568 results match your criteria Percutaneous Endoscopic Gastrostomy PEG Tube Placement


An Unwonted Complication of Percutaneous Endoscopic Gastrostomy: A Case Report.

Cureus 2018 Oct 29;10(10):e3518. Epub 2018 Oct 29.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IND.

Percutaneous endoscopic gastrostomy (PEG) is a commonly used minimally invasive procedure to provide safe and durable access for long-term enteral nutrition in patients when oral feeds are not possible. The reported complications of PEG range from minor wound infections to life-threatening complications like hemorrhage and peritonitis. The buried bumper syndrome is one of the uncommon complications with a reported incidence of 0. Read More

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https://www.cureus.com/articles/15733-an-unwonted-complicati
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http://dx.doi.org/10.7759/cureus.3518DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318140PMC
October 2018
2 Reads

Gastrostomy placement : when fluoroscopy helps the endoscopist.

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):525-527

CHU Brugmann, Hepato Gastroenterology, Brussels, Belgium.

Background And Study Aims: Percutaneous endoscopic gastrostomy is the most common therapeutic procedure performed by the digestive endoscopists in the upper gastrointestinal tract. It aims to feed patients presenting denutrition and/or insufficient oral intake. Percutaneous endoscopic gastrostomy feasibility is about 95-100 % although in some cases it is impossible to achieve it, leading to ask for a surgical placement. Read More

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January 2019

Percutaneous Endoscopic Gastrostomy Tube Insertion-induced Superior Mesenteric Artery Injury Treated with Angiography.

Korean J Gastroenterol 2018 Dec;72(6):308-312

Division of Gastroenterology, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.

Percutaneous endoscopic gastrostomy (PEG) is widely used to provide nutritional support for patients with dysphagia and/or disturbed consciousness preventing oral ingestion, and PEG tube placement is a relatively safe and convenient non-surgical procedure performed under local anesthesia. However, the prevention of PEG-insertion-related complications is important. A 64-year-old man with recurrent pneumonia underwent tracheostomy and nasogastric tube placement for nutritional support and opted for PEG tube insertion for long-term nutrition. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4166/kjg.2018.72
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http://dx.doi.org/10.4166/kjg.2018.72.6.308DOI Listing
December 2018
2 Reads

Head and neck cancer PEG site metastases: Association with PEG placement method.

Head Neck 2019 Jan 7. Epub 2019 Jan 7.

Department of Surgery, Greenville Health System, Greenville, South Carolina.

Background: Many patients with head and neck cancer (HNC) will require feeding tube placement for nutritional support using percutaneous endoscopic gastrostomy (PEG) tube. Rarely, HNC metastases have been reported at the PEG site, a morbidity associated with a poor outcome.

Methods: Along with a case report, an evaluation of PEG placement methods with metastases from the literature was completed along with a statistical analysis of the literature to determine PEG site metastases and method of placement correlations. Read More

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http://dx.doi.org/10.1002/hed.25564DOI Listing
January 2019

Earlier tracheostomy and percutaneous endoscopic gastrostomy in patients with hemorrhagic stroke: associated factors and effects on hospitalization.

J Neurosurg 2019 Jan 4:1-7. Epub 2019 Jan 4.

1Department of Neurological Surgery.

OBJECTIVEExisting literature supports benefits of early tracheostomy and percutaneous endoscopic gastrostomy (PEG) in certain patient populations. The aim of this study was to review tracheostomy and PEG placement data in patients with hemorrhagic stroke in order to identify factors associated with earlier placement and to evaluate outcomes.METHODSThe authors performed a retrospective review of consecutive patients treated for hemorrhagic stroke between June 1, 2011, and June 1, 2015. Read More

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http://dx.doi.org/10.3171/2018.7.JNS181345DOI Listing
January 2019
1 Read

Radiologic versus Endoscopic Placement of Gastrostomy Tube: Comparison of Indications and Outcomes at a Tertiary Referral Center.

South Med J 2019 Jan;112(1):39-44

From the University of South Carolina School of Medicine, Greenville, the Departments of Radiology and Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, the Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and the Department of Internal Medicine, Ochsner Medical Center Jefferson, Louisiana.

Objectives: Percutaneous gastrostomy tube placement is performed in patients requiring long-term enteral nutrition. Although both endoscopic and fluoroscopic techniques may be used, there are inherent risks and potential complications associated with both procedures that are not generally known to referring physicians. The purpose of this study was to compare and contrast indications for placement and procedurally related complications between fluoroscopic and endoscopic gastrostomy tubes techniques at a tertiary care facility. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000000916DOI Listing
January 2019

Alexis St. Martin Gastropexy: A Novel Technique for Gastropexy During Percutaneous Endoscopic Gastrostomy Tube Placement.

Surg Laparosc Endosc Percutan Tech 2018 Dec 18. Epub 2018 Dec 18.

