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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© 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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