Per Cutaneous Endoscopic Gastrostomy tube(PEG)

Per Cutaneous Endoscopic Gastrostomy tube(PEG)

Last Reviewed : 12/24/2020
Per Cutaneous Endoscopic Gastrostomy tube(PEG)

Percutaneous endoscopic gastrostomy (PEG) is an endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the abdominal wall, most commonly to provide a means of feeding when oral intake is not adequate (for example, because of dysphagia or sedation). This provides enteral nutrition (making use of the natural digestion process of thegastrointestinal tract) despite bypassing the mouth; enteral nutrition is generally preferable to parenteral nutrition (which is only used when the GI tract must be avoided). The PEG procedure is an alternative to open surgical gastrostomy insertion, and does not require a general anesthetic; mild sedation is typically used. PEG tubes may also be extended into the small intestine by passing a jejunal extension tube (PEG-J tube) through the PEG tube and into the jejunum via the pylorus.

PEG administration of enteral feeds is the most commonly used method of nutritional support for patients in the community. Manystroke patients, for example, are at risk of aspiration pneumonia due to poor control over the swallowing muscles; some will benefit from a PEG performed to maintain nutrition. PEGs may also be inserted to decompress the stomach in cases of gastric volvulus

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Basic information: clevland clinic percutaneous endoscopic gastrostomy (peg) american society for gastrointestinal endoscopy percutaneous endoscopic gastrostomy (peg) web md feeding tube placement american college of gastroenterology percutaneous endoscopic gastrostomy (peg) university of maryland feeding tube insertion – gastrostomy


Advanced information: medscape percutaneous endoscopic gastrostomy (peg) tube placement patient peg feeding tubes - indications and management medicine percutaneous endoscopic gastrostomy (peg)


Research: percutaneous endoscopic gastrostomy: indications, technique, complications and management by ata a rahnemai-azar et al., world j gastroenterol. 2014 jun 28; 20(24): 7739–7751. percutaneous endoscopic gastrostomy in the enteral feeding of the elderly by huan-lin chen et al., international journal of gerontology volume 5, issue 3, september 2011, pages 135–138 doi:10.1016/j.ijge.2011.09.040 percutaneous endoscopic gastrostomy tube replacement by shou-jiang tang et al., video journal and encyclopedia of gi endoscopy volume 2, issue 2, september 2014, pages 70–73 doi:10.1016/j.vjgien.2014.01.002 acceptability and outcomes of the percutaneous endoscopic gastrostomy (peg) tube placement- patients' and care givers' perspectives by muhammad k anis et al.,,bmc gastroenterologybmc series ¿ open, inclusive and trusted20066:37 doi: 10.1186/1471-230x-6-37 complications related to percutaneous endoscopic gastrostomy (peg) tubes. a comprehensive clinical review by sherwin p. schrag et al., j gastrointestin liver dis december 2007 vol.16 no 4, 407-418 ce: early percutaneous endoscopic gastrostomy tube dislodgment by o'rear, jamie marie md; prahlow, joseph a md ajn, american journal of nursing: june 2015 - volume 115 - issue 6 - p 26–31 doi: 10.1097/01.naj.0000466312.00767.59 high risk percutaneous endoscopic gastrostomy tubes:issues to consider nflammatory bowel disease: a practical approach, series #73 by iris vance, university virginia school of medicine,neeral shah, md, assistant professor,division of gastroenterology and hepatology practical gastroenterology risk factors for percutaneous endoscopic gastrostomy tube placement during chemoradiotherapy for oropharyngeal cancer by tobin strom, md et al., jama otolaryngol head neck surg. 2013;139(11):1242-1246. doi:10.1001/jamaoto.2013.5193. gomes jr car, andriolo rb, bennett c, lustosa sas, matos d, waisberg dr, waisberg j. percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. cochrane database of systematic reviews 2015, issue 5. art. no.: cd008096. doi: 10.1002/14651858.cd008096.pub4. long-term outcomes of infants and children undergoing percutaneous endoscopy gastrostomy tube placement by maireade e. mcsweeney, hongyu jiang, amanda j. deutsch, melissa atmadja, and jenifer r. lightdale jpgn volume 57, number 5, november 2013 doi: 10.1097/mpg.0b013e3182a02624 prevention and management of complications of percutaneous endoscopic gastrostomy (peg) tubes by christopher r. lynch, m.d., john c. fang, m.d. practical gastroenterology • november 2004 the percutaneous endoscopic gastrostomy tube: medical and ethical issues in placement by floyd angus, m.d. and robert burakoff, m.d. the american journal of gastroenterology vol. 98, no. 2, 2003. doi:10.1016/s0002-9270(02)05935-x abcd, arq. bras. cir. dig. vol.20 no.2 são paulo apr./june 2007 original article:percutaneous endoscopic gastrostomy in advanced head and neck cancer by paulo moacir de oliveira campoli et al.,

janes se, price c s, khan s. percutaneous endoscopic gastrostomy: 30-day mortality trends and risk factors. j postgrad med [serial online] 2005 [cited 2016 jun 23];51:23-9. available from: patel p, yeh r, gupta r, maher cr, akhras j, et al. (2012) effect of percutaneous endoscopic gastrostomy tube placement on the outcome of the fecal occult blood test. j gastroint dig syst 2:109. doi:10.4172/2161-069x.1000109


Other articles: peg (percutaneous endoscopic gastrostomy) tube - stomach tube article written by dr. daniel a. degner, board-certified veterinary surgeon (dacvs) percutaneous endoscopic gastrostomy tubes


Related videos: percutaneous endoscopic gastrostomy (peg) feeding tube enteral feeding - percutaneous endoscopic gastrostomy initial placement of the endovive™ safety percutaneous endoscopic gastrostomy (peg) tube peg placement percutaneous endoscopic gastrostomy /pull method/ and jejunal extension tube placement peg feeding tube peg tube insertion video

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