694 results match your criteria Percutaneous Endoscopic Gastrostomy PEG Tube Placement


Percutaneous endoscopic gastrostomy and jejunostomy: Indications and techniques.

World J Gastrointest Endosc 2022 May;14(5):250-266

Division of Gastroenterology and Digestive Endoscopy, Department of Gastroenterology, Humanitas Research Hospital - IRCCS, Rozzano 20089, Milan, Italy.

Nutritional support is essential in patients who have a limited capability to maintain their body weight. Therefore, oral feeding is the main approach for such patients. When physiological nutrition is not possible, positioning of a nasogastric, nasojejunal tube, or other percutaneous devices may be feasible alternatives. Read More

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Nasogastric Feeding Tube/Dobhoff Placement: A Multidisciplinary Approach to the Management of Malnutrition During Radiation Therapy in Patients With Head and Neck Cancer.

Cureus 2022 May 11;14(5):e24905. Epub 2022 May 11.

Radiation Oncology, Henry Ford Health System, Detroit, USA.

Background Radiation therapy (RT)-associated oral mucositis, xerostomia, thick mucoid saliva, nausea/vomiting, and loss of taste may result in significantly compromised oral intake in patients undergoing treatment for head and neck cancers (HNC). Feeding tube placement allows patients to receive enteral nutrition and continue the planned course of treatment. Objectives RT-associated oral mucositis, xerostomia, and loss of taste may result in significantly compromised oral intake in patients undergoing treatment for head and neck cancers. Read More

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Immune Thrombocytopenic Purpura and Intracerebral Hemorrhage, Incidence, and Mortality.

Cureus 2022 Apr 24;14(4):e24447. Epub 2022 Apr 24.

Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Introduction: Intracerebral hemorrhage (ICH) is a devastating complication of immune thrombocytopenic purpura (ITP). Using a large database, we sought to determine its incidence and mortality.

Methods: We used a de-identified database (TriNetX) to gather information on patients with ITP with subsequent ICH (cohort 1), propensity score-matched with patients with ITP and no ICH (cohort 2). Read More

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Factors affecting late complications of percutaneous endoscopic gastrostomy tube replacement.

Clin Nutr ESPEN 2022 06 26;49:378-384. Epub 2022 Mar 26.

Center of Excellence for Innovation and Endoscopy in Gastrointestinal Oncology, Chulalongkorn University, Bangkok, Thailand; Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. Electronic address:

Background: Late complications associated with percutaneous endoscopic gastrostomy (PEG) tube in patients are common occurrences. We aimed to identify risk factors associated with PEG-related late complications.

Methods: Patients who underwent PEG exchange were retrospectively collected from electronic medical records between January 2015 and November 2020. Read More

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Placement technique impacts gastrostomy tube-related complications amongst head and neck cancer patients.

Oral Oncol 2022 Jul 12;130:105903. Epub 2022 May 12.

Department of Otolaryngology - Head and Neck Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address:

Objectives: Percutaneous endoscopic gastrostomy (PEG) placement is essential for the provision of enteral nutrition in select head and neck cancer (HNC) patients. Minimally invasive tube placement is facilitated through one of two techniques, push or pull, but there have been conflicting results regarding safety profiles of these procedures. The objectives of this study were to determine the association of PEG insertion technique with gastrostomy tube complications, including stomal metastases. Read More

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Vacuum-Sponge Therapy Placed through a Percutaneous Gastrostomy to Treat Spontaneous Duodenal Perforation.

Case Rep Gastroenterol 2022 Jan-Apr;16(1):223-228. Epub 2022 Mar 31.

Department of Gastroenterology, Clinic for Visceral Surgery and Medicine, Bern University Hospital, Bern, Switzerland.

Duodenal perforation is rare and associated with a high mortality. Therapeutic strategies to address duodenal perforation include conservative, surgical, and endoscopic measures. Surgery remains the gold standard. Read More

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Gastrostomy button diameter and length variations after percutaneous endoscopic gastrostomy: one size does not fit all.

