PEG J tube placement with optimization of J tube insertion

Retrospective analysis of the methods and complications following the insertion of a PEG tube in children

“…PEG placement procedure was burdened with various complications, e.g. local complications (28), PEG dysfunction (13), vomiting (9), sepsis (2), buried bumper syndrome (1), oesophagitis (1), and gastrointestinal fistula (1), which are presented in Figure 4.…”

“…Two methods for performing PEG insertion procedure were employed: a gastroscopy alone (31 cases) and a laparoscopic-assisted gastroscopy (17). The following complications were: local complications at the incision site (28), PEG dysfunction (13), vomiting (9), sepsis (2), buried bumper syndrome (1), oesophagitis (1), and gastrointestinal fistula (1).…”

“…Stabilising the tube with the external bumper and internal mushroom tip ensures tightness of the stomach and, with time, will allow the gastric wall to fuse with the peritoneum. 8,9 PEG procedure was performed in 48 patients, of which 24 subjects were boys and 24 were girls, which is presented in Figure 1.…”

Everything that You Always Wanted to Know About the Management of Percutaneous Endoscopic Gastrostomy (PEG) Tubes (but Were Afraid to Ask)

“…The J extension tube is then guided through the stomach, pylorus, and small bowel until it is in position in the jejunum, distal to the ligament of Treitz. The jejunal extension tube may then be clipped to the mucosa [14].…”

Enteric Access: GI Perspective

“…The J tube is advanced through the PEG tube into the jejunum. The PEG tube is then pulled back, so the internal bumper is again close to the gastric wall Roberto Simons-Linares et al 46 After placement of the PEG tube, only the introducer is cut, and the entire length of the tube is left intact. The J tube is advanced through the PEG tube and grasped with an endoclip and pulled into the jejunum.…”