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1

Kandel, Gabor P. "Endoscopic Placement of Feeding Tubes." Canadian Journal of Gastroenterology 4, no. 9 (1990): 616–20. http://dx.doi.org/10.1155/1990/438967.

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It is no exaggeration to say that percutaneous gastrostomy has revolutionized the feeding of disabled patients with intact gastrointestinal tracts. The most common indication is inability to swallow. It is generally best to place a gastrostomy tube early to prevent malnutrition and minimize complications of procedures on poorly nourished tissue. If a patient is expected to live for only weeks to months, nasoenteric feedings are the nutritional route of choice. Contraindications to percutaneous gastrostomy include coagulation disorders, upper gastrointestinal fistulas, intestinal obstruction, v
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2

Goff, John S. "Percutaneous Gastronomy and Jejunostomy: Lessons from the First Decade." Canadian Journal of Gastroenterology 6, no. 3 (1992): 149–54. http://dx.doi.org/10.1155/1992/481485.

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Percutaneous gastrostomies and jejunostomies have increasingly been used for long term enteral feeding in patients with functioning gastrointestinal tracts but who are unable, for a variety of reasons, to use the standard oropharyngeal route. Since these devices can be placed without the use of general anesthesia, the morbidity and mortality generally are less than for placement of a surgical gastrostomy. A permanent gastrostomy tube is easy to manage in most patients who require prolonged tube feeding. There are four basic types of percutaneous gastrostomy techniques; three employ an endoscop
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3

Bridges, Ronald J., Lloyd R. Sutherland, Sydney Bass, and Lorne M. Price. "Percutaneous Endoscopic Gastrostomy." Canadian Journal of Gastroenterology 3, no. 1 (1989): 26–28. http://dx.doi.org/10.1155/1989/524314.

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Sixty-five patients who had endoscopic placement of a feeding tube between April 1984 and November 1987, were reviewed. Mean follow-up was 245 days (range one to 1391 days). The most common indication for gastrostomy insertion was a neurologic disorder (83%) Prophylactic antibiotic (cefoxitin) was given to 55% of patients (86% from one hospital). Minor complications (superficial wound infection, tube malfunction, ileus or localized abdominal pain) were seen in 55% of patients. Superficial wound infection, defined as local erythema and/or purulent discharge. was the most common complication ( 3
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4

Shah, Hussain, Ali Sardar, Muhammad Dildar, Hassan Khan Ejaz, and Anwar Muhammad. "Effect of Demonstration Regarding Percutaneous Endoscopic Gastrostomy Tube Feeding among Caregivers of Patients Diagnosed with Esophageal Carcinoma." medtigo Journal of Medicine 2, no. 4 (2024): e14324867. https://doi.org/10.5281/zenodo.14324867.

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<strong>Background: </strong>Esophageal carcinoma is one of the painful and excruciating sufferings among patients that affect around 5.3% of all global cancer deaths. Most of the patients undergo percutaneous endoscopic gastrostomy (PEG) tube procedure that make them prone for nutritional discrepancies. A PEG tube can result in severe problems when sufficient and proper care is not provided. <strong>Aim: </strong>The study aimed to assess the effect of demonstration on the caregiver's practices regarding percutaneous endoscopic gastrostomy tube feeding of patients diagnosed with esophageal ca
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5

Beirne, J. Cliff, and Emma J. Woolley. "Percutaneous endoscopic gastrostomy (PEG) tube feeding." Journal of Oral and Maxillofacial Surgery 52, no. 5 (1994): 531. http://dx.doi.org/10.1016/0278-2391(94)90385-9.

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6

Behrens, Rolf, Thomas Lang, Herbert Muschweck, Thomas Richter, and Michael Hofbeck. "Percutaneous Endoscopic Gastrostomy in Children and Adolescents." Journal of Pediatric Gastroenterology and Nutrition 25, no. 5 (1997): 487–91. http://dx.doi.org/10.1002/j.1536-4801.1997.tb00700.x.

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Background:Long‐term nasogastric tube feeding is often associated with irritation of the hypopharynx or dislocation of the tube. These pitfalls may be circumvented by percutaneous endoscopic gastrostomy. Although frequently used in adults, there is limited experience with the procedure in children.Methods:A series of 139 patients (aged 3 weeks to 36.5 years, mean age, 4.4 years; weight 3.1‐60 kg, mean weight, 15 kg) underwent placement of a percutaneous endoscopic gastrostomy because of central dysphagia (n = 103); general dystrophy caused by chronic renal failure, congenital heart disease, ne
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7

Jeon, Han Jo. "Percutaneous Endoscopic Gastrostomy: Insertion and Management." Korean Journal of Helicobacter and Upper Gastrointestinal Research 23, no. 4 (2023): 254–61. http://dx.doi.org/10.7704/kjhugr.2023.0058.