Dig Dis 2022 May 4. Epub 2022 May 4.

Background: Percutaneous endoscopic gastrostomy (PEG) is a useful option for long-term enteral nutrition. Low-profile gastrostomy tubes ("buttons") may afterwards be placed in the stomach through the abdominal wall following maturation of the pre-existing ostomy. Regular verification is essential, since inadequate sizing is associated with accidental exteriorization or food leakage. Read More

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Reduced complication rate after implementation of a detailed treatment protocol for percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients: A prospective study.

J Pediatr Surg 2022 Apr 1. Epub 2022 Apr 1.

Department of Pediatrics, Oslo Universitetssykehus, Ullevål Sykehus, Barne- og Ungdomsklinikken, Oslo University Hospital, PB 4956 Nydalen, Oslo 0424, Norway.

Background/aims: Percutaneous endoscopic gastrostomy with push technique (PEG-T) is increasingly used in pediatric patients. In a retrospective study of PEG-T (cohort 1) we reported frequent complications related to T-fasteners and tube dislodgment. The aim of this study was to assess complications after implementation of a strict treatment protocol, and to compare these with the previous retrospective study. Read More

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Use of a large-diameter 30-French venting gastrostomy tube is effective and safe for symptom palliation in patients with malignant bowel obstruction.

Ann Gastroenterol 2022 Mar-Apr;35(2):177-181. Epub 2022 Jan 7.

Division of Gastroenterology, Department of Medicine, University of California San Diego, USA (M. Phillip Fejleh, Michael Chang, Gobind Anand, Thomas J. Savides).

Background: Treatment options for malignant bowel obstruction are limited, particularly in poor surgical candidates. Standard percutaneous endoscopic gastrostomy (PEG) tubes used for venting are of small caliber, limiting success. This study examines outcomes in patients who received larger-caliber 30-Fr PEGs for treatment of malignant bowel obstruction. Read More

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January 2022

Outcomes of PEG placement by acute care surgeons compared to those placed by gastroenterology.

Surg Endosc 2022 Apr 27. Epub 2022 Apr 27.

Department of Surgery, Rhode Island Hospital and the Warren Alpert Medical School of Brown University, 593 Eddy St, Providence, RI, 02903, USA.

Background: Percutaneous endoscopic gastrostomy (PEG) tubes are placed by gastroenterologists (GI) and surgeons throughout the country. At Rhode Island Hospital, before July of 2017, all PEGs were placed by GI. In July of 2017, in response to a growing need for PEGs, acute care surgeons (ACS) also began performing PEGs at the bedside in ICUs. Read More

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Percutaneous endoscopic gastrostomy using the introducer method with ultra-slim endoscopy in amyotrophic lateral sclerosis patients with respiratory compromise: A safe technique.

J Gastroenterol Hepatol 2022 Apr 25. Epub 2022 Apr 25.

Gastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Background And Aim: Percutaneous endoscopic gastrostomy (PEG) placement is recommended in patients with amyotrophic lateral sclerosis (ALS), but the procedure is considered high risk. In this study, we aimed to compare the outcome of ALS patients with and without PEG. The success of the procedure and complications of PEG insertion were also explored. Read More

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[Nutritional status and use of health resources following the implementation of a PEG tube nutrition program for neurological patients in home hospitalization].

Nutr Hosp 2022 Jun;39(3):489-498

Hospital General Universitario de Elda.

Introduction: Objective: the objective of this study was to demonstrate that implementation of enteral nutrition by gastrostomy tube by the Home Hospitalization Unit (HHU) in patients suffering from neurological diseases, significantly improves their nutritional status, both in terms of anthropometric and analytical parameters. Methods: data on admissions, days of hospital stay, emergency room visits and nutritional parameters were collected during the 6 months before and 6 months after placement of a percutaneous endoscopic gastrostomy (PEG) tube in 100 patients from the UHD at General University Hospital in Elda (Alicante). Results: a total of 100 neurological patients were included in the study; 58 % of them were women and with a mean age (standard deviation, SD) of 78. Read More

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Direct percutaneous endoscopic jejunostomy (DPEJ) and percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) technical success and outcomes: Systematic review and meta-analysis.