William Beaumont Hospital, Royal Oak.

Background: Percutaneous endoscopic gastrostomy (PEG) is a preferred method of long-term enteral nutritional support. Despite its ease of placement, it has a 4% major complication rate, requiring surgical intervention or hospitalization. Early PEG tube dislodgment can cause peritonitis, requiring emergent laparotomy at significant morbidity and cost. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000616DOI Listing
December 2018
4 Reads

Risk of tumor implantation in percutaneous endoscopic gastrostomy in the upper aerodigestive tumors.

Acta Biomed 2018 Dec 17;89(8-S):117-121. Epub 2018 Dec 17.

Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.

Percutaneous endoscopic gastrostomy (PEG) has become a mainstay in providing enteral access for patients with obstructive head, neck and esophageal tumors. Tumor cell implantation is a rare complication in patients with aerodigestive cancers, who have undergone PEG tube placement. The objective of this review is to determine the incidence and contributing risk factors leading to the implantation of metastases into the abdominal wall following PEG placement. Read More

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http://dx.doi.org/10.23750/abm.v89i8-S.7894DOI Listing
December 2018

Percutaneous endoscopic gastrostomy in older patients with and without dementia: Survival and ethical considerations.

J Gastroenterol Hepatol 2018 Dec 14. Epub 2018 Dec 14.

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Background And Aim: Notwithstanding multiple recommendations in guidelines, percutaneous endoscopic gastrostomy (PEG)-tube placement is still performed in patients with dementia. In this study, we aim to investigate survival in patients with and without dementia after PEG-tube placement.

Methods: We conducted a retrospective multicenter study in four different hospitals in the Netherlands. Read More

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http://dx.doi.org/10.1111/jgh.14573DOI Listing
December 2018
2 Reads

Prophylactic versus reactive gastrostomy tube placement in advanced head and neck cancer treated with definitive chemoradiotherapy: A systematic review.

Oral Oncol 2018 Dec 25;87:77-81. Epub 2018 Oct 25.

Department of Radiation Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States. Electronic address:

Although chemoradiotherapy (CRT) has improved disease outcomes in advanced head and neck cancer (aHNC), toxicity remains a major concern. Treatment interruptions and decreased quality of life (QOL) can occur due to malnutrition, secondary to mucositis, dysphagia and odynophagia. Gastrostomy tubes are used in many patients to improve nutrition during CRT. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13688375183039
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http://dx.doi.org/10.1016/j.oraloncology.2018.10.028DOI Listing
December 2018
2 Reads

Comparing Outcomes Between "Pull" Versus "Push" Percutaneous Endoscopic Gastrostomy in Acute Care Surgery: Under-Reported Pull Percutaneous Endoscopic Gastrostomy Incidence of Tube Dislodgement.

J Surg Res 2018 Dec 3;232:56-62. Epub 2018 Jul 3.

Division of Acute Care Surgery, Department of Surgery, University of Arizona, Tucson, Arizona.

Background: Percutaneous endoscopic gastrostomy (PEG) complications are often under-reported in the literature, especially regarding the incidence of tube dislodgement (TD). TD can cause significant morbidity depending on its timing. We compared outcomes between "push" and "pull" PEGs. Read More

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http://dx.doi.org/10.1016/j.jss.2018.06.011DOI Listing
December 2018
6 Reads

Laparoscopic Magnet-Assisted Percutaneous Endoscopic Gastrostomy Placement.

J Laparoendosc Adv Surg Tech A 2018 Nov 8. Epub 2018 Nov 8.

2 Division of Pediatric Surgery, UCSF Benioff Children's Hospitals , Oakland, California.

Background: There are various methods to place a gastrostomy tube. We report a laparoscopic method to place a standard percutaneous endoscopic gastrostomy (PEG) tube without the use of endoscopy.

Methods: Laparoscopic magnet-assisted PEG placement was carried out using an orogastric tube attached with a magnet that is used to retrieve the PEG wire that has been percutaneously placed into the stomach. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0343
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http://dx.doi.org/10.1089/lap.2018.0343DOI Listing
November 2018
7 Reads

Percutaneous endoscopic gastrostomy (PEG), in elderly patients with dementia and anorexia. Medical and ethical issues regarding placement.

Ann Ital Chir 2018 ;89:305-308

Background And Aims: Ethical and medico-legal issues reviews of Percutaneous Endoscopic Gastrostomy (PEG) placement in elderly patients is an important topic of international medical literature. PEG is often inappropriately placed in patients with not spontaneous oral feeding intake, cause of unrealistic expectations. We performed a critical review of the literature for placement of PEG in geriatric patients. Read More

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January 2018
1 Read

Gastrostomy Tube Placement by Radiological Methods for Older Patients Requiring Enteral Nutrition: Not to be Forgotten.

