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The SAGES Manual of Flexible Endoscopy pp 51–67Cite as

Masters Program Flexible Endoscopy Pathway: Percutaneous Endoscopic Gastrotomy (PEG)

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Abstract

Percutaneous endoscopic gastrotomy (PEG) tube placement is a durable, minimally invasive approach to obtaining enteral access. Primary indications include nutrition supplementation and gastric decompression in a variety of patient presentations. A number of contraindications exist, and practitioners should be aware of alternative approaches. Informed consent can be complex in PEG tube candidates, and a thorough discussion of risks, benefits, and expectations should be held. Preparation is essential to efficiency and avoiding complications. The “pull” method is the most common technique but variations exist. Early and late complications exist, and physicians should have knowledge of their workup and treatment. There are some unique patient populations that require a modified approach to evaluation and technique.

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Abbreviations

NG:

Nasogastric

PEG:

Percutaneous endoscopic gastrotomy

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Author information

Authors and Affiliations

  1. Emory University Hospital, Department of General Surgery, Atlanta, GA, USA

    Daniel Davila, Ramona Ilie & Edward Lin

  2. Emory University School of Medicine, Department of Surgery, Atlanta, GA, USA

    Daniel Davila, Ramona Ilie & Edward Lin

Authors
  1. Daniel Davila
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  2. Ramona Ilie
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  3. Edward Lin
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Corresponding author

Correspondence to Ramona Ilie .

Editor information

Editors and Affiliations

  1. University of Iowa, Iowa City, IA, USA

    Peter Nau

  2. Penn State Milton S. Hershey Medical Cen, Hershey, PA, USA

    Eric M. Pauli

  3. University of California, San Diego, La Jolla, CA, USA

    Bryan J. Sandler

  4. Dartmouth–Hitchcock Medical Center, Lebanon, NH, USA

    Thadeus L. Trus

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© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

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Davila, D., Ilie, R., Lin, E. (2020). Masters Program Flexible Endoscopy Pathway: Percutaneous Endoscopic Gastrotomy (PEG). In: Nau, P., Pauli, E., Sandler, B., Trus, T. (eds) The SAGES Manual of Flexible Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-23590-1_4

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  • DOI: https://doi.org/10.1007/978-3-030-23590-1_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23589-5

  • Online ISBN: 978-3-030-23590-1

  • eBook Packages: MedicineMedicine (R0)

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