First Year Fellows Endoscopy Course (Aug 4-5) | 2024-Percutaneous Gastrostomy Tubes- PEG

Video Transcription

Video Summary

The gastroenterologist at the University of Utah discusses percutaneous endoscopic gastrostomy (PEG) tubes, a procedure commonly encountered in medical practice. PEG tubes are placed for patients unable to tolerate oral intake for an extended period, often due to neurological conditions or post-stroke complications. The talk covers indications for PEG placement, pre-procedure considerations, managing antithrombotics before the procedure, principles of PEG technique including determining the placement site based on landmarks, and complications such as infection, bleeding, and tube migration. The video also touches on post-procedure care, tube removal, replacing tubes with low-profile options, and troubleshooting issues like leakage or bleeding at the site. Practical tips are shared on handling different scenarios, such as tube displacement, infection management, and the importance of assessing tube maturity before removal. The session concludes with Q&A addressing various aspects of PEG tube management, including removal techniques and handling common complications.

Asset Subtitle

Dr. Judith Staub

Keywords

PEG tubes

gastroenterology

neurological conditions

procedure complications

post-procedure care

tube management

University of Utah