Front Med (Lausanne) 2018 26;5:274. Epub 2018 Sep 26.

Ruth and Bruce Rappaport Faculty of Medicine, Technion-Isreal Istitute of Technology, Haifa, Israel.

The use of gastrostomy tubes for long-term nutritional support in older patients is frequent. Percutaneous gastrostomy tube placement may be performed using various techniques, including endoscopic, surgical, and radiologically-guided methods. While percutaneous endoscopic gastrostomy (PEG) placement is the most widely used and accepted approach, experience with the use of percutaneous radiological gastrostomy (PRG) is more limited. Read More

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https://www.frontiersin.org/article/10.3389/fmed.2018.00274/
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http://dx.doi.org/10.3389/fmed.2018.00274DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6168734PMC
September 2018
2 Reads

Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis.

Pediatr Surg Int 2018 Dec 5;34(12):1321-1327. Epub 2018 Oct 5.

Department of Pediatric Surgery, Skåne University Hospital, 221 85, Lund, Sweden.

Purpose: A meta-analysis was performed to compare the rates of the major complications associated with two gastrostomy tube placement techniques in a pediatric population: laparoscopy-assisted gastrostomy (LAG) and percutaneous endoscopic gastrostomy (PEG).

Methods: The PubMed electronic database was queried for comparative studies of the two insertion techniques. The Newcastle-Ottawa scale (NOS) was used for the assessment of the quality and risk of bias in the included studies. Read More

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http://link.springer.com/10.1007/s00383-018-4358-6
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http://dx.doi.org/10.1007/s00383-018-4358-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244983PMC
December 2018
3 Reads

Bronchoscope-Guided Percutaneous Endoscopic Gastrostomy Tube Placement by Interventional Pulmonologists: A Feasibility and Safety Study.

J Intensive Care Med 2018 Sep 24:885066618800275. Epub 2018 Sep 24.

3 Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Background: Percutaneous endoscopic gastrostomy (PEG) tube placement is a procedure frequently done in the intensive care unit. The use of a traditional endoscope can be difficult in cases of esophageal stenosis and theoretically confers an increased risk of infection due to its complex architecture. We describe a technique using the bronchoscope, which allows navigation through stenotic esophageal lesions and also minimizes the risk of endoscopy-associated infections. Read More

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http://dx.doi.org/10.1177/0885066618800275DOI Listing
September 2018
1 Read

A ventriculoperitoneal shunt incidentally found in the stomach.

Radiol Case Rep 2018 Dec 13;13(6):1159-1162. Epub 2018 Sep 13.

Kings County Hospital Center, Brooklyn, NY, USA.

We report a case of a ventriculoperitoneal shunt incidentally found within the stomach while the patient was undergoing a percutaneous endoscopic gastrostomy (PEG) tube placement. Among the complications of ventriculoperitoneal shunt placement, bowel perforation is rare a complication found in 0.01%-0. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.08.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138861PMC
December 2018

Tolerability and safety of early enteral nutrition in children after percutaneous endoscopic gastrostomy placement: A multicentre randomised controlled trial.

Clin Nutr 2018 Aug 28. Epub 2018 Aug 28.

Department of Gastroenterology, Hepatology and Feeding Disorders, The Children's Memorial Health Institute, Warsaw, Poland. Electronic address:

Background & Aims: We assessed the tolerability and safety of implementing early enteral nutrition in children at 3 h after percutaneous endoscopic gastrostomy (PEG) placement to establish an optimum feeding mode in paediatric patients that reduced the fasting period, the inadequate nutritional support interval, and the hospitalisation time.

Methods: Children with clinical indications for PEG placement were recruited from six medical centres in Poland to participate in the study. The patients were centrally randomised to receive the first bolus feed, which comprised a polymeric diet (1 kcal/mL), via a feeding tube at 3 h (group 1) or 8 h (group 2) after PEG placement. Read More

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http://dx.doi.org/10.1016/j.clnu.2018.08.018DOI Listing
August 2018
1 Read

Predictors of Percutaneous Endoscopic Gastrostomy Placement in Acute Ischemic Stroke.

J Stroke Cerebrovasc Dis 2018 Nov 29;27(11):3200-3207. Epub 2018 Aug 29.

Department of Neurology, McGovern Medical School, Houston, Texas.

Background: Dysphagia is a common complication of stroke and can have a lasting impact on morbidity and mortality; yet there are no standards to guide dysphagia management in stroke patients. We assessed predictors of percutaneous endoscopic gastrostomy (PEG) placement in an ischemic stroke cohort and sought to determine the utility of an objective scale in predicting PEG placement in a high-risk sub-set.

Methods: Consecutive cases of ischemic stroke were retrospectively, identified and demographic and clinical variables were collected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10523057183039
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.07.022DOI Listing
November 2018
2 Reads

Gastric Ulcer from the Pressure of a Gastrostomy Tube: A Rare Cause of Upper Gastrointestinal Bleeding.

