284 results match your criteria Gastrostomy Tube Replacement


An expanding role for interventional radiology: Medicare trends in fluoroscopic, endoscopic, and surgical enteric tube placement and maintenance from 2010 to 2018.

Clin Imaging 2021 May 18;78:201-205. Epub 2021 May 18.

University of Pittsburgh Medical Center (UPMC), Department of Radiology, PUH Suite 200, 200 Lothrop Street, Pittsburgh, PA 15213, United States of America.

Background: The purpose of this study is to provide an update on trends in physician volume and payments for enteric tube placement and maintenance procedures by method, provider specialty, and practice setting amongst Medicare beneficiaries from 2010 to 2018.

Materials And Methods: Claims from the Medicare Part B Physician/Supplier Procedure Summary Master File (PSPSMF) for the years 2010 to 2018 were extracted using current procedural terminology (CPT) codes for gastrostomy and jejunostomy placement, as well as conversion of gastrostomy to gastrojejunostomy, fluoroscopy guided and non-image guided replacement. Total volumes and provider reimbursement were analyzed by provider specialty and practice setting. Read More

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Migrated PEG balloon causing acute pancreatitis.

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

Gastroenterology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Percutaneous endoscopic gastrostomy (PEG) is a common procedure for an unsafe swallow or inability to maintain oral nutrition. When a PEG tube needs replacement, a balloon gastrostomy tube is usually placed through the same, well formed and mature tract without endoscopy. We present a patient with a rare complication related to the balloon gastrostomy tube, to raise awareness and minimise the risk of this complication in the future. Read More

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Development and evaluation of a simulation-based mastery learning maintenance of certification course.

Gerontol Geriatr Educ 2021 Feb 25:1-10. Epub 2021 Feb 25.

Department of Medical Education , Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

To develop and evaluate a post-acute care simulation-based mastery learning (SBML) continuing medical education (CME)/maintenance of certification (MOC) procedure course. Pretest-posttest study of the SBML intervention. A 2-day post-acute care procedures course. Read More

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February 2021

Rectal Bleeding after Insertion of a Percutaneous Endoscopic Gastrostomy Tube.

Case Rep Gastroenterol 2020 Sep-Dec;14(3):637-643. Epub 2020 Nov 30.

Digestive Diseases, Liver Center and Advanced Endoscopy Center, King Abdullah Medical City, Makkah, Saudi Arabia.

Iatrogenic injury to an internal organ such as the stomach, colon, small bowel, or liver after percutaneous endoscopic gastrostomy (PEG) tube insertion is a rare complication. We present a case of rectal bleeding due to colon injury during PEG tube placement. This required urgent exploratory laparoscopic surgery with segmental resection of the transverse colon and replacement of the PEG tube. Read More

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November 2020

Safely replacing a percutaneous endoscopic gastrostomy tube using a portable X-ray system at a patient's home.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Department of General Medicine, Saga University Hospital, Saga, Japan

An 81-year-old woman who underwent percutaneous endoscopic gastrostomy (PEG) a year before, after cerebral infarction was receiving home medical care. The first accidental PEG tube removal occurred after clinic hours, and the home-care doctor visited her home to quickly reinsert the tube. After the narrowed fistula was dilated, the tube was reinserted with a guide wire. Read More

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January 2021

Endoscopic rescue of early percutaneous endoscopy gastrostomy tube dislodgement.

Surg Endosc 2021 Apr 4;35(4):1915-1920. Epub 2021 Jan 4.

Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Penn State Hershey Medical Center, Hershey, PA, USA.

Background: Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the most common methods for establishing durable enteral access. Early PEG dislodgement occurs in < 5% of cases but typically prompts urgent surgical intervention to reestablish the gastrocutaneous tract and prevent intra-abdominal sepsis. To date, there is a single case report in the literature where successful endoscopic "rescue" of an early dislodged PEG tube negated the need for operative intervention. Read More

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Impact of an institution-designed algorithm for the management of dislodged gastrostomy tubes.

J Pediatr Surg 2020 Dec 24. Epub 2020 Dec 24.

