Percutaneous Endoscopic Gastrostomy Tube Placement: A Single Center Experience

Abstract

Introduction Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the recommended methods for providing enteral feeding in patients with swallowing difficulty and intact gastrointestinal tract. We review our three years of experience pertaining to PEG placement in our hospital. Methods Records of all the patients, who underwent PEG between May 2014 to September 2017, were reviewed and relevant clinical and procedural details were noted. For all the patients, the procedure was conducted under antibiotic prophylaxis, moderate sedation, and local anesthesia. The PEG tube was placed by the "pull up" method. Telephonic follow-up of the patients was carried out after one month of study completion. Results The PEG tube was placed in 73 patients (male 51 [69.9%]; age median [range] 67 [16-91] years). PEG was placed in 42 patients with stroke (57.6%), other neurologic disorders 17 (23.3%), coma due to head injury 5 (6.8%), and terminal malignancy 9 (12.3%). Technical success was achieved in 73 (97%) patients. Eleven procedurerelated complications occurred in nine patients (15.5%) including one death due to peritonitis. Of the 57 patients, who could be followed-up after discharge, 41 died of their primary illness after 65 (1-751) days, nine were alive and continuing on PEG tube feed, and in seven PEG was removed because it was not needed. Conclusion PEG is a useful procedure for enteral feeding. Although procedural success is high, it may be accompanied by significant complications. AbstractKeywords ► endoscopy ► gastrostomy ► postoperative complications ► peritonitis ► enteral nutrition

Fluoroscopy-Assisted Percutaneous Endoscopic Gastrostomy (F-PEG)—Single-Center Experience and Outcome

“…25 We suggest boxing hand wrap/use of abdominal binder for elderly patients and DIN to prevent tube dislodgement. 33 BBS is an unusual complication with an estimated incidence ranging from 0.3 to 2.4%. 34 In our series, BBS was noted in 12.7% and all of them underwent endoscopic replacement of PEG tube through the same site.…”

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

“…2 for PEG tube internal balloon-type bolster, and Fig. 3 for too-tight tube positioning leading to the buried bumper syndrome) [3]. Tissue compression between the internal and external bolsters can lead to pressure necrosis or breakdown of the gastrostomy tract.…”