Endosc Int Open 2022 Apr 14;10(4):E488-E520. Epub 2022 Apr 14.

Division of Digestive Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, United States.

Endoscopic methods of delivering uninterrupted feeding to the jejunum include direct percutaneous endoscopic jejunostomy (DPEJ) or PEG with jejunal extension (PEG-J), validated from small individual studies. We aim to perform a meta-analysis to assess their effectiveness and safety in a variety of clinical scenarios. Major databases were searched until June 2021. Read More

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Safety and effectiveness of radiologic and endoscopic percutaneous gastrostomy placement: A randomized study.

JPEN J Parenter Enteral Nutr 2022 Apr 15. Epub 2022 Apr 15.

Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Background: Gastrostomy tubes placed radiologically, endoscopically or surgically facilitate long-term home enteral nutrition (HEN). Patient-specific clinical factors may affect placement techniques, confounding direct comparisons between radiologically inserted gastrostomy (RIG) and percutaneous endoscopic gastrostomy (PEG) outcomes. This study sought to evaluate the differences in clinical outcomes in patients undergoing gastrostomy tube placement by interventional radiologists or gastroenterologists. Read More

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Reduction of Unnecessary Gastrostomy Tube Placement in Hospitalized Patients.

Jt Comm J Qual Patient Saf 2022 Jun-Jul;48(6-7):319-325. Epub 2022 Mar 11.

Background: Many patients undergoing gastrostomy tube placement at one academic medical center were able to resume an oral diet prior to discharge or did not survive hospitalization. The objective of this study was to reduce placement of nonbeneficial gastrostomy tubes and to maintain or improve adherence to gastrostomy tube guidelines.

Methods: In February 2017 the Acute Care Surgery service began an initiative in which gastrostomy tube placement was deferred until the patient was deemed medically stable for discharge. Read More

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Complication rates associated with traction removal of percutaneous endoscopic gastrostomy tubes.

Br J Nurs 2022 Apr;31(7):S22-S26

Clinical Nurse Specialist Enteral Feeding, Leeds Teaching Hospitals NHS Trust.

Background: Percutaneous endoscopic gastrostomy (PEG) tubes are removed and/or replaced for reasons such as tube malfunction, degradation, patient's device preference, and when stopping enteral feeding.

Aims: To identify the types and rate of complications associated with traction removal of a PEG tube and if this is associated with the size of the PEG or length of time it had been in situ prior to removal.

Methods: This retrospective study looked at the tube removal/replacement reports written by the Enteral Feeding Nursing Service over an 8-year period at a large teaching hospital trust in the north of England. Read More

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Acceptance of physical activity monitoring in cancer patients during radiotherapy, the GIROfit phase 2 pilot trial.

Tech Innov Patient Support Radiat Oncol 2022 Jun 5;22:16-21. Epub 2022 Apr 5.

University Hospital Tübingen, Department of Radiation Oncology, Tübingen, Germany.

Background: In radiotherapy the timely identification of patients needing intervention and supportive care due to side effects is an important task especially in the outpatient setting. Activity trackers as an increasingly used lifestyle device may enable physicians to monitor patient's physical activity (PA) and to intervene early during the course of radiotherapy.

Objective: The primary aim of this trial was to assess patient acceptance of PA monitoring in an outpatient setting and to correlate changes in PA with toxicity and changes in quality of life. Read More

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Cut-down assisted percutaneous gastrostomy tube placement in morbidly obese patient.

J Surg Case Rep 2022 Mar 30;2022(3):rjac083. Epub 2022 Mar 30.

Department of Surgery, St. Joseph's University Medical Center, Paterson NJ, USA.

