609 results match your criteria Percutaneous Endoscopic Gastrostomy PEG Tube Placement


Variability in the Method of Gastrostomy Placement in Children.

Children (Basel) 2020 Jun 1;7(6). Epub 2020 Jun 1.

Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Children's Wisconsin, Milwaukee, WI 53226, USA.

Although gastrostomy placement is one of the most common procedures performed in children, the optimal technique remains unclear. The purpose of this study was to evaluate variability in the method of gastrostomy tube placement in children in the United States. Patients <18 years old undergoing percutaneous endoscopic gastrostomy (PEG) or surgical gastrostomy (SG) (including open or laparoscopic) from 1997 to 2012 were identified using the Kids' Inpatient Database. Read More

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http://dx.doi.org/10.3390/children7060053DOI Listing

Dose and Volume De-Escalation for Human Papillomavirus-Positive Oropharyngeal Cancer is Associated with Favorable Posttreatment Functional Outcomes.

Int J Radiat Oncol Biol Phys 2020 Apr 18. Epub 2020 Apr 18.

Department of Radiation and Cellular Oncology, University of Chicago Medicine, Chicago, Illinois. Electronic address:

Purpose: To report functional outcomes for patients with human papillomavirus-positive oropharyngeal cancer treated on a phase 2 protocol of risk- and induction chemotherapy response-adapted dose and volume de-escalated radiation therapy (RT)/chemoradiation (CRT).

Methods And Materials: Patients were stratified as low risk (LR) or high risk (HR) according to T/N-stage and smoking history. Induction chemotherapy was followed by radiographic response assessment. Read More

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http://dx.doi.org/10.1016/j.ijrobp.2020.04.014DOI Listing

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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http://dx.doi.org/10.1186/s12876-020-01218-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106845PMC

Risk of ventriculoperitoneal shunt infection with coexisting percutaneous endoscopic gastrostomy tube and associated factors.

Heliyon 2020 Mar 18;6(3):e03523. Epub 2020 Mar 18.

Department of Surgery, Division of Trauma and Critical Care, Medical University of South Carolina, 96 Jonathan Lucas St. CSB 416, Charleston, SC, 29425, USA.

Objectives: Percutaneous endoscopic gastrostomy (PEG) tubes and ventriculoperitoneal shunts (VPS) are commonly placed in neurologically impaired patients. There is concern about safety of VPS coexisting with PEG tubes due to the potential for an increased risk of infection. In this study, we assess the risk of VPS infection and the amount of time between both procedures. Read More

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http://dx.doi.org/10.1016/j.heliyon.2020.e03523DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082506PMC

Do Antibiotics Reduce the Incidence of Infections after Percutaneous Endoscopic Gastrostomy Placement in Children?

J Pediatr Gastroenterol Nutr 2020 Mar 20. Epub 2020 Mar 20.

Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Pediatric Gastroenterology, Amsterdam, the Netherlands.

Objective: Percutaneous endoscopic gastrostomy (PEG) provides a long-term solution for tube dependency. Pediatric guidelines recommend prophylactic antibiotic treatment (ABT) based on adult studies.

Aim: To compare wound infection and other complications in children receiving a PEG with and without prophylactic ABT. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002709DOI Listing

Pseudovolvulus of the sigmoid colon after percutaneous endoscopic gastrostomy tube placement: A case report.

Int J Surg Case Rep 2020 28;68:166-169. Epub 2020 Feb 28.

Emergency and Critical Care Center, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, 710-8602, Japan.

Introduction: Percutaneous endoscopic gastrostomy (PEG) provides long-term enteral nutritional access for patients with inability to eat. Although considered safe, PEG tube placement is associated with complications. We report a rare case of PEG-related sigmoid colon pseudovolvulus. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066030PMC
February 2020

Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube.

Case Rep Gastrointest Med 2020 12;2020:4516032. Epub 2020 Feb 12.

Gastroenterology and Hepatology Department, Digestive Diseases Institute, Cleveland Clinic, Cleveland, OH, USA.

Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. Read More

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http://dx.doi.org/10.1155/2020/4516032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037529PMC
February 2020

Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube.

Case Rep Gastrointest Med 2020 11;2020:7262514. Epub 2020 Feb 11.