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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
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8

Mauterer, John V., Sarah K. Abood, C. A. Buffington, and Daniel D. Smeak. "New technique and management guidelines for percutaneous nonendoscopic tube gastrostomy." Journal of the American Veterinary Medical Association 205, no. 4 (1994): 574–79. http://dx.doi.org/10.2460/javma.1994.205.04.574.

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Summary A percutaneous nonendoscopic gastrostomy tube placement device and a new technique for nonendoscopic gastric feeding tube placement were developed for use in animais weighing &lt; 15 kg. After a successful experimental trial in 7 cats, the tube placement device was used in 8 clinical animals (7 cats and 1 dog). All gastrostomy feeding tubes were placed on the first attempt within 10 minutes. Position of the tube was evaluated by endoscopy in 14 of 15, by radiography in 4 of 15, and by celiotomy and necropsy in 2 of 15 animals, respectively. Placement was comparable to the percutaneous
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9

Scholefield, Ruby. "A guide to enteral feeding tubes." Veterinary Nursing Journal 39, no. 6 (2024): 53–58. https://doi.org/10.56496/aqce7599.

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Enteral feeding allows adequate nutritional support to be delivered to a patient via a feeding tube. There are a multitude of reasons why enteral feeding may be the most suitable method of feeding a hospitalised animal. This article provides a general overview of the three main feeding tubes used in veterinary practice: the naso-oesophageal tube, the oesophagostomy tube and the percutaneous endoscopic gastrostomy tube. It also discusses how to appropriately choose, use and care for these tubes.
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10

Ionescu, Vlad-Alexandru, Gina Gheorghe, Ruxandra Oprita, et al. "The Outcomes of Nutritional Support Techniques in Patients with Gastrointestinal Cancers." Gastroenterology Insights 13, no. 3 (2022): 245–57. http://dx.doi.org/10.3390/gastroent13030025.

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Gastrointestinal cancers represent a major cause of morbidity and mortality worldwide. A significant issue regarding the therapeutic management of these patients consists of metabolic disturbances and malnutrition. Nutritional deficiencies have a negative impact on both the death rates of these patients and the results of surgical or oncological treatments. Thus, current guidelines recommend the inclusion of a nutritional profile in the therapeutic management of patients with gastrointestinal cancers. The development of digestive endoscopy techniques has led to the possibility of ensuring the
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11

Chime, Chukwunonso, Ahmed Baiomi, Kishore Kumar, Harish Patel, Anil Dev, and Jasbir Makker. "Endoscopic Repair of Gastrocolic and Colocutaneous Fistulas Complicating Percutaneous Endoscopic Gastrostomy Tube." Case Reports in Gastrointestinal Medicine 2020 (February 11, 2020): 1–4. http://dx.doi.org/10.1155/2020/7262514.

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Percutaneous endoscopic gastrostomy (PEG) tube feeding has become one of the options for supplemental feeding in a selected group of patients. It is a generally safe procedure usually undertaken by a gastroenterologist or a surgeon in most cases but with over 200,000 tubes being placed yearly, there is bound to be complications. Some of the encountered complications include bleeding, site infection, tube migration, and inadvertent creation of fistula. We present our index patient admitted from a long-term care facility for feculent vomiting and fecal material through the PEG tube. Imaging and
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12

Rustom, I. K., A. Jebreel, M. Tayyab, R. J. A. England, and N. D. Stafford. "Percutaneous endoscopic, radiological and surgical gastrostomy tubes: a comparison study in head and neck cancer patients." Journal of Laryngology & Otology 120, no. 6 (2006): 463–66. http://dx.doi.org/10.1017/s0022215106000661.

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A gastrostomy feeding tube has become the most acceptable method for long-term feeding support in patients with head and neck cancer. The aim of this study was to compare the complications of percutaneous endoscopically inserted gastrostomy (PEG) tubes, radiologically inserted gastrostomy (RIG) tubes and surgically inserted gastrostomy (open/laparoscopic) (SUR) tubes in head and neck cancer patients and also to compare the mortality rates of these patients.Seventy-eight head and neck cancer patients underwent gastrostomy tube insertion (40 PEG, 28 RIG and 10 SUR) during the period February 200
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13

Choksi, Ajay P., Keyur C. Shah, and Harshad K. Parekh. "Direct percutaneous endoscopic jejunostomy performed with gastroscope." Journal of Digestive Endoscopy 04, no. 03 (2013): 090–92. http://dx.doi.org/10.4103/0976-5042.129986.

