First Year Fellows Endoscopy Course (August 2-3)

10-Feeding tubes_2024

Pdf Summary

The document discusses the placement and management of Percutaneous Endoscopic Gastrostomy (PEG) tubes, used for various indications such as nutrition, hydration, medication administration, and decompression. It covers pre-PEG assessments, antibiotic prophylaxis, and guidelines for managing antithrombotic agents before and after the procedure. Contraindications and relative contraindications to PEG placement are outlined. The document details the components of a PEG tray, the PEG placement technique, location considerations, and potential adverse events such as aspiration, infection, bleeding, and leakage. It also addresses complications like buried bumper syndrome and gastrocolic fistula, and provides guidance on managing tube dislodgement and replacement. The text highlights potential issues like PEG site metastases and granulation tissue formation, as well as the removal and replacement of PEG tubes. Lastly, it emphasizes the importance of thorough assessment and appropriate management when dealing with PEG-related complications, concluding with a set of questions for assessment in case of issues arising with a PEG tube.

Keywords

Percutaneous Endoscopic Gastrostomy

PEG tubes

nutrition

hydration

medication administration

decompression

antibiotic prophylaxis

antithrombotic agents

PEG placement technique

adverse events