Department of Gastroenterology, Bronx Care Health Systems-Affiliate of Mount Sinai Hospital Systems, Bronx, NY 10457, USA.

Percutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there is bound to be complications. Some of the encountered complications include bleeding, site infection, tube migration, and inadvertent creation of fistula. Read More

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http://dx.doi.org/10.1155/2020/7262514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036111PMC
February 2020

First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Species with Literature Review.

Case Rep Gastrointest Med 2020 16;2020:4397930. Epub 2020 Jan 16.

Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.

species (spp.) peritonitis has seldom been identified in medical literature. Scarce cases of peritonitis described previously have been correlated with peritoneal dialysis and more sparingly with spontaneous bacterial peritonitis. Read More

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http://dx.doi.org/10.1155/2020/4397930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007964PMC
January 2020

Percutaneous Endoscopic Gastrostomy Tube Placement in Patients with Head and Neck Cancer Treated with Radiotherapy.

Cancer Manag Res 2020 8;12:127-136. Epub 2020 Jan 8.

Department of Radiation Oncology, University Hospital of Heidelberg, Heidelberg 69120, Germany.

Background And Aim: The primary aim of our study was to evaluate percutaneous endoscopic gastrostomy (PEG) tube placement depending on body weight and body mass index in patients undergoing radiotherapy (RT) for head and neck cancer (HNC). A secondary aim was to evaluate the course of weight change following PEG placement.

Methods: We retrospectively reviewed the medical records of 186 patients with HNC undergoing radiotherapy (RT) or chemoradiotherapy (CRT) at our institution between January 2010 and August 2017. Read More

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http://dx.doi.org/10.2147/CMAR.S218432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955619PMC
January 2020

Safety of Prophylactic Gastrostomy Tube Placement and Gastrostomy Tube Usage in Patients Treated by Radio(chemo)therapy for Head and Neck Cancer.

Anticancer Res 2020 Feb;40(2):1167-1173

Department of Otolaryngology, Head and Neck Surgery, University Hospital Leipzig, Leipzig, Germany

Background: A gastrostomy feeding tube is one method for long-term feeding support in patients undergoing radio(chemo)therapy for head and neck cancer (HNC). The aim of this study was to analyze the safety of prophylactic gastrostomy tube placement and usage in HNSCC patients.

Patients And Methods: HNC patients undergoing percutaneous endoscopic gastrostomy (PEG) or radiological percutaneous gastrostomy (RPG) tube placement prior to radio(chemo)therapy from 2010-2014 were retrospectively reviewed regarding procedural and long-term gastrostomy tube-related complications, usage of PEG/RPG, weight profile, pretreatment and posttreatment body mass index. Read More

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http://dx.doi.org/10.21873/anticanres.14059DOI Listing
February 2020

The Effectiveness of Laparoscopic-assisted Percutaneous Endoscopic Gastrostomy in Patients with Unfavorable Anatomy: A Single-center Retrospective Cohort Study.

Cureus 2020 Jan 13;12(1):e6647. Epub 2020 Jan 13.

Surgery, Delray Medical Center, Delray Beach, USA.

Percutaneous endoscopic gastrostomy (PEG) is an easy means to provide enteral access in patients unable to maintain adequate nutrition via the oral route. In patients with morbid obesity, altered intra-abdominal anatomy due to prior abdominal surgery, the interposition of the colon or other factors precluding endoscopy, feeding tube placement by laparoscopic means (LAPEG) can provide a potentially safe alternative. The objective of this study was to examine the efficacy and outcomes of laparoscopic-assisted placement of PEG in adult patients. Read More

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http://dx.doi.org/10.7759/cureus.6647DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968833PMC
January 2020

Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach.

Asian J Endosc Surg 2020 Jan 12. Epub 2020 Jan 12.

School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Introduction: Percutaneous endoscopic gastrostomy (PEG) is the most common way of inserting a gastrostomy tube. If PEG is not appropriate for a patient, then the laparoscopic or open technique should be used. Here, we introduce a new laparoscopic technique for inserting a gastrostomy tube. Read More

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http://dx.doi.org/10.1111/ases.12780DOI Listing
January 2020

RISK FACTORS ASSOCIATED WITH EARLY MORTALITY AFTER PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN PATIENTS AT A TERTIARY CARE CENTER IN BRAZIL: A RETROSPECTIVE SINGLE-CENTER SURVIVAL STUDY.