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AbstractWhile percutaneous endoscopic gastrostomy (PEG) is a well-known approach for achieving enteral feeding, direct percutaneous endoscopic jejunostomy (DPEJ) is a technique that allows endoscopic placement of percutaneous/transabdominal feeding tube directly into the jejunum. It offers a non-surgical alternative for postpyloric enteral feeding for long-term nutritional support when gastric feeding is not technically possible or is inappriopriate. Conventionally DPEJ is done with pediatric colonoscope or small bowel enteroscope. Here, we report a case where DPEJ was accomplished with gastro
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14

Smith, DA, PO Olson, and KA Mathews. "Nutritional support for rabbits using the percutaneously placed gastrostomy tube: a preliminary study." Journal of the American Animal Hospital Association 33, no. 1 (1997): 48–54. http://dx.doi.org/10.5326/15473317-33-1-48.

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A feeding-tube gastrostomy technique used in dogs and cats has been adapted to the rabbit. A detailed description of the percutaneous, incisionless placement of a gastrostomy tube using a gastroscope is presented. Management of the feeding tube and the formulation of a liquid diet for rabbits also are described. The percutaneous endoscopical gastrostomy (PEG) tube was used successfully to administer enteral nutritional support to the rabbit.
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15

FONSECA, Jorge, and Carla Adriana SANTOS. "PERCUTANEOUS ENDOSCOPIC GASTROSTOMY WITH JEJUNAL EXTENSION PLUS PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG-J PLUS PEG) IN PATIENTS WITH GASTRIC/DUODENAL CANCER OUTLET OBSTRUCTION." Arquivos de Gastroenterologia 52, no. 1 (2015): 72–75. http://dx.doi.org/10.1590/s0004-28032015000100015.

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Background Stent palliation is the gold standard for gastric/duodenal cancer outlet obstruction. When stenting is impossible, feeding may be achieved through a gastrojejunostomy (PEG-J), but displacement of jejunal tube is frequent due to manipulation for feeding and drainage. Gastric outlet obstruction results on increased gastroesophageal reflux or extra-tube leakage. In order to reduce the jejunostomy tube manipulation and the gastric residuum, we created a second gastrostomy (PEG) dedicated to gastric drainage, reducing the PEG-J handling. Objective Our aim was evaluating of the usefulness
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16

Nishiguchi, Yukio, Yuichi Fuyuhiro, Jae-To Lee, et al. "Percutaneous Endoscopic Gastrostomy, Duodenostomy and Jejunostomy." Diagnostic and Therapeutic Endoscopy 1, no. 1 (1994): 37–43. http://dx.doi.org/10.1155/dte.1.37.

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Although enteral feeding by nasal gastric tube is popular for the patients who have a swallowing disability and require long-term nutritional support, but have intact gut, this tube sometimes causes aspiration pneumonia or esophageal ulcer. For these patients, conventional techniques for performance of a feeding gastrostomy made by surgical laparotomy have been used so far. However, these patients are frequently poor anesthetic and operative risks. Percutaneous endoscopic gastrostomy (PEG) which can be accomplished with local anesthesia and without the necessity for laparotomy has become popul
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17

Urban, Kimberly G., and David J. Terris. "Percutaneous Endoscopic Gastrostomy by Head and Neck Surgeons." Otolaryngology–Head and Neck Surgery 116, no. 4 (1997): 489–92. http://dx.doi.org/10.1016/s0194-59989770299-7.

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The endoscopic placement of percutaneous gastrostomy tubes has been an accepted technique for several years but has traditionally been performed by gastroenterologists and general surgeons. Fluoroscopically guided tube placement is now performed by radiologists. Head and neck surgeons have been slow to adopt the responsibility for placing percutaneous gastrostomy tubes despite the fact that most are proficient in both rigid and flexible esophagoscopy and trained in the Seldinger technique. We report on 41 percutaneous endoscopic gastrostomies performed in 39 patients by the Head and Neck Servi
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18

Guenter, Peggi. "Percutaneous Endoscopic Gastrostomy Feeding Tube in Neuroscience Patients." Journal of Neuroscience Nursing 21, no. 2 (1989): 122–24. http://dx.doi.org/10.1097/01376517-198904000-00010.

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19

Strahm, Rachel, Manuel Weber, Reiner Wiest, and Kai-Uwe Schmitt. "Early Tube Feeding after Percutaneous Endoscopic Gastrostomy (PEG): An Observational Study." Nutrients 15, no. 5 (2023): 1157. http://dx.doi.org/10.3390/nu15051157.

