Percutaneous Endoscopic Gastrostomy: Insertion and Management
Percutaneous endoscopic gastrostomy (PEG) is the modality of choice for long-term enteral feeding in patients in whom oral intake is challenging. Compared with parenteral nutrition, gastrostomy feeding is the preferred choice for sustained nutritional support. Delivery of nutrients directly to the g...
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| Language: | English |
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Korean College of Helicobacter and Upper Gastrointestinal Research
2023-12-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://helicojournal.org/upload/pdf/kjhugr-2023-0058.pdf |
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| author | Han Jo Jeon |
| author_facet | Han Jo Jeon |
| author_sort | Han Jo Jeon |
| collection | DOAJ |
| description | Percutaneous endoscopic gastrostomy (PEG) is the modality of choice for long-term enteral feeding in patients in whom oral intake is challenging. Compared with parenteral nutrition, gastrostomy feeding is the preferred choice for sustained nutritional support. Delivery of nutrients directly to the gastrointestinal tract and enhanced cellular immunity associated with this approach are clinically beneficial to patients. Endoscopic gastrostomy is favored for its high clinical success rates and economic advantages and is associated with minor discrepancies with regard to morbidity, mortality, and tube function compared with surgical gastrostomy. PEG procedures can be broadly classified into the pull- and push-types. Although PEG is a comparatively safe procedure, high risk of bleeding is a well-known complication of PEG placement, which necessitates prophylactic antibiotic therapy and careful periprocedural management in patients who receive antiplatelet and anticoagulant agents. Tube dislodgement, peristomal leakage, or infection following PEG placement may require tube replacement or removal. In this review, we investigated the concerns associated with early vs. delayed feeding in concordance with current guidelines. We also describe the indications for PEG tube insertion, post-procedural care strategies, and management of complications. |
| format | Article |
| id | doaj-art-2ff34062b8254ecd9faec518915559ef |
| institution | Kabale University |
| issn | 1738-3331 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-2ff34062b8254ecd9faec518915559ef2025-08-20T03:28:38ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312023-12-0123425426110.7704/kjhugr.2023.0058802Percutaneous Endoscopic Gastrostomy: Insertion and ManagementHan Jo Jeon0Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaPercutaneous endoscopic gastrostomy (PEG) is the modality of choice for long-term enteral feeding in patients in whom oral intake is challenging. Compared with parenteral nutrition, gastrostomy feeding is the preferred choice for sustained nutritional support. Delivery of nutrients directly to the gastrointestinal tract and enhanced cellular immunity associated with this approach are clinically beneficial to patients. Endoscopic gastrostomy is favored for its high clinical success rates and economic advantages and is associated with minor discrepancies with regard to morbidity, mortality, and tube function compared with surgical gastrostomy. PEG procedures can be broadly classified into the pull- and push-types. Although PEG is a comparatively safe procedure, high risk of bleeding is a well-known complication of PEG placement, which necessitates prophylactic antibiotic therapy and careful periprocedural management in patients who receive antiplatelet and anticoagulant agents. Tube dislodgement, peristomal leakage, or infection following PEG placement may require tube replacement or removal. In this review, we investigated the concerns associated with early vs. delayed feeding in concordance with current guidelines. We also describe the indications for PEG tube insertion, post-procedural care strategies, and management of complications.http://helicojournal.org/upload/pdf/kjhugr-2023-0058.pdfgastrostomyendoscopyenteral feedingenteral nutrition |
| spellingShingle | Han Jo Jeon Percutaneous Endoscopic Gastrostomy: Insertion and Management The Korean Journal of Helicobacter and Upper Gastrointestinal Research gastrostomy endoscopy enteral feeding enteral nutrition |
| title | Percutaneous Endoscopic Gastrostomy: Insertion and Management |
| title_full | Percutaneous Endoscopic Gastrostomy: Insertion and Management |
| title_fullStr | Percutaneous Endoscopic Gastrostomy: Insertion and Management |
| title_full_unstemmed | Percutaneous Endoscopic Gastrostomy: Insertion and Management |
| title_short | Percutaneous Endoscopic Gastrostomy: Insertion and Management |
| title_sort | percutaneous endoscopic gastrostomy insertion and management |
| topic | gastrostomy endoscopy enteral feeding enteral nutrition |
| url | http://helicojournal.org/upload/pdf/kjhugr-2023-0058.pdf |
| work_keys_str_mv | AT hanjojeon percutaneousendoscopicgastrostomyinsertionandmanagement |