Enteral and parenteral nutrition is primarily indicated in patients that lack adequate oral intake to support their metabolic needs. Percutaneous endoscopic gastrostomy (PEG) has become the preferred procedure of choice. With the increasing prevalence of obesity in the USA, there is a need for special interventions for PEG tube placements in overweight and obese patients. Read More

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When Is It Safe to Feed After Surgical Feeding Tube Placement? A Survey of EAST Members.

J Surg Res 2022 07 17;275:218-224. Epub 2022 Mar 17.

Department of Surgery, UNLV School of Medicine, Las Vegas, Nevada.

Introduction: Many critically ill trauma and surgical patients require nutritional support. Patients needing long-term enteral access often undergo placement of surgical feeding tubes, including percutaneous endoscopic gastrostomy tube, laparoscopic gastrostomy tube, and open gastrostomy tube. This study was performed to determine national practice patterns for feeding after feeding tube placement. Read More

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Underlying disease for percutaneous endoscopic gastrostomy tube placement predicts short- and long-term mortality.

Acta Gastroenterol Belg 2022 Jan-Mar;85(1):29-33

Department of Gastroenterology and Hepatology, University Hospital of Geneva, Switzerland.

Background: PEG (percutaneous endoscopic gastrostomy) is a well established endoscopic procedure for enteral feeding. However, patients with a shorter life expectancy will not benefit from PEG tube placement. Furthermore, some specific evolving diseases will never benefit from PEG. Read More

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Percutaneous Endoscopic Gastrostomy Misplacement in the Transverse Colon of a Neurocognitively Compromised Patient.

Cureus 2022 Feb 9;14(2):e22063. Epub 2022 Feb 9.

School of Medicine, Ross University, Bridgetown, BRB.

Percutaneous endoscopic gastrostomy (PEG) tube placement is a widespread method of delivering sustained nutrition to individuals requiring long-term support. Multiple techniques exist to achieve this, and adverse events can arise if not done properly including but not limited to pneumoperitoneum and bowel perforation. Safeguard tactics exist to prevent these complications but they are not always successful. Read More

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February 2022

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J Thorac Dis 2022 Feb;14(2):588-590

Division of Gastroenterology, Department of Medicine, UCSF Fresno, Fresno, CA, USA.

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February 2022

Percutaneous endoscopic gastrostomy in children: A tertiary center experience.

Asian J Endosc Surg 2022 Feb 10. Epub 2022 Feb 10.

King Saud Bin Abdulaziz University for Health Sciences,College of Medicine-Jeddah, College Of Medicine, Jeddah, Saudi Arabia.

Introduction: Percutaneous endoscopic gastrostomy (PEG) is a common procedure in children. The outcomes of PEG could be affected by the associated disease. We aimed to evaluate the outcomes and safety of PEG tube placement in a tertiary care center with special attention to patients with cardiac disease, ventriculoperitoneal (VP) shunt, or peritoneal dialysis (PD) catheter. Read More

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February 2022

Race and prevalence of percutaneous endoscopic gastrostomy tubes in patients with advanced dementia.

Palliat Support Care 2022 Jan 26:1-6. Epub 2022 Jan 26.

Office of Diversity, Inclusion, and Equity, Novant Health, Winston-Salem, NC27103.

Objective: Millions of Americans may face hard decisions when it comes to providing nutrition for their loved ones with advanced dementia. This study aimed to ascertain whether there is a difference in feeding tube placement between White and Black patients with advanced dementia and whether this potential difference varied by patient's other demographic and clinical characteristics.

Method: This is a retrospective, observational study conducted at Novant Health, a 15-hospital system in the southeastern United States. Read More

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January 2022

Outcomes of push and pull percutaneous endoscopic gastrostomy placements in 854 patients: A single-center study.

JGH Open 2022 Jan 8;6(1):57-62. Epub 2021 Dec 8.

Department of Gastroenterology and Hepatology Amsterdam University Medical Center, Location VUmc Amsterdam The Netherlands.

