performing PEG have since become available.
- PEG facilitates long-term enteral nutrition and serves as a bridge between Total Parenteral Nutrition (TPN) and oral feeding.
Conclusions:
- Percutaneous Endoscopic Gastrostomy (PEG) represents a significant advancement, offering a safer alternative to surgical gastrostomy.
- The widespread availability of PEG kits has increased accessibility to this minimally invasive procedure.
- PEG is a versatile tool for nutritional support in various clinical scenarios.