Arq Gastroenterol 2019 Oct-Dec;56(4):412-418

Universidade de Pernambuco, Faculdade de Ciências Médicas, Recife, PE, Brasil.

Background: Percutaneous endoscopic gastrostomy (PEG) is the main accepted method for long-term tube feeding.

Objective: To investigate the risk factors associated with early mortality after PEG.

Methods: Retrospective survival analysis in a tertiary-level center in Recife, Brazil. Read More

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http://dx.doi.org/10.1590/S0004-2803.201900000-83DOI Listing
January 2020

Pneumoperitoneum and PEG Dislodgement Secondary to Noninvasive Ventilation after PEG Tube Placement.

Am Surg 2019 Nov;85(11):1308-1309

We present a previously undescribed complication after noninvasive ventilation (NIV) for respiratory failure in a patient who required percutaneous endoscopic gastrostomy (PEG) tube placement for long-term nutrition after a complicated coronary bypass operation. A 54-year-old female diagnosed with unilateral vocal cord paralysis after emergent coronary artery bypass grafting (CABG) underwent an uncomplicated PEG tube placement. She was placed on intermittent NIV because of respiratory failure 24 hours after PEG placement, and NIV was continued for several days. Read More

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November 2019

Laparoscopic Repair of a Gastrocolocutaneous Fistula: Percutaneous Endoscopic Gastrostomy Placement Complications in Children.

J Laparoendosc Adv Surg Tech A 2020 Feb 19;30(2):216-220. Epub 2019 Nov 19.

Department of Pediatric General Surgery, Regina Margherita Children's Hospital, University Hospital of Health and Science, Turin, Italy.

Gastrostomy tube placement (G-Tube) is a frequently offered procedure in children with feeding difficulties. Various procedures exist for G-Tube, with the pull technique more commonly used for a percutaneous endoscopic gastrostomy (PEG) in children, considered by many to be the safer approach. Major complications requiring reoperation range from 3% to 5%, depending on the study. Read More

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http://dx.doi.org/10.1089/lap.2019.0517DOI Listing
February 2020

PEG use in patients with squamous cell carcinoma.

Authors:
Jacobo Dib

Rev Esp Enferm Dig 2019 12;111(12):978

Gastroenterologia, Hospital de Lidice, Venezuela.

I read with great interest the paper by Sousa M. Tumor seeding of the fistula tract should be suspected in patients with a previous history of esophageal or nasopharynx squamous cell carcinoma who have undergone a Percutaneous Endoscopic Gastrostomy (PEG) with a persistent gastrocutaneous fistula. Especially after the use of an OTSC. Read More

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http://dx.doi.org/10.17235/reed.2019.6381/2019DOI Listing
December 2019

The one that got away: a rare complication after PEG tube placement.

Rev Esp Enferm Dig 2019 12;111(12):975

Gastrenterology, Hospital de Braga.

A 74 year-old male patient was admitted to the emergency department due to diarrhea of a one-month duration. The patient had 5 to 7 bowel movements/day of liquid stool, without blood or mucus. He had also undergone a percutaneous endoscopic gastrostomy (PEG) tube placement 10 weeks previously due to post-stroke dysphagia, with endoscopic confirmation of its correct positioning. Read More

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http://dx.doi.org/10.17235/reed.2019.6426/2019DOI Listing
December 2019

Perioperative complications with multilevel anterior and posterior cervical decompression and fusion.

J Neurosurg Spine 2019 Sep 20:1-6. Epub 2019 Sep 20.

1Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois; and.

Objective: Cervical spondylotic myelopathy (CSM) is a progressive degenerative pathology that frequently affects older individuals and causes spinal cord compression with symptoms of neck pain, radiculopathy, and weakness. Anterior decompression and fusion is the primary intervention to prevent neurological deterioration; however, in severe cases, circumferential decompression and fusion is necessary. Published data regarding perioperative morbidity associated with these complex operations are scarce. Read More

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http://dx.doi.org/10.3171/2019.6.SPINE198DOI Listing
September 2019

Percutaneous endoscopic versus radiologic gastrostomy for enteral feeding: a retrospective analysis on outcomes and complications.