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This study investigated whether enteral nutrition by early tube feeding led to changes in clinical parameters compared to tube feeding after 24 h. Starting on 1 January 2021, and following the latest update of the ESPEN guidelines on enteral nutrition, patients with percutaneous endoscopic gastrostomy (PEG) received tube feeding 4 h after tube insertion. An observational study was conducted to analyze whether the new scheme affected patient complaints, complications, or hospitalization duration compared to the previous procedure of tube feeding starting after 24 h. Clinical patient records fro
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20

Ireland, Lisa M., Ann E. Hohenhaus, John D. Broussard, and Brenda L. Weissman. "A Comparison of Owner Management and Complications in 67 Cats With Esophagostomy and Percutaneous Endoscopic Gastrostomy Feeding Tubes." Journal of the American Animal Hospital Association 39, no. 3 (2003): 241–46. http://dx.doi.org/10.5326/0390241.

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Esophagostomy feeding tubes were placed in 46 cats. Percutaneous endoscopic gastrostomy (PEG) feeding tubes were placed in 21 cats. Owner management and complications and facility of use were evaluated retrospectively by review of medical records and owner survey. Both tube types were equally effective for maintenance of body weight, ease of owner management, and complication rates. All of 12 owners surveyed were comfortable with PEG tube management. Ninety-six percent of 24 owners surveyed were comfortable with esophagostomy tube management. The esophagostomy tube can be placed less invasivel
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21

Kobak, Gregory E., Daniel T. McClenathan, and Scott J. Schurman. "Complications of Removing Percutaneous Endoscopic Gastrostomy Tubes in Children." Journal of Pediatric Gastroenterology and Nutrition 30, no. 4 (2000): 404–7. http://dx.doi.org/10.1002/j.1536-4801.2000.tb02760.x.

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ABSTRACTBackground:Little information has been reported regarding the frequency and type of complications arising from removal of percutaneous endoscopic gastrostomy (PEG) tubes in children.Methods:The records of 397 patients who had PEG tubes placed from 1993 through 1998 were reviewed for complications after removal. Data collected included length of time the tube was in place, age of the patient at insertion, type of tube removed, and patient diagnosis.Results:Fifty‐four children had the PEG tube removed by traction or endoscopy. The only complication was persistent leaking through a gastro
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Smith, Stephanie A., Chris L. Ludlow, James J. Hoskinson, Michael D. Butine, and Justin M. Goggin. "Effect of percutaneous endoscopic gastrostomy on gastric emptying in clinically normal cats." American Journal of Veterinary Research 59, no. 11 (1998): 1414. http://dx.doi.org/10.2460/ajvr.1998.59.11.1414.

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Abstract Objective To assess the effect of percutaneous endoscopic gastrostomy (PEG) tube placement on gastric emptying in clinically normal cats. Animals 8 healthy adult 3- to 5-year-old cats. Procedure Cats were accommodated to the diet for 2 weeks prior to scintigraphy. Caloric needs were divided into 3 feedings/d. Food was withheld for 24 hours after tube placement, then was fed as a third of the caloric needs on day 1, two-thirds on day 2, and full caloric requirements thereafter. Gastric emptying was measured via nuclear scintigraphy. Labeled meals contained 111 MBq (3 mCi) of 99mTc-labe
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Kang, Seokin, Yuri Kim, Hee Kyong Na, Sun Ju Chung, and Jeong Hoon Lee. "Duodenal Decubitus Ulcer Caused by Percutaneous Endoscopic Transgastric Jejunostomy Tube." Korean Journal of Helicobacter and Upper Gastrointestinal Research 20, no. 4 (2020): 324–27. http://dx.doi.org/10.7704/kjhugr.2020.0032.

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Percutaneous endoscopic gastrostomy (PEG) has substituted surgical gastrostomy for long-term enteral nutrition. Percutaneous endoscopic transgastric jejunostomy (PEG-J) entails placing a feeding tube into the jejunum through PEG. Unlike PEG, PEG-J is associated with complications caused by the jejunal extension tube. Herein, we report a rare complication of PEG-J. A 71-year-old woman who underwent PEG-J for the administration of carbidopa-levodopa, complained of epigastric pain, dyspepsia, and weight loss of more than 10% in 2 months. Esophagogastroduodenoscopy revealed a duodenal decubitus ul
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Grayeb, Mahmood, Avishay Lahad, Rana Elhaj, Marwan Elias, Yael Shmaya, and Firas Rinawi. "Long-Term Outcomes of Children Receiving Percutaneous Endoscopic Gastrostomy Feeding." Medicina 61, no. 3 (2025): 366. https://doi.org/10.3390/medicina61030366.

