First Year Fellows Endoscopy Course (Aug 4-5)

10-Feeding tubes_2024

Pdf Summary

The document provides information on percutaneous gastrostomy tubes (PEG) in the context of ASGE First Year Fellows Endoscopy Course. It covers various aspects of PEG placement, including indications, pre-PEG assessment, anti-thrombotic agent management, contraindications, PEG tray contents, technique, location, and post-procedure care. The text details the safe tract technique, securing the bumper, dealing with adverse events like aspiration, infection, bleeding, and leakage, as well as addressing complications such as buried bumper syndrome and gastrocolic fistula. In addition, it outlines scenarios like early PEG removal, tube migration, site metastases, and granulation tissue management. Tips on PEG replacement, tube migration, and handling situations like PEG removal and replacement are also provided. The importance of examining the PEG site and considering factors like tube type and placement depth is emphasized. The text aims to guide healthcare professionals in the appropriate management of PEG tubes, addressing common issues and providing insights for optimal patient care.

Keywords

Percutaneous gastrostomy tubes

PEG placement

ASGE First Year Fellows Endoscopy Course

Pre-PEG assessment

Anti-thrombotic agent management

PEG tray contents

Safe tract technique

Adverse events

Complications

PEG replacement