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Percutaneous endoscopic gastrostomy: avoiding complications

P M Santos1, J McDonald

  • 1Division of Otolaryngology, Southern Illinois University School of Medicine, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|February 9, 1999
PubMed
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This study reviews complications from percutaneous endoscopic gastrostomy (PEG) tube placement and management. Modifications to techniques have significantly reduced minor complications and addressed major ones, improving patient safety.

Area of Science:

  • Otolaryngology
  • Gastroenterology
  • Surgical Complications

Background:

  • Percutaneous endoscopic gastrostomy (PEG) tubes are crucial for nutritional support.
  • Complications associated with PEG tube placement and management require careful evaluation.
  • Otolaryngologists performed PEG placements between 1991 and 1997.

Purpose of the Study:

  • To evaluate complications directly or indirectly related to PEG tube placement and management.
  • To provide recommendations for avoiding PEG-related complications.
  • To analyze patient records for diagnoses, procedures, and outcomes.

Main Methods:

  • Retrospective review of 71 patients who underwent PEG tube placement.
  • Analysis of diagnoses, combined procedures, and recorded complications.

Related Experiment Videos

  • Modification of PEG placement and management techniques based on complication analysis.

    • Main Results:

    • Major complications included retained PEG hub and a fatal delayed colon abscess.
    • Minor complications involved skin abscesses, cellulitis, and vasovagal responses.
    • An airway emergency occurred during an attempted PEG placement, leading to abortion.

    Conclusions:

    • Identified causes of minor complications led to technique modifications, preventing recent occurrences.
    • Management strategies were altered to avoid the identified major complication.
    • Recommended techniques are detailed to enhance PEG tube placement and management safety.