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Background and Objectives: Data regarding long-term outcomes of gastrostomy-fed children is scarce. The aim of the study was to analyze the long-term follow-up of children receiving percutaneous endoscopic gastrostomy (PEG) in terms of nutritional outcomes, hospitalization, and fundoplication rates. Materials and Methods: The medical records of gastrostomy-fed children who underwent PEG placement between January 2002 and June 2022 and subsequently attended primary care clinics of the Clalit Health Services (CHS) in Northeastern Israel, were reviewed in this retrospective cohort study. Results:
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Siau, Keith, Tom Troth, Elizabeth Gibson, Anita Dhanda, Lauren Robinson, and Neil C. Fisher. "How long do percutaneous endoscopic gastrostomy feeding tubes last? A retrospective analysis." Postgraduate Medical Journal 94, no. 1114 (2018): 469–74. http://dx.doi.org/10.1136/postgradmedj-2018-135754.

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BackgroundPercutaneous endoscopic gastrostomy (PEG) tubes allow for long-term enteral feeding. Disk-retained PEG tubes may be suitable for long-term usage without planned replacement, but data on longevity are limited. We aimed to assess the rates and predictors of PEG longevity and post-PEG mortality.DesignSingle-centred retrospective cohort study of patients with disk-retained (Freka) PEG tubes.MethodsAll patients undergoing PEG between 2010 and 2013 were identified, and retrospective analysis of outcomes until 2017 (median 1062 days) was performed. Time-to-event data were plotted using Kapl
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Cmorej, Peter, Matthew Mayuiers, and Choichi Sugawa. "Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement." BMJ Case Reports 12, no. 9 (2019): e230728. http://dx.doi.org/10.1136/bcr-2019-230728.

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A 53-year-old man with dysphagia underwent uneventful placement of a percutaneous endoscopic gastrostomy (PEG) tube for long-term enteral feeding access. 11 hours after the procedure, it was discovered that he had accidentally dislodged the feeding tube. On physical examination, he was found to have a benign abdomen without evidence of peritonitis or sepsis. He was observed overnight with serial abdominal examinations and nasogastric decompression. In the morning, he was taken back to the endoscopy suite where endoscopic clips were employed to close the gastric wall defect and a PEG tube was r
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Saeed, Muhammad Omar, Thomas Fleck, Ashish Awasthi, and Chander Shekhar. "Migrated PEG balloon causing acute pancreatitis." BMJ Case Reports 14, no. 4 (2021): e240605. http://dx.doi.org/10.1136/bcr-2020-240605.

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Percutaneous endoscopic gastrostomy (PEG) is a common procedure for an unsafe swallow or inability to maintain oral nutrition. When a PEG tube needs replacement, a balloon gastrostomy tube is usually placed through the same, well formed and mature tract without endoscopy. We present a patient with a rare complication related to the balloon gastrostomy tube, to raise awareness and minimise the risk of this complication in the future. A 67-year-old female patient presented to the emergency department with severe abdominal pain and vomiting. Her gastrostomy feeding tube displaced inwards, up to t
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Melling, Georgina, and Joshua Farley. "Complication rates associated with traction removal of percutaneous endoscopic gastrostomy tubes." British Journal of Nursing 31, no. 7 (2022): S22—S26. http://dx.doi.org/10.12968/bjon.2022.31.7.s22.

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Background: Percutaneous endoscopic gastrostomy (PEG) tubes are removed and/or replaced for reasons such as tube malfunction, degradation, patient's device preference, and when stopping enteral feeding. Aims: To identify the types and rate of complications associated with traction removal of a PEG tube and if this is associated with the size of the PEG or length of time it had been in situ prior to removal. Methods: This retrospective study looked at the tube removal/replacement reports written by the Enteral Feeding Nursing Service over an 8-year period at a large teaching hospital trust in t
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Melling, Georgina, and Joshua Farley. "Complication rates associated with traction removal of percutaneous endoscopic gastrostomy tubes." Gastrointestinal Nursing 21, Sup8 (2023): S16—S20. http://dx.doi.org/10.12968/gasn.2023.21.sup8.s16.

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Background: percutaneous endoscopic gastrostomy (PEG) tubes are removed and/or replaced for reasons such as tube malfunction, degradation, patient's device preference, and when stopping enteral feeding. Aims: to identify the types and rate of complications associated with traction removal of a PEG tube and if this is associated with the size of the PEG or length of time it had been in situ prior to removal. Methods: This retrospective study looked at the tube removal/replacement reports written by the Enteral Feeding Nursing Service over an 8-year period at a large teaching hospital trust in t
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Alhazmi, Ghadeer, Mroj Alsabri, Shahad Alsuwat, Adnan Al-Zangabi, Abdulaziz Al-Zahrani, and Mohammed Kareemulla Shariff. "Rectal Bleeding after Insertion of a Percutaneous Endoscopic Gastrostomy Tube." Case Reports in Gastroenterology 14, no. 3 (2020): 637–43. http://dx.doi.org/10.1159/000510164.