Department of Surgery, Children's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO 64108, United States; University of Missouri-Kansas City School of Medicine, 2411 Holmes Street, Kansas City, MO 64108, United States. Electronic address:

Background: Gastrostomy tube (GT) dislodgement is a common reason for emergency department (ED) visits. We aim to assess the efficacy of our institution's algorithm in reducing surgical consultation and GT contrast studies for replacement of dislodged GT and to examine the need for operation before and after algorithm implementation.

Methods: A retrospective review was performed between March 2017-February 2018 (prealgorithm) and March 2018-December 2018 (postalgorithm) for patients <18 years presenting to the ED with GT dislodgement. Read More

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December 2020

Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion.

Clin Pract Cases Emerg Med 2020 Nov;4(4):632-633

Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey.

Case Presentation: A 48-year-old-female presented to the emergency department with dislodgement of her percutaneous endoscopic gastrostomy (PEG) tube, necessitating bedside replacement. Replacement was done without difficulty and gastrografin radiography was obtained to confirm positioning. Radiography revealed contrast filling the colon at the splenic flexure and proximal descending colon suggestive of colocutaneous fistula formation. Read More

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November 2020

Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience.

Int J Pediatr 2020 8;2020:5286283. Epub 2020 Oct 8.

Department of Surgery-Pediatric Surgery Unit, Salmaniya Medical Complex, Manama, Bahrain.

Results: Out of 34 patients who underwent gastrostomy tube insertion, 30 patients had their long tube replaced by a button gastrostomy. Majority were males ( = 18, 60%). Prolonged nasogastric tube feeding was the main indication of referral ( = 17, 56%) followed by feed intolerance ( = 6, 17%) and gastroesophageal reflux disease ( = 5, 16%). Read More

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October 2020

Safety and durability of PEG-J: a single-centre experience.

Scand J Gastroenterol 2020 Nov 6;55(11):1377-1380. Epub 2020 Oct 6.

Department of Internal Medicine and Digestive Endoscopy Unit, San Matteo Hospital Foundation, University of Pavia, Pavia, Italy.

Introduction: Although percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) is currently indicated in a variety of conditions, limited data are available regarding its safety and the best timing for its replacement. We herein describe a single-centre cohort of patients who underwent PEG-J placement or replacement to assess the short- and long-term safety of the procedure.

Methods: Demographic and procedure-related data regarding all patients undergoing a PEG-J procedure between March 2010 and 2020, either first placement or any replacement, at the Endoscopy Unit of a University Hospital in Northern Italy (IRCCS Policlinico San Matteo, Pavia, Italy), were retrospectively collected. Read More

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November 2020

'Re-PEGing': an endoscopic approach to inadvertent early removal of PEG tube.

J Community Hosp Intern Med Perspect 2020 Jun 14;10(3):194-198. Epub 2020 Jun 14.

Division of Gastroenterology, Rochester General Hospital, Rochester, NY, USA.

Inadvertent removal of percutaneous endoscopic gastrostomy (PEG) tube shortly after placement creates the potential for gastric perforation and requires immediate attention. This problem has been addressed in the past with either observation or surgery. We describe our experience with the alternative approach of semi-urgent 're-PEGing'. Read More

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Gastrostomy tube malposition during tube replacement.

Gastrointest Endosc 2021 02 27;93(2):520-521. Epub 2020 Jul 27.

Division of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

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February 2021

Early Buried Bumper Syndrome Treated by Bedside Replacement

Isr Med Assoc J 2020 05;22(5):315-319

Department of Gastroenterology, Galilee Medical Center, Nahariya, affiliated with the Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel.

Background: Buried bumper syndrome (BBS) mostly occurs as a late complication after percutaneous endoscopic gastrostomy (PEG) insertion; however, early BBS has been rarely reported, and the treatment of this condition is still unclear.

Objectives: To evaluate the Seldinger technique for treatment of early BBS after PEG insertion.

Methods: We report two cases of early BBS in two consecutive patients who underwent PEG insertion to maintain oral intake. Read More

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Conservative recovery and replacement of a ruptured percutaneous endoscopic gastrostomy tube; a case report.

