Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening
Enteral nutrition is crucial and prognostically significant in patients with advanced malignancies. However, in many such patients, limited mouth opening renders conventional percutaneous endoscopic gastrostomy (PEG) tube placement impossible. Available options include a long-term indwelling naso-ga...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2025-07-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240069 |
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| author | Akash Goel Pankaj Singh Muzaffar Rashid Shawl Vikas Singla |
| author_facet | Akash Goel Pankaj Singh Muzaffar Rashid Shawl Vikas Singla |
| author_sort | Akash Goel |
| collection | DOAJ |
| description | Enteral nutrition is crucial and prognostically significant in patients with advanced malignancies. However, in many such patients, limited mouth opening renders conventional percutaneous endoscopic gastrostomy (PEG) tube placement impossible. Available options include a long-term indwelling naso-gastric tube or a surgical feeding jejunostomy. Long-term naso-gastric tube placement is associated with its own complications, and surgical feeding jejunostomy typically requires general anaesthesia, which is challenging in these debilitated patients. We present a trans-nasal PEG tube insertion technique that can be performed under local anaesthesia or mild sedation to ensure adequate enteral nutrition. The intricate steps of this procedure are detailed to raise awareness among endoscopists. |
| format | Article |
| id | doaj-art-fad5d162ba0b49c3bb2c3f42a7d143fa |
| institution | Kabale University |
| issn | 2636-0004 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj-art-fad5d162ba0b49c3bb2c3f42a7d143fa2025-08-20T03:51:43ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042025-07-0114313113210.18528/ijgii240069ijgii240069Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth openingAkash Goel0Pankaj Singh1Muzaffar Rashid Shawl2Vikas Singla3Department of Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, New Delhi, IndiaDepartment of Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, New Delhi, IndiaDepartment of Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, New Delhi, IndiaDepartment of Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, New Delhi, IndiaEnteral nutrition is crucial and prognostically significant in patients with advanced malignancies. However, in many such patients, limited mouth opening renders conventional percutaneous endoscopic gastrostomy (PEG) tube placement impossible. Available options include a long-term indwelling naso-gastric tube or a surgical feeding jejunostomy. Long-term naso-gastric tube placement is associated with its own complications, and surgical feeding jejunostomy typically requires general anaesthesia, which is challenging in these debilitated patients. We present a trans-nasal PEG tube insertion technique that can be performed under local anaesthesia or mild sedation to ensure adequate enteral nutrition. The intricate steps of this procedure are detailed to raise awareness among endoscopists.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240069enteralgastrostomyneoplasms |
| spellingShingle | Akash Goel Pankaj Singh Muzaffar Rashid Shawl Vikas Singla Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening International Journal of Gastrointestinal Intervention enteral gastrostomy neoplasms |
| title | Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening |
| title_full | Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening |
| title_fullStr | Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening |
| title_full_unstemmed | Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening |
| title_short | Trans-nasal PEG: An alternative approach to conventional PEG in patients with restricted mouth opening |
| title_sort | trans nasal peg an alternative approach to conventional peg in patients with restricted mouth opening |
| topic | enteral gastrostomy neoplasms |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii240069 |
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