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Iatrogenic injury to an internal organ such as the stomach, colon, small bowel, or liver after percutaneous endoscopic gastrostomy (PEG) tube insertion is a rare complication. We present a case of rectal bleeding due to colon injury during PEG tube placement. This required urgent exploratory laparoscopic surgery with segmental resection of the transverse colon and replacement of the PEG tube. Postoperatively, the patient significantly improved with time and tolerated PEG tube feeding.
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Duché, Mathieu, Dalila Habès, Abdullraman Lababidi, Christophe Chardot, Joelle Wenz, and Olivier Bernard. "Percutaneous Endoscopic Gastrostomy for Continuous Feeding in Children with Chronic Cholestasis." Journal of Pediatric Gastroenterology and Nutrition 29, no. 1 (1999): 42–45. http://dx.doi.org/10.1002/j.1536-4801.1999.tb02359.x.

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ABSTRACTBackground:Malnutrition associated with chronic cholestasis in children often requires continuous enteral feeding through a nasogastric tube, which may be poorly tolerated.Method:Percutaneous endoscopic gastrostomy was performed in five children (age range, 20 months to 13 years) with severe cholestasis (Alagille syndrome in four; biliary atresia in one) and severe malnutrition (mean weight, ‐2.6 standard deviations; mean height, ‐2.7 standard deviations) who were awaiting liver transplantation. The pull‐through technique was used in patients under general anesthesia, and the button wa
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Zhu, Yanfei, Liping Shi, Hao Tang, and Guoqing Tao. "Current Considerations in Direct Percutaneous Endoscopic Jejunostomy." Canadian Journal of Gastroenterology 26, no. 2 (2012): 92–96. http://dx.doi.org/10.1155/2012/319843.

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For patients who are unable to meet their nutritional needs orally, enteral feeding via a percutaneous approach has become the mainstay of therapy. However, traditional enteral feeding methods, such as percutaneous endoscopic gastrostomy, may not be viable options for patients with severe gastroparesis or gastric outlet obstruction. Direct percutaneous endoscopic jejunostomy (DPEJ) is an enteral access method that was first described more than 20 years ago and has gained popularity among gastroenterologists. This review discusses the indications for and contraindications to DPEJ, the procedure
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Howard, Caoimhe, William L. Macken, Ann Connolly, Maria Keegan, David Coghlan, and David W. Webb. "Percutaneous endoscopic gastrostomy for refractory epilepsy and medication refusal." Archives of Disease in Childhood 104, no. 7 (2019): 690–92. http://dx.doi.org/10.1136/archdischild-2018-315629.

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ObjectiveCurrent guidelines for percutaneous endoscopic gastrostomy (PEG) placement focus largely on maintaining enteral feeding when oral feeding is no longer possible or adequate with an emphasis on nutrition and quality of life (QOL). Previous publications have also alluded to potential benefits in medication adherence, for example, in children with HIV, renal disease and neurodisability. We describe a cohort of children with refractory epilepsy who refused oral medication and in whom PEG tube placement was initiated for the purpose of drug administration.DesignWe identified children from t
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Naganuma, Atsushi, Ayaka Kishi, Yusuke Ogawa, et al. "Usefulness of Percutaneous Transesophageal Gastro-Tubing in Patients Receiving Chemoradiotherapy for Advanced Esophageal Cancer: A Case Report." Case Reports in Oncology 12, no. 3 (2019): 901–8. http://dx.doi.org/10.1159/000504569.

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Percutaneous endoscopic gastrostomy (PEG) is often performed for nutritional management in advanced esophageal cancer. We here report a patient who initially received enteral nutrition via a nasogastric tube and in whom the subsequent use of percutaneous transesophageal gastro-tubing (PTEG) circumvented the need for a gastrostomy. It is believed that PEG is less painful than a nasogastric tube. However, we selected PTEG because a PEG would have been within the planned irradiation field and there was concern about radiation dermatitis. We were able to administer chemoradiotherapy with sufficien
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Saleem, Zeeshan, Munir Akmal Lodhi, Muhammad Almas Hashmi, Fatima tuz Zahra, and Shamama Hassan. "Safety and Effectiveness of Percutaneous Endoscopic Gastrostomy in Children." Pakistan Armed Forces Medical Journal 73, SUPPL-1 (2023): S32–35. http://dx.doi.org/10.51253/pafmj.v73isuppl-1.2952.

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Objective: To determine the safety and effectiveness of percutaneous endoscopic gastrostomy in Paediatrics population. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Pediatric Gastroenterology, Pak Emirates Military hospital, Rawalpindi Pakistan, from Mar 2014 till Dec 2017. Methodology: Total 40 children who underwent percutaneous gastrostomy at the Paediatric gastroenterology department were included in the study. Patients were followed up for a period for 6 months. Demographic data, indications, weight gainand complications were noted for 6 months a
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Gupta, Ankur, Anil K. Singh, Deepak Goel, Akash N. Gaind, and Shireesh Mittal. "Percutaneous Endoscopic Gastrostomy Tube Placement: A Single Center Experience." Journal of Digestive Endoscopy 10, no. 03 (2019): 150–54. http://dx.doi.org/10.1055/s-0039-3401391.