BMC Gastroenterol 2020 Mar 30;20(1):82. Epub 2020 Mar 30.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.

Background: Percutaneous Endoscopic Gastrostomy (PEG) feeding tubes are frequently placed in patients to provide enteral nutrition. We report a case of a complete rupture of a PEG tube intra-abdominally with associated peritonitis after more than a month of PEG placement and utilization. To our knowledge, this is a very rare case of a complete PEG rupture with the succeeding replacement and recovery of the fractured segments conservatively. Read More

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Point-of-care ultrasound for confirmation of gastrostomy tube replacement in the pediatric emergency department.

Intern Emerg Med 2020 09 5;15(6):1075-1079. Epub 2020 Mar 5.

Ronald O. Perelman Department of Emergency Medicine, New York University School of Medicine, New York, NY, 10016, USA.

Gastrostomy tubes (G-tubes) are frequently used in children for feeding and nutrition. Complications related to G-tubes (and G-buttons) in children represent a common presentation to the emergency department (ED). G-tube replacement is usually performed by pediatric emergency medicine physicians. Read More

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September 2020

A comparison of balloon and nonballoon gastrostomy tubes in children.

J Pediatr Surg 2020 May 30;55(5):852-854. Epub 2020 Jan 30.

Division of Pediatric General and Thoracic Surgery, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada. Electronic address:

Purpose: The purpose of this study was to compare primary outcomes following insertion of balloon and nonballoon gastrostomy tubes (G-tubes).

Methods: A retrospective chart review over a 5-year period comparing the need for emergency, radiologic, or operative interventions between balloon and nonballoon G-tube devices was performed.

Results: 145 patient charts were reviewed (46. Read More

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Percutaneous endoscopic gastrostomy in children less than 10 kilograms: A comparative study.

Authors:
Osama A Bawazir

Saudi J Gastroenterol 2020 Mar-Apr;26(2):105-110

Department of Surgery, Faculty of Medicine in Umm Al-Qura University at Makkah, Makkah, Saudi Arabia.

Background/aim: Percutaneous endoscopic gastrostomy tube (PEG) has replaced the standard open surgical gastrostomy for enteral nutrition. However, several complications were reported, especially in children less than 10 kg. Our objective was to report the outcomes of percutaneous endoscopic gastrostomy in children according to their weight. Read More

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February 2021

Duodenal perforation after gastrostomy tube replacement: Case report and literature review.

Ci Ji Yi Xue Za Zhi 2019 Oct-Dec;31(4):280-282. Epub 2019 Sep 16.

Division of Colorectal Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.

Gastrostomy is commonly used to provide long-term enteral access for patients with feeding impairment. Routine replacement is a safe procedure, but it has various complications. We present a case of nasopharyngeal cancer, who visited the emergency department for gastrostomy tube dislodgement. Read More

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September 2019

Long-Term Gastrocolocutaneous Fistula after Endoscopic Gastrostomy: How Concerned Should We Be?

GE Port J Gastroenterol 2019 Oct 3;26(6):441-447. Epub 2019 Apr 3.

CiiEM - Centro de Investigação Interdisciplinar Egas Moniz, Monte da Caparica, Portugal.

Percutaneous endoscopic gastrostomy (PEG) is a safe technique for long-term enteral feeding. The most common PEG-associated adverse events are minor. Gastrocolocutaneous fistula (GCCF) results from misplacement of the PEG tube through the colon. Read More

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October 2019

Gastric Outlet Obstruction Due to Malposition of Replacement Gastrostomy Tube.

Clin Pract Cases Emerg Med 2019 Nov 30;3(4):442-443. Epub 2019 Sep 30.

Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania.

A 78-year old male presented to the emergency department after accidental dislodgement of his chronic gastrostomy tube. A replacement gastrostomy tube was passed easily through the existing stoma and flushed without difficulty. Confirmatory abdominal radiography demonstrated contrast in the proximal small bowel, but the patient subsequently developed epigastric pain and refractory vomiting. Read More

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November 2019

Venting issues.

