Percutaneous Endoscopic Gastrostomy (PEG): Comparison of Push and Pull Methods and Evaluation of Antibiotic Prophylaxis

Akkersdijk, W.L.; Bergeijk, J.D. van; Egmond, T. van; Mulder, Chris J.; Henegouwen, G. P. van Berge; Werken, Christiaan van der; Erpecum, Karel J. van

doi:10.1055/s-2007-1005699

Cited by 135 publications

(115 citation statements)

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“…Common complications include pain at the insertion site, peristomal leak and infection, tube extrusion, transient ileus and cutaneous ulceration [2,3] . Major complications include gastric or colonic perforation, peritonitis, gastrocolic or colocutaneous fistula, peritonitis and necrotizing fascitis [4][5][6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding

Ibegbu

Relan

Vega

2007

WJG

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Percutaneous endoscopic gastrostomy (PEG) tube complications can be serious or life threatening. Retrograde intussusception is a very rare complication of PEG tubes with only 9 cases reported in the literature. We describe a case of retrograde intussusception, associated with the use of a Foley catheter as a replacement gastrostomy tube, presenting with upper gastrointestinal bleeding. To our knowledge, this is the first reported case of PEG-related retrograde intussusception successfully managed in a non-surgical manner. Retrograde intussusception likely occurred due to migration of the replacement tube with resultant securing and invagination of the proximal jejunum when the gastrostomy tube was anchored to the abdominal wall.

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Section: Discussionmentioning

confidence: 99%

Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding

Ibegbu

Relan

Vega

2007

WJG

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“…In the 'push technique, a guidewire is brought out of the patient's mouth over which a feeding tube with a tapered end is pushed in an aboral direction until it exits through the abdominal wall. 8 In 14,15 The principal drawbacks are the cost, longer procedure time and requirement for GA.…”

Section: Percutaneous Endoscopic Gastrostomy (Peg)mentioning

confidence: 99%

Feeding Tube Enterostomies in Upper Aerodigestive Tract Cancers

Saha¹,

Bose²,

Pankaj³

2010

International Journal of Head and Neck Surgery

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Establishment and maintenance of safe access is crucial for long-term enteral nutrition in patients with head-neck and esophagogastric cancers. Tube enterostomies such as gastrostomy and jejunostomy are being increasingly used with wider use of chemoradiation and adjuvant therapy following surgery. This article reviews the currently available enteral access techniques by the open and percutaneous route and their indications, safety, effectiveness and role in modern oncological practice.

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“…Minor complications associated with PEG placement occur in 13-43% of patients (14)(15)(16), and include tube occlusion, maceration from leakage of gastric contents around the tube and peristomal pain. Major complications, reported in 0.4-8.4% of procedures (14,(16)(17)(18)(19), include wound infections, necrotizing fasciitis, aspiration, bleeding, perforation, ileus, injury of internal organs, tumor seeding, and death.…”

Section: Introductionmentioning

confidence: 99%

Pneumonia and mortality after percutaneous endoscopic gastrostomy insertion

Azzopardi

Ellul²

2013

Turk J Gastroenterol

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Percutaneous Endoscopic Gastrostomy (PEG): Comparison of Push and Pull Methods and Evaluation of Antibiotic Prophylaxis

Abstract: The complication rate with PEG placement is high with both the push and pull methods. The complication rate with the pull method is significantly reduced when antibiotic prophylaxis is used.

Cited by 135 publications

References 0 publications

Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding

Retrograde jejunoduodenogastric intussusception due to a replacement percutaneous gastrostomy tube presenting as upper gastrointestinal bleeding

Feeding Tube Enterostomies in Upper Aerodigestive Tract Cancers

Pneumonia and mortality after percutaneous endoscopic gastrostomy insertion

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