Cureus 2018 Jun 11;10(6):e2783. Epub 2018 Jun 11.

Department of Medicine, Henry J. Carter Specialty Hospital and Nursing Facility, New York, USA.

Gastrostomy tube placement is a well-known procedure for obtaining permanent enteral access and providing long-term nutritional support. Although it is usually well tolerated, a diverse array of complications can occur. A rare, and often unrecognized, complication of gastrostomy tube placement is upper gastrointestinal bleeding secondary to a gastric ulcer caused by pressure from a gastrostomy tube bumper or balloon. Read More

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http://dx.doi.org/10.7759/cureus.2783DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089491PMC
June 2018
2 Reads

Risk of gastric cancer following percutaneous endoscopic gastrostomy: A nationwide population-based cohort study.

Med Hypotheses 2018 Sep 28;118:93-97. Epub 2018 Jun 28.

Department of Radiation Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

Objectives: To investigate whether percutaneous endoscopic gastrostomy (PEG) tube placement is associated with increased risk of gastric cancer.

Methods: We conducted a nationwide population-based retrospective study in Taiwan. Inpatient data from 1997 to 2010 were collected from Taiwan National Health Insurance Research Database. Read More

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http://dx.doi.org/10.1016/j.mehy.2018.06.028DOI Listing
September 2018
4 Reads

Clinical Practice Guidelines for the Nursing Management of Percutaneous Endoscopic Gastrostomy and Jejunostomy (PEG/PEJ) in Adult Patients: An Executive Summary.

J Wound Ostomy Continence Nurs 2018 Jul/Aug;45(4):326-334

Gabriele Roveron, RN, ULSS Rovigo, Italy. Mario Antonini, RN, USL Centro Toscana, Italy. Maria Barbierato, RN, Hospital of Padova, Italy. Vita Calandrino, RN, USL Centro Toscana, Italy. Giancarlo Canese, RN, La Spezia, Italy. Lucio Fernando Chiurazzi, RN, Dorset HealthCare University NHS Foundation Trust, Dorset, UK. Gesualdo Coniglio, RN, AUSL Ferrara, Italy. Gabriele Gentini, RN, USL Nord Ovest Toscana, Italy. Mara Marchetti, RN, University of Ancona, Italy. Andrea Minucci, RN, Department of Obstetrics and Gynecology, Hospital of Grosseto, Italy. Laura Nembrini, RN, San Carlo Clinic, Paderno Dugnano, Italy. Vanessa Neri, RN, Hospital San Martino, Genova, Italy. Paola Trovato, RN, Hospital S. Anna, Cona, Ferrara, Italy. Francesco Ferrara, MD, Department of Surgery, Unit of General Surgery and Polytrauma, San Carlo Borromeo Hospital, Milan, Italy.

Enteral nutrition (EN) is the introduction of nutrients into the gastrointestinal tract through a tube placed in a natural or artificial stoma. Tubes may be passed into the stomach (gastrostomy) or the jejunum (jejunostomy) in patients who cannot obtain adequate nourishing via oral feeding. Following placement, nurses are typically responsible for management of gastrostomy or other enteral tube devices in both the acute and home care settings. Read More

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http://dx.doi.org/10.1097/WON.0000000000000442DOI Listing
January 2019
4 Reads

Risk factors for prolonged need for percutaneous endoscopic gastrostomy (PEG) tubes in adult trauma patients: Experience of a level 1 trauma.

Surgery 2018 Dec 5;164(6):1259-1262. Epub 2018 Jul 5.

Brigham and Women's Hospital, Trauma, Burns and Surgical Critical Care, Boston, MA.

Background: Percutaneous endoscopic gastrostomy tubes are a means of providing an alternative enteric route of nutrition. This study sought to identify risk factors for the prolonged need of a percutaneous endoscopic gastronomy tube (≥90 days) in adult trauma patients.

Methods: The trauma database of a level 1 trauma center was queried retrospectively to identify patients who had percutaneous endoscopic gastronomy tubes placed. Read More

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http://dx.doi.org/10.1016/j.surg.2018.05.013DOI Listing
December 2018
9 Reads

Prognostic nutritional index and early mortality with percutaneous endoscopic gastrostomy.

QJM 2018 Sep;111(9):635-641

From the Division of Gastroenterology, Department of Internal Medicine, Sapporo Shirakaba-dai Hospital, Sapporo, Japan.

Background: Although percutaneous endoscopic gastrostomy (PEG) is a well-accepted and less invasive method of feeding tube placement in patients with swallowing difficulties, complications and early death after PEG have been reported.

Aim: This study aimed to evaluate predictive factors associated with 30-day mortality after PEG, and to assess the utility of nutritional supporting period before PEG in reducing early mortality following PEG.