Background And Aims: Percutaneous endoscopic gastrostomy (PEG) is indicated for prolonged enteral nutrition. This study aimed to analyze the outcome and to identify potential risk factors for complications in PEG procedures.

Methods: A single-center retrospective analysis of the performed PEG procedures during the period January 2010 till January 2020. Read More

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January 2022

Percutaneous endoscopic gastrostomy prior to esophagectomy for esophageal cancer - a systematic review and meta-analysis.

Expert Rev Gastroenterol Hepatol 2022 Feb 31;16(2):155-162. Epub 2022 Jan 31.

Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.

Background: For resectable esophageal cancer (EC), it remains controversial whether to place percutaneous endoscopic gastrostomy (PEG) before the curative surgery to provide nutritional support during the neoadjuvant therapy.

Objective: To compare surgical outcomes for patients who received preoperative PEG and those without PEG placement (No-PEG) insertion prior to surgery in a potentially operable EC.

Methods: A comprehensive literature search was conducted to identify randomized and non-randomized studies comparing PEG and No-PEG groups. Read More

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February 2022

Safety of Percutaneous Endoscopic Gastrostomy Placement in Pregnancy: A Case Report and Literature Review.

Case Rep Gastrointest Med 2022 8;2022:2599274. Epub 2022 Jan 8.

University of Kansas Medical Center, Kansas City, KS, USA.

Gastrostomy tube placement in pregnancy is historically contraindicated due to risk of injury to the developing fetus and exposure to anesthetic agents. However, in cases where oral nutritional access is severely jeopardized, percutaneous endoscopic gastrostomy (PEG) tube placement can be a life-saving measure. In this case report and literature review, we present a case of successful PEG placement in a pregnant woman, followed by a discussion of the existing literature regarding PEG placement during pregnancy. Read More

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January 2022

Is percutaneous gastrostomy tube insertion contraindicated in adult peritoneal dialysis patients? A single-centre experience of three successful cases: It is time to revisit.

Int J Artif Organs 2022 Apr 17;45(4):438-441. Epub 2022 Jan 17.

Clinical Dietitian Department, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.

Percutaneous endoscopic gastrostomy (PEG) tube placement in adults who are already established on peritoneal dialysis (PD) remains challenging due to the limited experience and data in this area which lacks clear guidance. Given the fact that peritoneal dialysis is one of the relative contraindications for PEG tube insertion, and PEG tube on its own is a risk for peritonitis, how to overcome these obstacles and utilize the advantage of PEG tube for feeding malnourished PD patients remains uncertain. Here we report our unique successful experience of treating three adult peritoneal dialysis patients in whom the PEG tube was inserted successfully with no complications. Read More

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Misplacement of the PEG tube through the transverse colon, an uncommon but possible complication.

Rev Esp Enferm Dig 2022 05;114(5):296-297

Aparato Digestivo, Complejo Asistencial Universitario de León.

Misplacement of the Percutaneous Endoscopic Gastrostomy (PEG) tube through the transverse colon mainly by traction is an uncommon complication probably due to inadvertent puncture of colon during PEG placement, resulting in gastrocolocutaneous fistula. Stool drainage through the stoma is usually the only symptom. We report a 52-year-old male with Wernicke-Korsakoff syndrome and PEG tube placement 7 months earlier and replacement one month ago. Read More

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Effects of Percutaneous Endoscopic Gastrostomy in Patients With Huntington Disease.

Neurol Clin Pract 2021 Dec;11(6):517-520

University of Vermont (EF), Burlington, VT; University of New Hampshire (AD), Manchester, NH; and Beth Israel Deaconess Medical Center (SM, EM, SF), Boston, MA.

Objective: To determine the impact of percutaneous endoscopic gastrostomy (PEG) tubes in patients with advanced Huntington disease (HD).

Methods: A retrospective chart review of patients with HD was conducted to assess the rate of pneumonia and pressure ulcer, length of life, changes in weight, and serologic nutritional measures. Surviving and deceased patients with and without PEG tubes were compared using descriptive statistical analysis. Read More

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December 2021