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Abstract Introduction Percutaneous endoscopic gastrostomy (PEG) tube placement is one of the recommended methods for providing enteral feeding in patients with swallowing difficulty and intact gastrointestinal tract. We review our three years of experience pertaining to PEG placement in our hospital. Methods Records of all the patients, who underwent PEG between May 2014 to September 2017, were reviewed and relevant clinical and procedural details were noted. For all the patients, the procedure was conducted under antibiotic prophylaxis, moderate sedation, and local anesthesia. The PEG tube wa
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Dulabon, George R., Jeffrey E. Abrams, and Edmund J. Rutherford. "The Incidence and Significance of Free Air after Percutaneous Endoscopic Gastrostomy." American Surgeon 68, no. 6 (2002): 590–93. http://dx.doi.org/10.1177/000313480206800616.

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Percutaneous endoscopic gastrostomy (PEG) is well established as a safe and effective means of providing enteral feeding access in patients unable to tolerate oral feeding. There is some question, however, as to the true incidence of free air after PEG and the clinical significance of free air in these patients. We report our experience with 119 patients over 4 years who underwent placement of a percutaneous gastrostomy tube. This study is a retrospective review of percutaneous endoscopic gastrostomies performed by the Critical Care Service for Surgery (CCSS). A database of percutaneous endosc
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Demiryilmaz, Ismail, Ismayil Yilmaz, Ayse Albayrak, Atalay Sahin, and Nurdan Sekban. "Percutaneous endoscopic tube gastrostomy in enteral feeding for long term." Sakarya Medical Journal 2, no. 3 (2012): 122–25. http://dx.doi.org/10.5505/sakaryamj.2012.18480.

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Baeten, C., and J. Hoefnagels. "Feeding via Nasogastric Tube or Percutaneous Endoscopic Gastrostomy a Comparison." Scandinavian Journal of Gastroenterology 27, sup194 (1992): 95–98. http://dx.doi.org/10.3109/00365529209096035.

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Komiya, Kosaku, Yuko Usagawa, Jun‐ichi Kadota, and Naoki Ikegami. "Decreasing Use of Percutaneous Endoscopic Gastrostomy Tube Feeding in Japan." Journal of the American Geriatrics Society 66, no. 7 (2018): 1388–91. http://dx.doi.org/10.1111/jgs.15386.

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Pesarini, A. C., and H. J. Dittler. "Feeding Tube Perforation as a Complication of Percutaneous Endoscopic Gastrostomy." Endoscopy 24, no. 03 (1992): 235. http://dx.doi.org/10.1055/s-2007-1010471.

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RAAF, JOHN H., MARUTHI MANNEY, EMMANUEL OKAFOR, LAWRENCE GRAY, and VEDANTUM CHARI. "Laparoscopic Placement of a Percutaneous Endoscopic Gastrostomy (PEG) Feeding Tube." Journal of Laparoendoscopic Surgery 3, no. 4 (1993): 411–14. http://dx.doi.org/10.1089/lps.1993.3.411.

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Chaves, Dalton M., Atul Kumar, Marcos E. Lera, et al. "EUS-guided percutaneous endoscopic gastrostomy for enteral feeding tube placement." Gastrointestinal Endoscopy 68, no. 6 (2008): 1168–72. http://dx.doi.org/10.1016/j.gie.2008.06.062.

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Cha, Byung Hyo, Min Jung Park, Joo Yeong Baeg, et al. "How often should percutaneous gastrostomy feeding tubes be replaced? A single-institute retrospective study." BMJ Open Gastroenterology 9, no. 1 (2022): e000881. http://dx.doi.org/10.1136/bmjgast-2022-000881.

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ObjectivePercutaneous gastrostomy (PG) is a common procedure that enables long-term enteral nutrition. However, data on the durability of individual tube types are insufficient. We conducted this study to compare the longevities and features of different PG tube types.DesignWe performed a 5-year retrospective analysis of patients who underwent endoscopic and radiologic PG-related feeding tube procedures. The primary and secondary outcomes were tube exchange intervals and revenue costs, respectively. Demographic factors, underlying diseases, operator expertise, materials used, and complication
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Williams, S. G. J., F. Ashworth, A. McAlweenie, S. Poole, M. E. Hodson, and D. Westaby. "Percutaneous endoscopic gastrostomy feeding in patients with cystic fibrosis." Gut 44, no. 1 (1999): 87–90. http://dx.doi.org/10.1136/gut.44.1.87.