Design: An observational study. Read More

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http://dx.doi.org/10.1093/qjmed/hcy137DOI Listing
September 2018
5 Reads

Nurse-Assisted Percutaneous Endoscopic Gastrostomy Tube Placement Is a Safe Procedure in Adult Patients.

Gastroenterol Nurs 2018 May/Jun;41(3):219-222

Vibeke Gye, is Endoscopic Nurse, Department of Surgery, Upper G1 Section, Odense University Hospital, Odense C, Denmark. M. B. Mortensen, PhD, MD, DMSc, is with Department of Surgery, Upper G1 Section, Odense University Hospital, Odense C, Denmark.

The percutaneous endoscopic gastrostomy (PEG) procedure is normally carried out by two doctors. Preliminary experience has suggested that this procedure may be accomplished with the same safety level using one doctor and a specially trained endoscopy nurse. The aim of the study was to assess the immediate outcome and 30 days' procedure-related morbidity following nurse-assisted percutaneous endoscopic gastrostomy (NA-PEG) in an unselected population of adult patients. Read More

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http://dx.doi.org/10.1097/SGA.0000000000000275DOI Listing
December 2018

Standard Polymeric Formula Tube Feeding in Neurologically Impaired Children: A Five-Year Retrospective Study.

Nutrients 2018 May 28;10(6). Epub 2018 May 28.

Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, 98123 Messina, Italy.

Malnutrition is frequent in neurologically impaired (NI) children. Enteral feeding via gastrostomy tube is increasingly being used to provide adequate nutrition. Our aim was to assess the outcomes of exclusive gastrostomy tube feeding with standard polymeric formula in children with NI, severe oro-motor dysfunction, and malnutrition, and to investigate the role of the underlying NI-associated disease. Read More

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http://dx.doi.org/10.3390/nu10060684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024859PMC
May 2018
15 Reads

Decreasing Use of Percutaneous Endoscopic Gastrostomy Tube Feeding in Japan.

J Am Geriatr Soc 2018 Jul 25;66(7):1388-1391. Epub 2018 May 25.

Graduate School of Public Health, St. Luke's International University, OMURA Susumu & Mieko Memorial St. Luke's Center for Clinical Academia, Tokyo, Japan.

Objectives: To identify trends in percutaneous endoscopic gastrostomy (PEG) tube placement and intravenous hyperalimentation (IVH) in nonhospital settings (as a potential alternative to tube feeding for nutrition) and to summarize published reports concerning the decision-making process for PEG placement.

Design: National survey and systematic review.

Setting: Japan. Read More

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http://dx.doi.org/10.1111/jgs.15386DOI Listing

Predictive Factors for Percutaneous Endoscopic Gastrostomy Tube Placement After Anterior Cervical Fusion.

Global Spine J 2018 May 18;8(3):260-265. Epub 2017 Dec 18.

Johns Hopkins University, Baltimore, MD, USA.

Study Design: Retrospective case-control study.

Objectives: To identify incidence and risk factors for percutaneous endoscopic gastrostomy (PEG) tube placement after anterior cervical fusion (ACF).

Methods: Adult patients undergoing elective ACF with/without corpectomy for spondylosis from 2002 to 2011 were identified using the Nationwide Inpatient Sample database. Read More

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http://dx.doi.org/10.1177/2192568217713010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958480PMC
May 2018
14 Reads

Percutaneous sonographically assisted endoscopic gastrostomy for difficult cases with interposed organs.

Nutrition 2018 Oct 27;54:100-104. Epub 2018 Mar 27.

Department of Surgery, Unnan City Hospital, Shimane, Japan.

Objectives: The aim of this retrospective observational study was to clarify the usefulness and safety of percutaneous sonographically assisted endoscopic gastrostomy or duodenostomy (PSEGD) using the introduction method.

Methods: The information for the sequential 22 patients who could not undergo standard percutaneous endoscopic gastrostomy (PEG) and underwent PSEGD for 3 y was extracted and was reviewed. In standard PEG, we performed pushing out of the stomach from the mediastinum and full distention to adhere the gastric wall to the peritoneal wall without interposing of the intraperitoneal tissues by air inflation and a turning-over procedure of the endoscope, four-point square fixation of the stomach to the peritoneal wall by using a Funada-style gastric wall fixation kit under diaphanoscopy, extracorporeal thumb pushing, and in difficult cases extracorporeal ultrasound guidance, and if necessary confirmation of fixation of the gastric wall to the peritoneal wall and placement of the PEG tube without any interposed tissues by using ultrasound. Read More

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http://dx.doi.org/10.1016/j.nut.2018.02.009DOI Listing
October 2018

The Challenging Acute Buried Bumper Syndrome: A Case Report.

GE Port J Gastroenterol 2018 Apr 16;25(3):151-153. Epub 2017 Dec 16.

