Percutaneous endoscopic gastrostomy tube placement in a surgical training program

Enteral nutrition via percutaneous endoscopic gastrostomy and nutritional status of patients: Five‐year prospective study

“…Percutaneous endoscopic gastrostomy is a preferred procedure compared to surgical gastrostomy because of its lower mortality and complication rates, place‐ment under local anesthesia and short duration of application 17–19 …”

“…compared 317 PEG and 75 primary open gastrostomy procedures and found similar complication and mortality rates. Despite the fact that both applications result in very similar complication and mortality rates, because open gastrostomy requires general anesthesia, is more expensive and has a longer time to recovery, it can easily be determined that PEG is the better method 17 …”

Percutaneous Endoscopic Gastrostomy in Pediatric Patients

“…Delay in making the diagnosis and institution of appropriate treatment may result in death (Lowe et al, 1997). Children with peritonitis may develop abdominal distension, guarding and generalized abdominal tenderness, with tachycardia, and pallor, and may be fever.…”

Limitations of percutaneous endoscopic gastrostomy in facilitating enteral nutrition in children: Review of the shortcomings of a new technique

“…3,14 In one series failed placement occurred in 11 of 317 patients. 15 Care must be taken to ensure the needle and trocar do not touch the tip of the endoscope. 10…”

“…4 Leakage and peritonitis are a cause of death, particularly if there is delay in instituting appropriate treatment. 15 Haemoperitoneum may result from perforation of the gastro-epiploic vessels. Abdominal X-rays may be unhelpful in diagnosis because pneumoperitoneum is already present in most patients following PEG insertion from air leakage during insertion.…”