Frontline Gastroenterol 2021 14;12(3):259-260. Epub 2019 Oct 14.

Department of Gastroenterology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

A 65-year-old woman with type 3 intestinal failure secondary to scleroderma of the gut (limited cutaneous sclerosis (centromere positive) and rheumatoid arthritis (anti-cyclic citrullinated peptide (CCP) and rheumatoid factor positive)) on home parenteral nutrition since 2011 underwent a venting PEG replacement in 2015 for intractable vomiting due to gut dysmotility and small bowel bacterial overgrowth, poorly responding to cyclical antibiotics. An endoscopy was undertaken for planned PEG review for consideration of elective replacement (figure 1).Figure 1Initial endoscopy. Read More

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October 2019

A Successful Percutaneous Endoscopic Gastrostomy Tube Feeding over Two Decades with No Complication: A Rare Case Report.

Cureus 2019 Aug 7;11(8):e5340. Epub 2019 Aug 7.

Internal Medicine, Interfaith Medical Center, Brooklyn, USA.

Percutaneous endoscopic gastrostomy (PEG) feeding is a common and widely performed procedure appropriate for long-term enteral nutrition in patients with multiple indications. We present the case of a 59-year-old woman with a PEG tube placed owing to complication following thyroid surgery approximately 20 years ago, representing the most extended duration of PEG tube feeding without any significant complication for chronic mechanical dysphagia. This case highlights the importance of PEG feeding, where this route can be used indefinitely in an appropriate clinical setting without complications. Read More

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Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement.

BMJ Case Rep 2019 Sep 4;12(9). Epub 2019 Sep 4.

Department of Surgery, Wayne State University, Detroit, Michigan, USA.

A 53-year-old man with dysphagia underwent uneventful placement of a percutaneous endoscopic gastrostomy (PEG) tube for long-term enteral feeding access. 11 hours after the procedure, it was discovered that he had accidentally dislodged the feeding tube. On physical examination, he was found to have a benign abdomen without evidence of peritonitis or sepsis. Read More

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September 2019

Outcomes of radiologically inserted gastrostomy versus percutaneous endoscopic gastrostomy.

J Med Imaging Radiat Oncol 2019 Oct 11;63(5):610-616. Epub 2019 Aug 11.

Royal Brisbane and Women's Hospital (RBWH), Brisbane, Queensland, Australia.

Introduction: Gastrostomy insertion either via radiological (radiologically inserted gastrostomy, RIG) or endoscopic (percutaneous endoscopic gastrostomy, PEG) approaches are widely practiced throughout Australia. The purpose of this study was to compare outcomes of inserted tubes and cost evaluation by both methods.

Methods: A retrospective cohort study conducted on all-cause gastrostomy insertions at a quaternary Australian Hospital, Royal Brisbane and Womens' Hospital (RBWH) between January 2012 and August 2015. Read More

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October 2019

Persistent Abdominal Distention After Endoscopic Percutaneous Endoscopic Gastrostomy Tube Replacement.

Gastroenterology 2020 02 5;158(3):e1-e2. Epub 2019 Aug 5.

Department of Gastroenterology, Ajou University Medical School, Suwon, Korea. Electronic address:

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February 2020

Head and neck soft tissue reconstruction with anterolateral thigh flaps with various components: Development of an algorithm for flap selection in different clinical scenarios.

Microsurgery 2019 Oct 31;39(7):590-597. Epub 2019 Jul 31.

Otorhinolaryngology - Head and Neck Surgery, Humanitas Clinical and Research Hospital-IRCCS, Rozzano (MI), Italy.

Objectives: The antero-lateral thigh free flap (ALT) is conventionally designed as a fasciocutaneous flap (FALT). However, the thickness of the flap can be designed in at least in two more variants: myocutaneous (MYALT), and myofascial (MALT). The aim of this study was to evaluate the use of ALT flap as a universal solution for head and neck soft tissue reconstruction and development of an algorithm for flap selection in different clinical scenarios. Read More

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October 2019