Gastroenterology Department, Instituto Portugu's de Oncologia do Porto, Porto, Portugal.

Percutaneous endoscopic gastrostomy (PEG) is the preferred route of feeding and nutritional support in patients requiring long-term enteral nutrition. Major complications related to the procedure are rare. Buried bumper syndrome is a late major complication, occurring in 0. Read More

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http://dx.doi.org/10.1159/000485104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5939786PMC

Push versus pull gastrostomy in cancer patients: A single center retrospective analysis of complications and technical success rates.

Diagn Interv Imaging 2018 Sep 30;99(9):547-553. Epub 2018 Apr 30.

Interventional Radiology, Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275, York avenue, New York, NY 10065, United States. Electronic address:

Purpose: To compare the technical success and complication rates of push versus pull gastrostomy tubes in cancer patients, and to examine their dependence on operator experience.

Materials And Methods: A retrospective review was performed of 304 cancer patients (170 men, 134 women; mean age 60.3±12. Read More

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http://dx.doi.org/10.1016/j.diii.2018.04.005DOI Listing
September 2018
1 Read

Trans-Hepatic Percutaneous Endoscopic Gastrostomy Tube Placement: A Case Report of A Rare Complication and Literature Review.

Gastroenterology Res 2018 Apr 7;11(2):145-149. Epub 2018 Apr 7.

Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO, USA.

Percutaneous endoscopic gastrostomy (PEG) tubes have emerged as the standard of care for long-term enteral feeding. This procedure is relatively safe; however, complications do occur, and one of the most dreaded complications is trauma to the surrounding organs. Hepatic injury during PEG placement is an extremely rare complication of the PEG procedure, with a handful of cases described in the medical literature. Read More

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http://dx.doi.org/10.14740/gr966wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916639PMC
April 2018
1 Read

Safety, Efficacy, and Cost-Analysis of Percutaneous Endoscopic Gastrostomy and Ventriculoperitoneal Shunt Placement in a Simultaneous Surgery.

World Neurosurg 2018 Jul 12;115:e233-e237. Epub 2018 Apr 12.

Department of Neurosurgery, The University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: Limited historical data suggest that concomitant placement of both a ventriculoperitoneal (VP) shunt and percutaneous endoscopic gastrostomy (PEG) tube is associated with an increased risk of complications, including VP shunt infections. Here we compare the outcomes and cost difference between 2 groups of patients, one in which a VP shunt and PEG tube were placed in the same operation and the other in which separate operations were performed.

Methods: A total of 10 patients underwent simultaneous placement of a VP shunt and PEG tube. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.024DOI Listing

Nasal unsedated seated percutaneous endoscopic gastrostomy (nuPEG): a safe and effective technique for percutaneous endoscopic gastrostomy placement in high-risk candidates.

Frontline Gastroenterol 2018 Apr 5;9(2):105-109. Epub 2017 Dec 5.

Cambridge Intestinal Failure and Transplant, Addenbrooke's Hospital, Cambridge, UK.

Objective: Percutaneous endoscopic gastrostomy (PEG) tube placement is associated with a high risk of cardiorespiratory complications in patients with significant respiratory compromise. This study reports a case series of high-risk patients undergoing PEG placement using a modified technique-nasal unsedated seated PEG (nuPEG) placement.

Design: Retrospective review of 67 patients at high risk of complications undergoing PEG placement between September 2012 and December 2016. Read More

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http://dx.doi.org/10.1136/flgastro-2017-100894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868436PMC
April 2018
3 Reads

Gastric Outlet and Duodenal Obstruction as a Complication of Migrated Gastrostomy Tube: Report of Two Cases and Literature Review.

Gastroenterology Res 2018 Feb 23;11(1):71-74. Epub 2018 Feb 23.

Department of Internal Medicine, SBH Health System, 4422 Third Ave, Bronx, NY 10457, USA.

Percutaneous endoscopic gastrostomy (PEG) is a well-recognized procedure for providing enteral feeding and long-term enteral nutritional support. Although it is mostly well tolerated, complications, sometimes mechanical in nature, do occur. Rare, and often initially unrecognized, late complications of PEG tube placement are gastric outlet obstruction and duodenal obstruction. Read More

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http://dx.doi.org/10.14740/gr954wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827908PMC
February 2018
3 Reads

Percutaneous endoscopic gastrostomy site infections-Incidence and risk factors.

Indian J Gastroenterol 2018 03 23;37(2):103-107. Epub 2018 Feb 23.

Department of Gastroenterology, Amrita Institute of Medical Sciences, Ponekkara, Kochi, 682 041, India.

