Prevention and management of minor complications in percutaneous endoscopic gastrostomy

Background Percutaneous endoscopic gastrostomy (PEG) was developed by Ponsky-Gauderer in the early 1980s. These tubes are placed through the abdominal wall mainly to administer fluids, drugs and/or enteral nutrition but can also be used for drainage or decompression. The tubes consist of an internal...

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Main Authors: Kurt Boeykens, Ivo Duysburgh, Wim Verlinden
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open Gastroenterology
Online Access:https://bmjopengastro.bmj.com/content/9/1/e000975.full
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author Kurt Boeykens
Ivo Duysburgh
Wim Verlinden
author_facet Kurt Boeykens
Ivo Duysburgh
Wim Verlinden
author_sort Kurt Boeykens
collection DOAJ
description Background Percutaneous endoscopic gastrostomy (PEG) was developed by Ponsky-Gauderer in the early 1980s. These tubes are placed through the abdominal wall mainly to administer fluids, drugs and/or enteral nutrition but can also be used for drainage or decompression. The tubes consist of an internal and external retention device. It is a generally safe technique but major or minor complications may arise during and after tube placement.Method A narrative review of the literature investigating minor complications after PEG placement.Results This review was written from a clinical viewpoint focusing on prevention and management of minor complications and documented with real cases from more than 21 years of clinical practice.Conclusions Depending on the literature the incidence of minor complications after gastrostomy placement can be high. To decrease associated morbidity, prevention, early recognition and popper management of these complications are important.
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series BMJ Open Gastroenterology
spelling doaj-art-1714e6ae1ef14b778b302625bfbb1b332025-02-06T20:05:09ZengBMJ Publishing GroupBMJ Open Gastroenterology2054-47742022-07-019110.1136/bmjgast-2022-000975Prevention and management of minor complications in percutaneous endoscopic gastrostomyKurt Boeykens0Ivo Duysburgh1Wim Verlinden2AZ Nikolaas, Nutrition Support Team, Sint-Niklaas, Oost-Vlaanderen, BelgiumAZ Nikolaas, Nutrition Support Team, Sint-Niklaas, Oost-Vlaanderen, BelgiumDepartment of Gastroenterology and Hepatology, Vitaz, Sint-Niklaas, BelgiumBackground Percutaneous endoscopic gastrostomy (PEG) was developed by Ponsky-Gauderer in the early 1980s. These tubes are placed through the abdominal wall mainly to administer fluids, drugs and/or enteral nutrition but can also be used for drainage or decompression. The tubes consist of an internal and external retention device. It is a generally safe technique but major or minor complications may arise during and after tube placement.Method A narrative review of the literature investigating minor complications after PEG placement.Results This review was written from a clinical viewpoint focusing on prevention and management of minor complications and documented with real cases from more than 21 years of clinical practice.Conclusions Depending on the literature the incidence of minor complications after gastrostomy placement can be high. To decrease associated morbidity, prevention, early recognition and popper management of these complications are important.https://bmjopengastro.bmj.com/content/9/1/e000975.full
spellingShingle Kurt Boeykens
Ivo Duysburgh
Wim Verlinden
Prevention and management of minor complications in percutaneous endoscopic gastrostomy
BMJ Open Gastroenterology
title Prevention and management of minor complications in percutaneous endoscopic gastrostomy
title_full Prevention and management of minor complications in percutaneous endoscopic gastrostomy
title_fullStr Prevention and management of minor complications in percutaneous endoscopic gastrostomy
title_full_unstemmed Prevention and management of minor complications in percutaneous endoscopic gastrostomy
title_short Prevention and management of minor complications in percutaneous endoscopic gastrostomy
title_sort prevention and management of minor complications in percutaneous endoscopic gastrostomy
url https://bmjopengastro.bmj.com/content/9/1/e000975.full
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