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BackgroundMalnutrition is a common management problem in patients with cystic fibrosis (CF). Various approaches to supplemental nutrition by both parenteral and enteral routes have been used.AimTo analyse the efficacy and acceptability of supplemental overnight feeding using a percutaneous endoscopic gastrostomy (PEG) in patients with CF.Patients53 patients with CF (43 adults; age &gt;17 years) with severe pulmonary disease.MethodsThe technical success and complications of PEG insertion were documented together with changes in nutritional and pulmonary status of the cohort.ResultsPEG tubes wer
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ÖZÇELİK, Zerrin, İlknur BANLI CESUR, and Didem GÜLCÜ TAŞKIN. "Complications of percutaneous endoscopic gastrostomy in children: a single-center experience." Cukurova Medical Journal 48, no. 2 (2023): 317–22. http://dx.doi.org/10.17826/cumj.1234116.

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Purpose: Percutaneous endoscopic gastrostomy is the most preferred method for feeding in children with intact gastrointestinal system functions when oral nutrition is insufficient due to neurological, neuromuscular, or oncological diseases. This study aimed to evaluate the indications for percutaneous endoscopic gastrostomy and associated complications in the patients we followed up.&#x0D; Materials and Methods: In this descriptive study, the records of 130 patients who underwent percutaneous endoscopic gastrostomy for nutritional support between January 1st 2013- December 30th 2020 were retro
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Kishore, Anand. "Gastrocolic fistula as a complication of percutaneous endoscopic gastrostomy (PEG): a case report and review of literature." International Surgery Journal 5, no. 7 (2018): 2653. http://dx.doi.org/10.18203/2349-2902.isj20182791.

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Gastrocolic fistula is a rare complication which is seen after percutaneous endoscopic gastrostomy (PEG). It usually manifest as a late complication. Interesting fact is that gastrocolic fistula is formed during the initial insertion of PEG tube itself but goes unrecognized. It becomes evident only when a tube replacement is done or when tube dislodgement occurs. We report a case where gastrocolic fistula was recognized after 1 month of tube feeding. Aim of our case report is to make clinicians aware of this rare condition and to have high clinical suspicion regarding possible complications of
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Das, Snehasis, Naveen Kumar Gaur, Oseen Hajilal Shaikh, and Uday Shamrao Kumbhar. "Feeding gastrostomy stoma site cutaneous myiasis: a rare entity." BMJ Case Reports 14, no. 7 (2021): e244352. http://dx.doi.org/10.1136/bcr-2021-244352.

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Infestation of any dead or necrotic tissues by the larvae of flies (maggots) is myiasis. This form of habitation is not restricted to any particular tissues in the body and can occur anywhere. However, myiasis at the surgical stoma site is very rare. We present a 55-year-old woman diagnosed with metastatic carcinoma of the oesophagus who underwent feeding gastrostomy (FG). The patient later presented with worms at the FG site. We removed the FG tube, cleared all the maggots, thoroughly cleaned the wound and placed a new FG tube. Although its occurrences have been reported enough in medical his
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Aljabri, R. S., and P. Kwan. "A114 QUALITY AND EFFICACY OF PERCUTANEOUS ENDOSCOPIC GASTROSTOMY: A RETROSPECTIVE CHART REVIEW STUDY." Journal of the Canadian Association of Gastroenterology 5, Supplement_1 (2022): 132–33. http://dx.doi.org/10.1093/jcag/gwab049.113.

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Abstract Background Passage of food along the digestive tract can be compromised by a number of conditions. Nasogastric tube (NGT) feeding is used in these cases but prolonged use can lead to various complications. Percutaneous endoscopy gastrostomy (PEG) has been reported as an effective and safe alternative to NGT. Clinical efficacy and adverse events related to PEG insertion are largely dependent on post-procedure care. Aims To assess the clinical significance of PEG tube insertion procedure and impact of post-procedure care and diet protocol on associated adverse events and success rate at
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Cmorej, Peter, Selwan Barbat, and Choichi Sugawa. "Complication of dislodged gastrostomy Foley catheter: antegrade migration into small bowel." BMJ Case Reports 11, no. 1 (2018): e227551. http://dx.doi.org/10.1136/bcr-2018-227551.

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A 65-year-old man with dysphagia underwent placement of a percutaneous endoscopic gastrostomy tube. He was cared for at a nursing facility where the tube became dislodged and was replaced with similar size Foley catheter. Patient was brought to the hospital with dislodged feeding Foley but none was found at the bedside. Diagnostic workup revealed antegrade migration of the catheter into the small bowel. Push enteroscopy was unsuccessful in retrieving the catheter because it was too far distal. Patient was observed for a total of 7 days. Due to lack of progress with conservative measures, a col
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