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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

We researched this topic for you and found the following best online resources. They are categorized into basic, advanced, and research level based on the extent of information you need. You will be taken to the respective websites by pressing on the links below.

 

 

Basic information:

http://my.clevelandclinic.org/health/treatments_and_procedures/hic-percutaneous-endoscopic-gastrostomy-peg clevland clinic percutaneous endoscopic gastrostomy (peg)

http://www.asge.org/patients/patients.aspx?id=394 american society for gastrointestinal endoscopy percutaneous endoscopic gastrostomy (peg)

http://www.webmd.com/digestive-disorders/feeding-tube-placement web md feeding tube placement

http://patients.gi.org/topics/percutaneous-endoscopic-gastrostomy-peg/ american college of gastroenterology percutaneous endoscopic gastrostomy (peg)

http://umm.edu/health/medical/ency/articles/feeding-tube-insertion-gastrostomy university of maryland feeding tube insertion – gastrostomy

 

Advanced information:

http://emedicine.medscape.com/article/149665-overview medscape percutaneous endoscopic gastrostomy (peg) tube placement

http://patient.info/in/doctor/peg-feeding-tubes-indications-and-management patient peg feeding tubes - indications and management

http://www.medicinenet.com/percutaneous_endoscopic_gastrostomy/article.htm medicine net.com percutaneous endoscopic gastrostomy (peg)

 

Research:

http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4069302/ 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.

http://www.sciencedirect.com/science/article/pii/s1873959811001116 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

http://www.sciencedirect.com/science/article/pii/s2212097114000338 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

http://bmcgastroenterol.biomedcentral.com/articles/10.1186/1471-230x-6-37 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

http://www.jgld.ro/2007/4/9.pdf 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

http://journals.lww.com/ajnonline/fulltext/2015/06000/ce___early_percutaneous_endoscopic_gastrostomy.24.aspx 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

https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2014/06/vance-pg-may-2012.pdf 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

http://archotol.jamanetwork.com/article.aspx?articleid=1754865 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.

http://onlinelibrary.wiley.com/doi/10.1002/14651858.cd008096.pub4/full 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.

http://www.naspghan.org/files/documents/pdfs/cme/jpgn/long_term_outcomes_of_infants_and_children.23.pdf 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

http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.458.1001&rep=rep1&type=pdf 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

https://www.ualberta.ca/~loewen/medicine/gim%20residents%20core%20reading/anorexia%20and%20weight%20loss/peg%20tubes%20-%20ethics%20etc.pdf 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

http://www.scielo.br/scielo.php?script=sci_arttext&pid=s0102-67202007000200007 abcd, arq. bras. cir. dig. vol.20 no.2 são paulo apr./june 2007 http://dx.doi.org/10.1590/s0102-67202007000200007 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: http://www.jpgmonline.com/text.asp?2005/51/1/23/14018

http://www.omicsonline.org/effect-of-percutaneous-endoscopic-gastrostomy-tube-placement-on-the-outcome-of-the-fecal-occult-blood-test-2161-069x.1000109.php?aid=7042 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:

http://www.vetsurgerycentral.com/peg.htm peg (percutaneous endoscopic gastrostomy) tube - stomach tube article written by dr. daniel a. degner, board-certified veterinary surgeon (dacvs)

http://maxshouse.com/percutancous_gastrostomy_tube_pl.htm percutaneous endoscopic gastrostomy tubes

 

Related videos:

https://www.youtube.com/watch?v=yjkz6mqj4ju percutaneous endoscopic gastrostomy (peg) feeding tube

https://www.youtube.com/watch?v=3jb5wdxsqog enteral feeding - percutaneous endoscopic gastrostomy

https://www.youtube.com/watch?v=09uxdjlvave initial placement of the endovive™ safety percutaneous endoscopic gastrostomy (peg) tube

https://www.youtube.com/watch?v=5hz-3rj5g0y peg placement

https://www.youtube.com/watch?v=zsfzctzzbe0 percutaneous endoscopic gastrostomy /pull method/ and jejunal extension tube placement

https://www.youtube.com/watch?v=atqgkk0zw2s peg feeding tube

https://www.youtube.com/watch?v=fs1ao7phnmm peg tube insertion video

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