Endosc Int Open 2019 Nov 23;7(11):E1487-E1495. Epub 2019 Oct 23.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, The Netherlands.

 Percutaneous endoscopic gastrostomy (PEG) and percutaneous radiologic gastrostomy (PRG) are techniques used for long-term enteral feeding. Our primary aim was to analyze procedure-related and 30-day mortality and complications between PEG and PRG in relation to indications.  A single-center retrospective analysis was performed thath included all adult patients receiving initial PEG (January 2008 until April 2016) and PRG (January 2010 until April 2016). Read More

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http://dx.doi.org/10.1055/a-0953-1524DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6811353PMC
November 2019
1 Read

Biomechanical comparison of two percutaneous gastropexy techniques for securing percutaneous endoscopic gastrostomy tubes in canine cadavers.

Am J Vet Res 2019 Nov;80(11):1020-1025

Objective: To biomechanically assess outcomes for 2 percutaneous gastropexy techniques and determine the amount of time necessary to perform the techniques for securing percutaneous endoscopic gastrostomy (PEG) tubes in canine cadavers.

Animals: 18 canine cadavers.

Procedures: 6 cadavers were assigned to each of 3 groups (PEG tube only, PEG tube with T-fastener gastropexy, and PEG tube with U-stitch gastropexy). Read More

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http://dx.doi.org/10.2460/ajvr.80.11.1020DOI Listing
November 2019

Incisional Hernia After Percutaneous Endoscopic Gastrostomy Tube Placement: Importance of Avoiding the Linea Alba.

ACG Case Rep J 2019 Jul 16;6(7):e00120. Epub 2019 Jul 16.

Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ.

A gastrostomy tube passes from a patient's stomach through the abdominal wall and allows for direct enteral access. An alternative to an open gastrostomy, a percutaneous endoscopic gastrostomy (PEG) is typically favored because it is a less invasive option. However, a thorough understanding of the anatomy involved is paramount to prevent complications, regardless of what technique is chosen for placement. Read More

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http://dx.doi.org/10.14309/crj.0000000000000120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722355PMC
July 2019
2 Reads

Comparison of Tolerance and Complication Rates Between Early and Delayed Feeding After Percutaneous Endoscopic Gastrostomy Placement in Children.

J Pediatr Gastroenterol Nutr 2020 Jan;70(1):55-58

Division of Gastroenterology, Johns Hopkins All Children's Hospital, St. Petersburg, FL.

Background: Enteral nutrition is commonly initiated 24 hours after percutaneous endoscopic gastrostomy (PEG) in children. Adult studies report safe refeeding within 1 to 6 hours of PEG, and these findings have been cautiously applied to children. Comparative studies assessing early versus next-day refeeding in children are currently lacking. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002503DOI Listing
January 2020
3 Reads

Percutaneous Endoscopic Gastrostomy with Jejunal Extension Tube for the Delivery of Levodopa Carbidopa Intestinal Gel: Clinical Practice Guidelines of the Romanian Society of Digestive Endoscopy.

J Gastrointestin Liver Dis 2019 Sep 1;28(3):349-354. Epub 2019 Sep 1.

Regional Institute of Gastroenterology and Hepatology Cluj-Napoca, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Percutaneous endoscopic gastrostomy with jejunal extension (PEG/J) was first described in 1998 and has become the standard technique for fixing the tube in place for levodopa carbidopa intestinal gel (LCIG) infusion. The Romanian Society of Digestive Endoscopy (RSDE) decided to create a consensus paper to meet the needs in medical training and practice. After reviewing the available published data and existing recommendations, a consensus process was carried out involving the leaders of opinion in this field. Read More

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http://dx.doi.org/10.15403/jgld-404DOI Listing
September 2019
2 Reads

A comparison of laparoscopic gastrostomy tubes and percutaneous endoscopic gastrostomy in infants: results from a single institution.

J Pediatr Surg 2019 Nov 5;54(11):2453-2456. Epub 2019 Jul 5.

Department of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, CT, USA. Electronic address:

Background/purpose: Laparoscopic gastrostomy (LG) and percutaneous endoscopic gastrostomy (PEG) are two common methods for gastrostomy feeding tube placement in children. There have been limited studies evaluating these surgical interventions in infants under 12 months of age.