Background: Percutaneous endoscopic gastrostomy (PEG) placement is the modality of choice for long-term enteral nutrition in view of technical ease and cost-effectiveness. Peristomal infection (PI) remains the most common complication following PEG tube placement. The aim of this study was to assess the incidence and risk factors for PI and outline a microbiological profile that can aid in prophylactic and therapeutic strategies. Read More

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http://dx.doi.org/10.1007/s12664-018-0822-4DOI Listing
March 2018
2 Reads

Race Differences in Gastrostomy Tube Placement After Stroke in Majority-White, Minority-Serving, and Racially Integrated US Hospitals.

Dysphagia 2018 10 21;33(5):636-644. Epub 2018 Feb 21.

Department of Neurology, Johns Hopkins University School of Medicine, 600 N Wolfe Street, Phipps 484, Baltimore, MD, 21287, USA.

We sought to determine individual and system contributions to race disparities in percutaneous endoscopic gastrostomy (PEG) tube placement after stroke. Ischemic stroke admissions were identified from the Nationwide Inpatient Sample between 2007 and 2011. Hospitals were categorized based on the percentage of ethnic/racial minority stroke patients (< 25% ethnic/racial minorities ["majority-white hospitals"], 25-50% ethnic/racial minorities ["racially integrated hospitals"], or > 50% ethnic/racial minorities ["minority-serving hospitals"]). Read More

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http://dx.doi.org/10.1007/s00455-018-9882-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103905PMC
October 2018
3 Reads

Percutaneous endoscopic gastrostomy (PEG) versus radiologically inserted gastrostomy (RIG): A comparison of outcomes at an Australian teaching hospital.

Clin Nutr ESPEN 2018 02 27;23:136-140. Epub 2017 Nov 27.

Department of Gastroenterology and Hepatology, Flinders Medical Centre, South Australia, Australia.

Objective: Gastrostomy tubes for enteral nutrition are most commonly inserted via percutaneous endoscopic gastrostomy (PEG) or radiologically inserted gastrostomy (RIG) techniques. The current study aimed to compare clinical outcomes and complication rates in patients who underwent PEG and RIG procedures at a tertiary teaching hospital in Australia.

Methods: A retrospective review was conducted on patients who underwent PEG or RIG tube insertion between February 2013 and February 2015 at Flinders Medical Centre, Australia. Read More

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http://dx.doi.org/10.1016/j.clnesp.2017.10.014DOI Listing
February 2018
12 Reads

Initial experience with percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients.

Endosc Int Open 2018 Feb 1;6(2):E179-E185. Epub 2018 Feb 1.

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Background And Study Aims:  Insertion of a percutaneous endoscopic gastrostomy (PEG) with push-through technique and T-fastener fixation (PEG-T) has recently been introduced in pediatric patients. The T-fasteners allow a primary insertion of a balloon gastrostomy. Due to limited data on the results of this technique in children, we have investigated peri- and postoperative outcomes after implementation of PEG-T in our department. Read More

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http://dx.doi.org/10.1055/s-0043-122227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5794435PMC
February 2018
2 Reads

Impact of Gastrostomy Feeding Tube Placement on the 1-Year Trajectory of Care in Patients After Stroke.

Nutr Clin Pract 2018 Aug 3;33(4):553-566. Epub 2018 Feb 3.

Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston, South Carolina, USA.

Background: Percutaneous endoscopic gastrostomy (PEG) feeding tubes are commonly placed in acute stroke patients with a need for enteral nutrition. However, PEG tubes are associated with medical complications and a decrease in quality of life. We compared the 1-year care trajectory of stroke patients with and without PEG tube placement to enhance knowledge about the long-term impact of PEG tube placement. Read More

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http://dx.doi.org/10.1002/ncp.10015DOI Listing
August 2018
4 Reads

Weight Loss and Percutaneous Endoscopic Gastrostomy Tube Placement during Chemoradiotherapy for Locally Advanced Cancer of the Oropharynx Do Not Negatively Impact Outcomes.

Front Oncol 2017 5;7:299. Epub 2017 Dec 5.

Department of Medical Oncology, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, United States.

Objectives: Concurrent chemoradiotherapy is standard of care in locally advanced oropharyngeal cancer (LA-OPC). This treatment regimen results in significant acute toxicities. This study investigates the effect of treatment-related toxicity on patient outcomes. Read More

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http://dx.doi.org/10.3389/fonc.2017.00299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770811PMC
December 2017
2 Reads

Minority race and male sex as risk factors for non-beneficial gastrostomy tube placements after stroke.

PLoS One 2018 19;13(1):e0191293. Epub 2018 Jan 19.

Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.

Background: Percutaneous endoscopic gastrostomy (PEG) tubes are widely used for enteral feeding after stroke; however, PEG tubes placed in patients in whom death is imminent are considered non-beneficial.

Aim: We sought to determine whether placement of non-beneficial PEG tubes differs by race and sex.

