Atkinson, R. J.; Grant, J.; Case-Upton, S. P.; McAlindon, M. E.
April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA5
Academic Journal
Percutaneous endoscopic gastrostomy (PEG) is regarded as the first choice for long term enteral feeding and is traditionally placed by two physicians endoscopist and assistant. However, PEG insertion is associated with considerable morbidity and mortality. Pre-assessment and PEG insertion by a dedicated nurse practitioner (NP) may reduce these risks. Authors present data from before and after the appointment of a NP at their hospital. The data confirm the safety of PEG insertion by a dedicated NP. Furthermore, since there is no obvious change in age or indication for PEG it may be that the significant reduction in aspiration and PEG displacement and the trend toward lower mortality rates is due to more appropriate patient selection, through pre-assessment by the NP and the development of a specialist PEG team.


Related Articles

  • Percutaneous Transesophageal Gastro-tubing for Management of Gastric Leakage After Sleeve Gastrectomy. Oshiro, Takashi; Saiki, Atsuhito; Suzuki, Junichi; Satoh, Ayami; Kitahara, Tomoaki; Kadoya, Kengo; Moriyama, Ayako; Ooshiro, Mitsuru; Nagashima, Makoto; Park, Youngjin; Okazumi, Shinichi; Katoh, Ryoji // Obesity Surgery;Sep2014, Vol. 24 Issue 9, p1576 

    Gastric leakage is a challenging complication of sleeve gastrectomy. Multimodal approaches, including drainage, clipping, and stenting of the leak, are occasionally insufficient. We report successful management of refractory gastric leakage using percutaneous transesophageal gastro-tubing...

  • Acceptability and outcomes of the Percutaneous Endoscopic Gastrostomy (PEG) tube placement- patients' and care givers' perspectives. Anis, Muhammad K.; Abid, Shahab; Jafri, Wasim; Abbas, Zaigham; Shah, Hasnain A.; Hamid, Saeed; Wasaya, Rozina // BMC Gastroenterology;2006, Vol. 6, p37 

    Background: Percutaneous endoscopic gastrostomy tube has now become a preferred option for the long-term nutritional support device for patients with dysphagia. There is a considerable debate about the health issues related to the quality of life of these patients. Our aim of the study was to...

  • The introducer technique is the optimal method for placing percutaneous endoscopic gastrostomy tubes in head and neck cancer patients. Foster, Jason; Filocamo, Peter; Nava, Hector; Schiff, Michael; Hicks, Wesley; Rigual, Nestor; Smith, Judy; Loree, Thom; Gibbs, John // Surgical Endoscopy;Jun2007, Vol. 21 Issue 6, p897 

    Percutaneous endoscopic gastrostomy (PEG) tubes are often placed in head and neck cancer patients to provide nutritional support, but studies have found the complication rates to be higher than other subsets of patients who undergo PEG placement. Complication rates as high as 50% have been...

  • Covering the Percutaneous Endoscopic Gastrostomy (PEG) Tube Prevents Peristomal Infection. Suzuki, Yutaka; Urashima, Mitsuyoshi; Ishibashi, Yoshio; Abo, Masahiro; Mashiko, Hiroshi; Eda, Yukimoto; Kusakabe, Toshiro; Kawasaki, Naruo; Yanaga, Katsuhiko // World Journal of Surgery;Aug2006, Vol. 30 Issue 8, p1450 

    Background: Because oropharyngeal bacteria can be brought through the abdominal wall during percutaneous endoscopic gastrostomy (PEG), peristomal infection is one of the most frequent complications in patients who undergo the procedure. This study aimed to determine whether covering the PEG tube...

  • Buried bumper syndrome: a rare complication of percutaneous endoscopic gastrostomy. Kurek, Krzysztof; Baniukiewicz, Andrzej; Świdnicka-Siergiejko, Agnieszka // Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i;2015, Vol. 10 Issue 3, p504 

    Feeding via percutaneous endoscopic gastrostomy (PEG) is the preferred form of alimentation when oral feeding is impossible. Although it is a relatively safe method, some complications may occur. One uncommon PEG complication is buried bumper syndrome. In this paper we report a case of buried...

  • Erratum to: Usefulness of the introducer method for percutaneous endoscopic gastrostomy using ultrathin transnasal endoscopy. Lee, Hong; Lim, Chul-Hyun; Park, Eun; Lee, Wook-Hyun; No, Jin; Jun, Byoung; Moon, Sung; Kim, Jin; Cho, Yu; Park, Jae; Lee, In; Kim, Sang; Choi, Myung-Gyu; Choi, Kyu // Surgical Endoscopy;Feb2014, Vol. 28 Issue 2, p607 

    A correction to the article "Usefulness of the introducer method for percutaneous endoscopic gastrostomy using ultrathin transnasal endoscopy," that appeared in the January 1, 2014 online issue is presented.

  • A new endoscopic technique for the buried bumper syndrome. Leung, E.; Chung, L.; Hamouda, A.; Nassar, A. H. M. // Surgical Endoscopy;Sep2007, Vol. 21 Issue 9, p1671 

    The Buried Bumper Syndrome is a well-recognized long-term complication of percutaneous endoscopic gastrostomy (PEG). Overgrowth of gastric mucosa over the inner bumper of the tube will cause mechanical failure of feed delivery, rendering the tube useless. Endoscopic removal is usually attempted...

  • Gastroduodenal stents are associated with more durable patency as compared to percutaneous endoscopic gastrojejunostomy in the palliation of malignant gastric outlet obstruction. Strand, Daniel S.; Thlick, Ju-En C.; Patrie, James T.; Gaidhane, Monica R.; Kahaleh, Michel; Wang, Andrew Y. // Journal of Interventional Gastroenterology;10/ 1/2012, Vol. 2 Issue 4, p150 

    Background: Gastroduodenal outlet obstruction (GOO) is a critical complication of cancers localized within and adjacent to the upper gastrointestinal tract. Approaches to the relief of GOO include surgical bypass with gastrojejunostomy (GJ), endoluminal placement of a self-expandable metallic...

  • The Incidence and Significance of Free Air after Percutaneous Endoscopic Gastronomy. Dulabon, George R.; Abrams, Jeffret E.; Rutherford, Edmund J. // American Surgeon;Jun2002, Vol. 68 Issue 6, p590 

    Reports on the incidence and significance of free air after percutaneous endoscopic gastrostomy (PEG). Function of percutaneous endoscopic gastrostomy; Complications related to gastrostomy tube placement; Incidence of pneumoperitoneum after PEG.


Read the Article


Sign out of this library

Other Topics