Methods: This study is a retrospective review of 186 patients who underwent either LG or PEG placement over a 5-year period at a single institution. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.06.024DOI Listing
November 2019

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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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2019-23072
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http://dx.doi.org/10.1136/bcr-2019-230728DOI Listing
September 2019
2 Reads

A Comprehensive Examination of Percutaneous Endoscopic Gastrostomy and Its Association with Amyotrophic Lateral Sclerosis Patient Outcomes.

Brain Sci 2019 Sep 4;9(9). Epub 2019 Sep 4.

Laboratory for Pathology Dynamics, Department of Biomedical Engineering, Georgia Institute of Technology and Emory University School of Medicine, Atlanta, GA 30332, USA.

There is literature discord regarding the impact of percutaneous endoscopic gastrostomy (PEG), or "feeding tube", on amyotrophic lateral sclerosis (ALS) outcomes. We assess one of the largest retrospective ALS cohorts to date (278 PEG users, 679 non-users). Kruskal-Wallis and Kaplan-Meier analysis compared cohort medians and survival duration trends. Read More

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http://dx.doi.org/10.3390/brainsci9090223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770872PMC
September 2019
2 Reads

Prophylactic percutaneous endoscopic gastrostomy in patients with head and neck cancer: Influence on nutritional status, utilisation rate and complications.

Int J Clin Pract 2019 Nov 13;73(11):e13405. Epub 2019 Sep 13.

Department of Internal Medicine 1, University Hospital Frankfurt, Frankfurt am Main, Germany.

Background: Patients with head and neck cancer (HNC) are at high risk for malnutrition because of tumour localisation and therapy. Prophylactic percutaneous endoscopic gastrostomy (PEG) tube placement is common practice to prevent malnutrition.

Objective: To investigate the benefits of prophylactic PEG tube placement for HNC patients in terms of the influence on patients' nutritional status, utilisation rate, complications and to identify the predictors of PEG tube utilisation. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ijcp.13405
Publisher Site
http://dx.doi.org/10.1111/ijcp.13405DOI Listing
November 2019
5 Reads

Exploratory study on gastrostomy in patients with neurological diseases: usefulness and impact.

Neurologia 2019 Jul 20. Epub 2019 Jul 20.

Servicio Social de Cuidados Paliativos, Universidad Nacional Autónoma de México, México.

Introduction: Percutaneous endoscopic gastrostomy (PEG) is a useful intervention for patients with impaired swallowing and a functional gastrointestinal system. Neurological diseases that cause neuromotor dysphagia, brain tumors, and cerebrovascular disease are the most frequent indications; complications are rare, and morbidity and mortality rates are low.

Objective: To describe the usefulness of PEG in patients with neurological diseases, and its impact on care, survival, and costs and benefits. Read More

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http://dx.doi.org/10.1016/j.nrl.2019.04.003DOI Listing
July 2019
4 Reads

Gastrostomy Placement and Management in Children: A Single-Center Experience.

Nutrients 2019 Jul 10;11(7). Epub 2019 Jul 10.

Department of Paediatric Surgery, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, via dell'Istria 65/1, 34137 Trieste, Italy.

Background: To prevent malnutrition and food aspiration in children with chronic neuromuscular problems, enteral nutrition provided by gastrostomy is recommended. Long-term follow-up data about surgical and medical complications of PEG are available, but few papers have addressed all of the issues in the same series.

Methods: This retrospective study enrolled patients under 18 years who had a gastrostomy tube placed at our institution between 2003 and 2017. Read More

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http://dx.doi.org/10.3390/nu11071555DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6683077PMC
July 2019
9 Reads

Anterograde Gastroduodenal Intussusception: A Rare but Lethal Complication of Percutaneous Endoscopic Gastrostomy Tube Placement.

Cureus 2019 Mar 30;11(3):e4347. Epub 2019 Mar 30.

Internal Medicine, East Tennessee State University, Johnson City, USA.

Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the methods of providing enteral nutrition support and is often used in critically ill patients. There are several complications of PEG tube placement, including intussusception. Jejunojejunal and retrograde jejunoduodenogastric intussusception are well-documented complications of PEG tube placement. Read More

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http://dx.doi.org/10.7759/cureus.4347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6541164PMC
March 2019
6 Reads

The Buried Bumper Syndrome: A Catastrophic Complication of Percutaneous Endoscopic Gastrostomy.

Cureus 2019 Mar 27;11(3):e4330. Epub 2019 Mar 27.

Gastroenterology, University of Miami, John F Kennedy Regional Campus, Atlantis, USA.

Percutaneous endoscopic gastrostomy (PEG) is a safe and widely used method of providing enteral nutrition in patients unable to tolerate per oral intake. Common complications include gastrointestinal bleeding, dislodgment, perforation, abdominal wall abscess, and aspiration. "Buried bumper syndrome" (BBS) is a rare but potentially fatal complication resulting in malfunction of the tube, gastric perforation, bleeding, and peritonitis. Read More

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http://dx.doi.org/10.7759/cureus.4330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538410PMC
March 2019
7 Reads

Pre-operative percutaneous endoscopic gastrostomy tube placement does not increase post-operative complications or mortality in oesophageal cancer.

J Gastrointest Oncol 2019 Jun;10(3):492-498

Department of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital & Research Center (SKMCH & RC), Lahore, Pakistan.

Background: The percutaneous endoscopic gastrostomy (PEG) tube in patients with oesophageal cancer is controversial, owing to a perceived risk of tumour seeding at the PEG site, theoretical difficulty in formation of gastric conduit during oesophagectomy and a fear of increased post-operative complications, including anastomotic leak. We aimed to assess the impact of PEG tubes on nutritional status and post-operative complications in patients with oesophageal cancer who underwent PEG tube insertion prior to neo-adjuvant treatment.

Methods: We performed a retrospective review of 800 patients with oesophageal or gastro oesophageal junction (GOJ) cancer, who underwent PEG insertion from June, 2010 to May, 2015. Read More

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http://dx.doi.org/10.21037/jgo.2019.03.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534724PMC
June 2019
11 Reads

Technique and outcome of percutaneous endoscopic transgastric jejunostomy for continuous infusion of levodopa-carbidopa intestinal gel for treatment of Parkinson's disease.

Scand J Gastroenterol 2019 Jun 24;54(6):787-792. Epub 2019 May 24.

Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University School of Medicine , Tokyo , Japan.

A new method of drug delivery via the small bowel, continuous infusion of levodopa-carbidopa intestinal gel (LCIG), for patients with advanced Parkinson's disease (PD) has been developed and shown to improve patients' quality of life. Levodopa is infused directly and continuously into the proximal jejunum via a percutaneous endoscopic transgastric jejunostomy (PEG-J) tube that is connected to a portable infusion pump. The aim of this study was to evaluate the safety and outcomes of our PEG-J technique performed in advance of LCIG therapy in patients with advanced PD. Read More

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http://dx.doi.org/10.1080/00365521.2019.1619830DOI Listing
June 2019
7 Reads

Percutaneous Endoscopic Gastrostomy After Cardiac Surgery: A Temporary Measure in a High-Risk Cohort.

Ann Thorac Surg 2019 10 23;108(4):1140-1145. Epub 2019 Apr 23.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, Virginia. Electronic address:

Background: A subset of patients who undergo cardiac surgery require percutaneous endoscopic gastrostomy (PEG) tube for enteral access to receive nutritional support. There are limited data evaluating the outcomes of these patients and the duration of nutritional support required.

Methods: All cardiac surgery patients (1994 to 2017) were stratified by postoperative PEG requirement. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6755053PMC
October 2019
3 Reads

Complications and early mortality in percutaneous endoscopic gastrostomy placement in lombardy: A multicenter prospective cohort study.

Dig Liver Dis 2019 10 20;51(10):1380-1387. Epub 2019 Apr 20.

Clinica San Carlo, Paderno Dugnano, Italy.

Background: Percutaneous endoscopic gastrostomy (PEG) is the most common endoscopic procedure used to provide nutritional support.

Aim: To prospectively evaluate the mortality and complication incidences after PEG insertion or replacement.