Design And Setting/participants: In this retrospective cohort study, inpatient admissions for stroke patients who underwent palliative/withdrawal of care, were discharged to hospice, or died during the hospitalization, were identified from the Nationwide Inpatient Sample between 2007 and 2011. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0191293PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774766PMC
February 2018
6 Reads

Usage characteristics and adverse event rates ​of the direct puncture and pull techniques for percutaneous endoscopic gastrostomy in patients with malignant tumors of the upper aerodigestive tract.

Endosc Int Open 2018 Jan 12;6(1):E29-E35. Epub 2018 Jan 12.

Klinikum St. Georg, Klinik für Gastroenterologie und Hepatologie, Leipzig, Germany.

Background And Study Aims:  Patients with malignant tumors of the upper gastrointestinal tract are at risk of weight loss. Early supportive nutrition therapy is therefore recommended and usually requires placement of a percutaneous endoscopic gastrostomy (PEG). The aim of this study was to compare adverse events and usage characteristics of the direct puncture technique with those of the traditional pull technique when used in patients with endoscopically passable tumors. Read More

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http://dx.doi.org/10.1055/s-0043-121879DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766340PMC
January 2018
4 Reads

Head and Neck Cancer Tumor Seeding at the Percutaneous Endoscopic Gastrostomy Site.

Authors:
June R Greaves

Nutr Clin Pract 2018 Feb 11;33(1):73-80. Epub 2018 Jan 11.

Coram CVS Specialty Infusion Services, Denver, Colorado, USA.

The National Institutes of Health National Cancer Institute estimates that over 13,000 new cases of head and neck cancer (HNC) will be diagnosed in 2017. Patients with HNC often require enteral nutrition (EN) via gastrostomy tube to provide nutrition support and hydration because of tumor obstruction of the oropharynx and/or cumulative effects of chemoradiation therapy. The percutaneous endoscopic gastrostomy (PEG) tube has become the preferred technique for EN access because placement is considered a minimally invasive procedure. Read More

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http://dx.doi.org/10.1002/ncp.10021DOI Listing
February 2018
4 Reads

Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits?

Clin Endosc 2018 May 9;51(3):260-265. Epub 2018 Jan 9.

Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

Background/aims: To present a single center's experience with percutaneous endoscopic gastrostomy (PEG) tube placement in infants.

Methods: Clinical records of infants who underwent PEG tube placement between January 2010 and December 2015 were reviewed. All patients underwent an upper gastrointestinal contrast study and an abdominal ultrasonography before the procedure. Read More

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http://dx.doi.org/10.5946/ce.2017.137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997076PMC
May 2018
6 Reads

Comparison of laparoscopic jejunostomy tube to percutaneous endoscopic gastrostomy tube with jejunal extension: long-term durability and nutritional outcomes.

Surg Endosc 2018 May 7;32(5):2496-2504. Epub 2017 Dec 7.

Section of Surgical Endoscopy, Department of General Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH, 44195, USA.

Introduction: Enteral access through the jejunum is indicated when patients cannot tolerate oral intake or gastric feeding. While multiple approaches for feeding jejunal access exist, few studies have compared the efficacy of these techniques. The purpose of this study was to investigate the long-term durability, re-intervention rates, and nutritional outcomes following percutaneous endoscopic gastrostomy tubes with jejunal extension tubes (PEG-JET) versus laparoscopic jejunostomy tubes (j-tubes). Read More

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http://dx.doi.org/10.1007/s00464-017-5954-6DOI Listing
May 2018
30 Reads

A retrospective matched cohort study evaluating the effects of percutaneous endoscopic gastrostomy feeding tubes on nutritional status and survival in patients with advanced gastroesophageal malignancies undergoing systemic anti-cancer therapy.

PLoS One 2017 29;12(11):e0188628. Epub 2017 Nov 29.

Western Regional Medical Center, Cancer Treatment Centers of America, Goodyear, Arizona, United States of America.

Background: Many patients with cancer or other systemic illnesses can experience malnutrition. One way to mitigate malnutrition is by insertion of a percutaneous endoscopic gastrostomy feeding tube (PEG tube). The goal of this retrospective matched cohort study is to evaluate if PEG tube placement improved nutritional status and overall survival (OS) in advanced gastroesophageal (GE) cancer patients who are undergoing anti-neoplastic therapy. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0188628PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5706679PMC
January 2018
11 Reads

Safety of Trans-Nasal Percutaneous Endoscopic Gastrostomy Placement.

J Coll Physicians Surg Pak 2017 Dec;27(12):751-753

Department of Gastroenterology, Liaquat National Hospital, Karachi.

Objective: To evaluate the safety of trans-nasal percutaneous endoscopic gastrostomy (TPEG) placement for nutrition in patients where oral approach is not possible.

Study Design: Case-series.

Place And Duration Of Study: April 2010 to April 2016 in the Department of Gastroenterology at Liaquat National Hospital, Karachi. Read More

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http://dx.doi.org/2765DOI Listing
December 2017
2 Reads