Methods: All patients who underwent PEG insertion or replacement were included. Read More

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http://dx.doi.org/10.1016/j.dld.2019.03.024DOI Listing
October 2019
11 Reads

Percutaneous endoscopic gastrostomy for refractory epilepsy and medication refusal.

Arch Dis Child 2019 07 4;104(7):690-692. Epub 2019 Mar 4.

Department of Neurology, Our Lady's Children's Hospital, Dublin, Ireland.

Objective: Current guidelines for percutaneous endoscopic gastrostomy (PEG) placement focus largely on maintaining enteral feeding when oral feeding is no longer possible or adequate with an emphasis on nutrition and quality of life (QOL). Previous publications have also alluded to potential benefits in medication adherence, for example, in children with HIV, renal disease and neurodisability. We describe a cohort of children with refractory epilepsy who refused oral medication and in whom PEG tube placement was initiated for the purpose of drug administration. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315629DOI Listing
July 2019
10 Reads

Physician opinions on decision making for percutaneous endoscopic gastrostomy (PEG) feeding tube placement.

Surg Endosc 2019 12 26;33(12):4089-4097. Epub 2019 Feb 26.

Department of Surgery, Western Michigan University, Kalamazoo, MI, 49008, USA.

Background: Percutaneous endoscopically placed gastrostomy (PEG) tubes are useful for long-term enteral nutrition; however, they are associated with lack of benefit for patients with advanced dementia, at end of life, and for some stroke patients with early regain of swallowing function. We surveyed physician opinions on decision making with the aim to identify factors that can lead to inappropriate PEG placement, as a first step of a quality improvement initiative to prevent inappropriate PEG placements at our facility.

Methods: A survey was distributed to 231 physicians, with questions about discussion topics, contraindications, responsibilities, and practices in decision making for PEG placement. Read More

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http://dx.doi.org/10.1007/s00464-019-06711-3DOI Listing
December 2019
9 Reads

Development and Validation of a Prognostic Model of Swallowing Recovery and Enteral Tube Feeding After Ischemic Stroke.

JAMA Neurol 2019 05;76(5):561-570

Department of Neurology, Kantonsspital St Gallen, St Gallen, Switzerland.

Importance: Predicting the duration of poststroke dysphagia is important to guide therapeutic decisions. Guidelines recommend nasogastric tube (NGT) feeding if swallowing impairment persists for 7 days or longer and percutaneous endoscopic gastrostomy (PEG) placement if dysphagia does not recover within 30 days, but, to our knowledge, a systematic prediction method does not exist.

Objective: To develop and validate a prognostic model predicting swallowing recovery and the need for enteral tube feeding. Read More

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http://dx.doi.org/10.1001/jamaneurol.2018.4858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515605PMC
May 2019
77 Reads

Pain and Swelling after Percutaneous Endoscopic Gastrostomy Removal: An Unexpected Evolution.

GE Port J Gastroenterol 2018 Dec 7;26(1):59-63. Epub 2018 Mar 7.

Gastroenterology Department, Centro Hospitalar Universitário do Algarve, Faro, Portugal.

Gastrostomy site metastization is considered an uncommon complication of percutaneous endoscopic gastrostomy (PEG) placement in patients with head and neck tumours, but it is important to consider this possibility when evaluating gastrostomy-related symptoms. The authors present the case of a 40-year-old male with excessive alcohol consumption and active smoking, diagnosed with a stage IV oropharyngeal squamous cell carcinoma. The patient developed a paraneoplastic demyelinating motor polyneuropathy that, associated with tumour mass effect, caused dysphagia with need for nasogastric tube feeding. Read More

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https://www.karger.com/Article/FullText/487157
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http://dx.doi.org/10.1159/000487157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341374PMC
December 2018
42 Reads

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
19 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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June 2019
3 Reads

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
26 Reads

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

Head Neck 2019 05 7;41(5):1508-1516. 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
May 2019
5 Reads

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

J Neurosurg 2019 01;132(1):87-93

1Department of Neurological Surgery.

Objective: Existing 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.

Methods: The 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
3 Reads

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

South Med J 2019 01;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
15 Reads

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

Surg Laparosc Endosc Percutan Tech 2019 Apr;29(2):e20-e23

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
April 2019
39 Reads

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

Acta Biomed 2018 12 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502208PMC
December 2018
6 Reads